HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT
HDR 2023 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 2022/23 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A2001  Innovamatrix ac, per sq cm                        C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2002  Mirragen adv wnd mat per sq                       C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2004  Xcellistem, 1 mg                                  C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2005  Microlyte matrix, per sq cm                       C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2006  Novosorb synpath per sq cm                        C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2007  Restrata, per sq cm                               C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2008  Theragenesis, per sq cm                           C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2009  Symphony, per sq cm                               C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2010  Apis, per square centimeter                       C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2011  Supra sdrm, per sq cm                             C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2012  Suprathel, per sq cm                              C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2013  Innovamatrix fs, per sq cm                        C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2014  Omeza collag per 100 mg                           C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2015  Phoenix wnd mtrx, per sq cm                       C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2016  Permeaderm b, per sq cm                           C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2017  Permeaderm glove, each                            C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2018  Permeaderm c, per sq cm                           C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2019  Kerecis marigen shld sq cm                        C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2020  Ac5 wound system                                  C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2021  Neomatrix per sq cm                               C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2022  Innovabrn/innovamatx xl sqcm                      C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2023  Innovamatrix pd, 1 mg                             C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2024  Resolve matrix per sq cm                          C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A2025  Miro3d per cubic cm                               C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A4100  Skin sub fda clrd as dev nos                      C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4238  Adju cgm supply allowance                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A4239  Non-adju cgm supply allow                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4287  Disp col sto bag breast milk                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4341  Iduc valve pat inst repl                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A4342  Iduc valve sply repl                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4436  Irr supply sleev reus per mo                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A4437  Irr supply sleev disp per mo                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4453  Rec cath man pump enema repl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4457  Enema tube any type repl                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4468  Exsuff belt incl all sup acc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4540  Trans elec nerv periph nerv                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A4541  Monthly supp use with e0733                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A4542  Supp ext up limb tremor stim                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4560  Nmes disposable                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A4596  Ces system monthly supp                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A6520  G com garmnt glove nghttime                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6521  G com garmnt glove nght cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6522  G com garment arm nighttime                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6523  G com garment arm nght custm                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6524  G com garmnt lwr leg/ft nght                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6525  G com garm lwrleg/ft ngt cus                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6526  G com garmt full leg/ft nght                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6527  G garmt full leg/ft nght cus                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6528  G com garment bra nighttime                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6529  G com garmt bra night custm                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6530  Compression stocking bk18-30                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6531  Compress stking bk30-40 surg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6532  Compress stking bk40-50 surg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6533  Gc stocking thighlngth 18-30                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6534  Gc stocking thighlngth 30-40                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6535  Gc stocking thighlngth 40+                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6536  Gc stocking full lngth 18-30                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6537  Gc stocking full lngth 30-40                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6538  Gc stocking full lngth 40+                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6539  Gc stocking waistlngth 18-30                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6540  Gc stocking waistlngth 30-40                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6541  Gc stocking waistlngth 40+                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A6545  Grad com non-elastic bk surg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6549  G compression garment                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A6552  Grad com stocking bk 30-40                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6553  G com stcking bk 30-40 custm                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6554  Grad com stocking bk 40+                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6555  G com stcking bk 40+ custm                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6556  G com stcking thgh18-30 cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6557  G com stcking thgh30-40 cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6558  G com stcking thgh 40+ cust                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6559  G stckng full/chap18-30 cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6560  G stckng full/chap30-40 cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6561  G stockng full/chap 40+ cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6562  G com stckng waist18-30 cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6563  G com stckng waist30-40 cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6564  G com stckng waist 40+ cust                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6565  Grad comp gauntlet custom                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6566  Grad com garment neck/head                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6567  G com garment neck/head cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6568  G com garment torso/shldr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6569  G com garmnt torso/shdr cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6570  Grad com garment genital                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6571  G com garment genital custm                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6572  Grad com garment toe caps                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6573  Grad com garmnt toe cap cust                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6574  Custom gradient sleev/glov                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6575  Gradient comp sleev/glov                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6576  Custom grad com sleeve med                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6577  Custom grad cm sleeve heavy                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6578  Gradient comp sleeve                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6579  Custom grad com glove med                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6580  Custom grad com glove heavy                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6581  Gradient comp glove                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6582  Gradient comp gauntlet                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6583  Grad com wrap w straps bk                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6584  Grad com wrap w straps                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6585  Grad com wrap w straps ak                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6586  Grad com wrap w straps leg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6587  Grad com wrap w straps foot                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6588  Grad com wrap w straps arm                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6589  Grad com wrap w straps bra                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6590  Urinary cath disp suc pump                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6591  Urinary cath suc pump                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6593  Grad com accessory gmt_wrap                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6594  G comp bandge liner lwr extr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6595  G comp bandge liner upr extr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6596  G comp bandge conform gauze                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6597  G comp bandage long stretch                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6598  G comp bandage med stretch                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6599  G comp bandage short stretch                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6600  G com bandge hgh dn foam sht                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6601  G com bandge hgh dn foam pad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6602  G com bandge hgh dn foamroll                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6603  G com bandge low dn foamchnl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6604  G com bandge low dn foam flt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6605  G com bandage padded foam                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6606  G com bandage padded textile                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6607  G com bandage tub protct lyr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6608  G com bandage tub protct pad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6609  G compression bandaging                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A6610  G com stcking bk 18-30 custm                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A7023  Mech allergen parti barrier                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A7049  Epap nasal valve                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9156  Oral mucoadhesive per 1 ml                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9268  Programmer orally ingest cap                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9269  Programable ingest capsule                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9272  Disp wound suct, drsg/access                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9291  Pres dig cog behav thera fda                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9292  Pres dig visual therapy fda                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9573  Inj, gadopiclenol, 1 ml                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9591  Fluoroestradiol f 18                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9592  Copper cu 64 dotatate diag                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9593  Gallium ga-68 psma-11 ucsf                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9594  Gallium ga-68 psma-11, ucla                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9595  Piflu f-18, dia 1 millicurie                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9596  Gallium illuccix 1 millicure                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9601  Flortaucipir inj 1 millicuri                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9602  Fluorodopa f-18 diag per mci                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9603  Inj, pafolacianine, 0.1 mg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9607  Lutetium lu 177 vipivotide                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9608  Flotufolastat f18 diag 1 mci                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9609  F18 fdg, 15 millicuries                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
A9697  Inj, magtrace per study dose                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
A9800  Gallium locametz 1 millicuri                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D0120  Periodic oral evaluation                          R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0140  Limit oral eval problm focus                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0145  Oral evaluation, pt < 3yrs                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0150  Comprehensve oral evaluation                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0160  Extensv oral eval prob focus                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0170  Re-eval,est pt,problem focus                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0171  Re-eval post-op visit                             R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0180  Comp periodontal evaluation                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0190  Screening of a patient                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0191  Assessment of a patient                           R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0210  Intraor comprehensive series                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0210TCIntraor comprehensive series                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D021026Intraor comprehensive series                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0220  Intraoral periapical first                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0220TCIntraoral periapical first                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D022026Intraoral periapical first                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0230  Intraoral periapical ea add                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0230TCIntraoral periapical ea add                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D023026Intraoral periapical ea add                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0240  Intraoral occlusal film                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0240TCIntraoral occlusal film                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D024026Intraoral occlusal film                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0250  Extraoral 2d project image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0250TCExtraoral 2d project image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D025026Extraoral 2d project image                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0251  Extraoral posterior image                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0251TCExtraoral posterior image                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D025126Extraoral posterior image                         R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0270  Dental bitewing single image                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0270TCDental bitewing single image                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D027026Dental bitewing single image                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0272  Dental bitewings two images                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0272TCDental bitewings two images                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D027226Dental bitewings two images                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0273  Bitewings - three images                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0273TCBitewings - three images                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D027326Bitewings - three images                          R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0274  Bitewings four images                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0274TCBitewings four images                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D027426Bitewings four images                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0277  Vert bitewings 7 to 8 images                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0277TCVert bitewings 7 to 8 images                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D027726Vert bitewings 7 to 8 images                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0310  Dental saliography                                R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0310TCDental saliography                                R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D031026Dental saliography                                R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0320  Dental tmj arthrogram incl i                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0320TCDental tmj arthrogram incl i                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D032026Dental tmj arthrogram incl i                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0321  Other tmj images by report                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0321TCOther tmj images by report                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D032126Other tmj images by report                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0322  Dental tomographic survey                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0322TCDental tomographic survey                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D032226Dental tomographic survey                         R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0330  Panoramic image                                   R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0330TCPanoramic image                                   R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D033026Panoramic image                                   R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0340  2d cephalometric image                            R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0340TC2d cephalometric image                            R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D0340262d cephalometric image                            R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0350  Oral/facial photo images                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0350TCOral/facial photo images                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D035026Oral/facial photo images                          R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0364  Cone beam ct capt & interp                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0364TCCone beam ct capt & interp                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D036426Cone beam ct capt & interp                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0365  Cone beam ct interprete man                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0365TCCone beam ct interprete man                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D036526Cone beam ct interprete man                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0366  Cone beam ct interprete max                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0366TCCone beam ct interprete max                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D036626Cone beam ct interprete max                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0367  Cone beam ct interp both jaw                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0367TCCone beam ct interp both jaw                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D036726Cone beam ct interp both jaw                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0368  Cone beam ct interprete tmj                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0368TCCone beam ct interprete tmj                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D036826Cone beam ct interprete tmj                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0369  Max mri capture & interprete                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0369TCMax mri capture & interprete                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D036926Max mri capture & interprete                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0370  Max ultrasound capt & interp                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0370TCMax ultrasound capt & interp                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D037026Max ultrasound capt & interp                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0371  Sialoendoscopy capt & interp                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0371TCSialoendoscopy capt & interp                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D037126Sialoendoscopy capt & interp                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0372  Tomo comp series images                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0372TCTomo comp series images                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D037226Tomo comp series images                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0373  Tomo bitewing image                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0373TCTomo bitewing image                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D037326Tomo bitewing image                               R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0374  Tomo periapical image                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0374TCTomo periapical image                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D037426Tomo periapical image                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0380  Cone beam ct capture limited                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0380TCCone beam ct capture limited                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D038026Cone beam ct capture limited                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0381  Cone beam ct capt mandible                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0381TCCone beam ct capt mandible                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D038126Cone beam ct capt mandible                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0382  Cone beam ct capt maxilla                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0382TCCone beam ct capt maxilla                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D038226Cone beam ct capt maxilla                         R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0383  Cone beam ct both jaws                            R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0383TCCone beam ct both jaws                            R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D038326Cone beam ct both jaws                            R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0384  Cone beam ct capture tmj                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0384TCCone beam ct capture tmj                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D038426Cone beam ct capture tmj                          R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0385  Max mri image capture                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0385TCMax mri image capture                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D038526Max mri image capture                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0386  Max ultrasound image capture                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0386TCMax ultrasound image capture                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 88      0.00   0.00   0.00
D038626Max ultrasound image capture                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 88      0.00   0.00   0.00
D0387  Comp image capture only                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0387TCComp image capture only                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D038726Comp image capture only                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0388  Bitewing image capture only                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0388TCBitewing image capture only                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D038826Bitewing image capture only                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0389  Periopic image capture only                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0389TCPeriopic image capture only                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D038926Periopic image capture only                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0391  Imterprete diagnostic image                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0391TCImterprete diagnostic image                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D039126Imterprete diagnostic image                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0393  Trtmnt simulation 3d image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0393TCTrtmnt simulation 3d image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D039326Trtmnt simulation 3d image                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0394  Digital sub 2 or more images                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0394TCDigital sub 2 or more images                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D039426Digital sub 2 or more images                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0395  Fusion 2 or more 3d images                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0395TCFusion 2 or more 3d images                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D039526Fusion 2 or more 3d images                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0396  3d print of 3d surface scan                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D0411  Hba1c in office testing                           R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0412  Blood glucose level test                          R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0414  Lab process microbial spec                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0415  Collection of microorganisms                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0416  Viral culture                                     R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0417  Collect & prep saliva sample                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0418  Analysis of saliva sample                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0419  Assess of salivary flow                           R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0422  Collect & prep genetic samp                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0423  Genetic test spec analysis                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0425  Caries susceptibility test                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0460  Pulp vitality test                                R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0470  Diagnostic casts                                  R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0472  Gross exam, prep & report                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0473  Micro exam, prep & report                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0475  Decalcification procedure                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0475TCDecalcification procedure                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D047526Decalcification procedure                         R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0476  Spec stains for microorganis                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0478  Immunohistochemical stains                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0478TCImmunohistochemical stains                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D047826Immunohistochemical stains                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0479  Tissue in-situ hybridization                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0480  Cytopath smear prep & report                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0480TCCytopath smear prep & report                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D048026Cytopath smear prep & report                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0481  Electron microscopy                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0481TCElectron microscopy                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D048126Electron microscopy                               R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0482  Direct immunofluorescence                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0483  Indirect immunofluorescence                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0484  Consult slides prep elsewher                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0484TCConsult slides prep elsewher                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D048426Consult slides prep elsewher                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0485  Consult inc prep of slides                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0485TCConsult inc prep of slides                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D048526Consult inc prep of slides                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0486  Access of transep cytol samp                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0502  Other oral pathology procedu                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0600  Non-ionizing diag proc                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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  0.000XXX.00.00.0000000             33.2875 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  0.000XXX.00.00.0000000             33.2875 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  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0604  Antigen test pub hlth pathog                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0605  Antibody test pub hlth path                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0605TCAntibody test pub hlth path                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D060526Antibody test pub hlth path                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0606  Molecular test pub hlth path                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0701  Pano radio image                                  R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0701TCPano radio image                                  R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D070126Pano radio image                                  R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0702  2d cephal radio image                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0702TC2d cephal radio image                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D0702262d cephal radio image                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0703  2d oral/facial photo image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0703TC2d oral/facial photo image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D0703262d oral/facial photo image                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0705  Extra oral post radio image                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0705TCExtra oral post radio image                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D070526Extra oral post radio image                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0706  Intraoral occlus radio image                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0706TCIntraoral occlus radio image                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D070626Intraoral occlus radio image                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0707  Intraoral periap radio image                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0707TCIntraoral periap radio image                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D070726Intraoral periap radio image                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0708  Intraoral bite radio image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0708TCIntraoral bite radio image                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D070826Intraoral bite radio image                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0709  Intraoral comp image capture                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0709TCIntraoral comp image capture                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D070926Intraoral comp image capture                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0801  3d dental scan direct                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0801TC3d dental scan direct                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D0801263d dental scan direct                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0802  3d dental scan indirect                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0802TC3d dental scan indirect                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D0802263d dental scan indirect                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0803  3d facial scan direct                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0803TC3d facial scan direct                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D0803263d facial scan direct                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0804  3d facial scan indirect                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0804TC3d facial scan indirect                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
D0804263d facial scan indirect                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D0999  Unspecified diagnostic proce                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1110  Dental prophylaxis adult                          R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1120  Dental prophylaxis child                          R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1206  Topical fluoride varnish                          R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1208  Topical app fluorid ex vrnsh                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1301  Immunization counseling                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1310  Nutri counsel-control caries                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1320  Tobacco counseling                                R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1321  Couns for high risk sub use                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1330  Oral hygiene instruction                          R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1351  Dental sealant per tooth                          R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1352  Prev resin rest, perm tooth                       R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1353  Sealant repair per tooth                          R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1354  Int caries med app per tooth                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1355  Caries med app per tooth                          R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1510  Space maintainer fxd unilat                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1516  Fixed bilat space maint, max                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1517  Fixed bilat space maint, man                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1520  Remove unilat space maintain                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1526  Remove bilat space main, max                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1527  Remove bilat space main, man                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1551  Recement space maint - max                        R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1552  Recement space maint - man                        R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1553  Recement unilat space maint                       R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1556  Rem fixed unilat space maint                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1557  Remove fixed bilat maint max                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1558  Remove fixed bilat man                            R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 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  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1701  Pfizer vacc admin 1st dose                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1702  Pfizer vacc admin 2nd dose                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1703  Moderna vacc admin 1st dose                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1704  Moderna vacc admin 2nd dose                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1705  Astrazeneca vacc adm 1st dos                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1706  Astrazeneca vacc adm 2nd dos                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1707  Janssen vaccine admin                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1708  Pfizer vacc admin 3rd dose                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1709  Pfizer vaccine admin booster                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1710  Moderna vacc admin 3rd dose                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1711  Moderna vacc admin booster                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1712  Janssen vacc admin booster                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1713  Pfizer vacc adm ped 1st dose                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1714  Pfizer vacc adm ped 2nd dose                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D1781  Vac admin human pap dose 1                        I   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1782  Vac admin human pap dose 2                        I   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1783  Vac admin human pap dose 3                        I   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D1999  Unspecified preventive proc                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2140  Amalgam one surface permanen                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2150  Amalgam two surfaces permane                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2160  Amalgam three surfaces perma                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2161  Amalgam 4 or > surfaces perm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2330  Resin one surface-anterior                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2331  Resin two surfaces-anterior                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2332  Resin three surfaces-anterio                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2335  Resin 4/> surf or w incis an                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2390  Ant resin-based cmpst crown                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2391  Post 1 srfc resinbased cmpst                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2392  Post 2 srfc resinbased cmpst                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2393  Post 3 srfc resinbased cmpst                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2394  Post >=4srfc resinbase cmpst                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2410  Dental gold foil one surface                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2420  Dental gold foil two surface                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2430  Dental gold foil three surfa                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2510  Dental inlay metalic 1 surf                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2520  Dental inlay metallic 2 surf                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2530  Dental inlay metl 3/more sur                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2542  Dental onlay metallic 2 surf                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2543  Dental onlay metallic 3 surf                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2544  Dental onlay metl 4/more sur                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2610  Inlay porcelain/ceramic 1 su                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2620  Inlay porcelain/ceramic 2 su                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2630  Dental onlay porc 3/more sur                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2642  Dental onlay porcelin 2 surf                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2643  Dental onlay porcelin 3 surf                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2644  Dental onlay porc 4/more sur                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2650  Inlay composite/resin one su                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2651  Inlay composite/resin two su                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2652  Dental inlay resin 3/mre sur                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2662  Dental onlay resin 2 surface                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2663  Dental onlay resin 3 surface                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2664  Dental onlay resin 4/mre sur                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2710  Crown resin-based indirect                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2712  Crown 3/4 resin-based compos                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2720  Crown resin w/ high noble me                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2721  Crown resin w/ base metal                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2722  Crown resin w/ noble metal                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2740  Crown porcelain/ceramic                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2750  Crown porcelain w/ h noble m                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2751  Crown porcelain fused base m                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2752  Crown porcelain w/ noble met                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2753  Crown porc fused to titanium                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2780  Crown 3/4 cast hi noble met                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2781  Crown 3/4 cast base metal                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2782  Crown 3/4 cast noble metal                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2783  Crown 3/4 porcelain/ceramic                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2790  Crown full cast high noble m                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2791  Crown full cast base metal                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2792  Crown full cast noble metal                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2794  Crown-titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2799  Interim crown                                     R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2910  Recement inlay onlay or part                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2915  Recement cast or prefab post                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2920  Re-cement or re-bond crown                        R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2921  Reattach tooth fragment                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2928  Prefab porc/cer crown perm                        R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2929  Prefab porc/ceram crown pri                       R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2930  Prefab stnlss steel crwn pri                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2931  Prefab stnlss steel crown pe                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2932  Prefabricated resin crown                         R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2933  Prefab stainless steel crown                      R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2934  Prefab steel crown primary                        R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2940  Protective restoration                            R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2941  Int therapeutic restoration                       R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2949  Restorative foundation                            R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D2950  Core build-up incl any pins                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2951  Tooth pin retention                               R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2952  Post and core cast + crown                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2953  Each addtnl cast post                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2954  Prefab post/core + crown                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2955  Post removal                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2957  Each addtnl prefab post                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2960  Labial veneer resin direct                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2961  Labial veneer resin indirect                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2962  Labial veneer porc indirect                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2971  Add proc construct new crown                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2975  Coping                                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2976  Band stabilization per tooth                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2980  Crown repair                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2981  Inlay repair                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2982  Onlay repair                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2983  Veneer repair                                     R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2989  Excavate tooth non-restorabl                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2990  Resin infiltration of lesion                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2991  App of hydroxyapatite                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D2999  Dental unspec restorative pr                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3110  Pulp cap direct                                   R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3120  Pulp cap indirect                                 R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3220  Therapeutic pulpotomy                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3221  Gross pulpal debridement                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3222  Part pulp for apexogenesis                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3230  Pulpal therapy anterior prim                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3240  Pulpal therapy posterior pri                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3310  End thxpy, anterior tooth                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3320  End thxpy, premolar tooth                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3330  End thxpy, molar tooth                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3331  Non-surg tx root canal obs                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3332  Incomplete endodontic tx                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3333  Internal root repair                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3346  Retreat root canal anterior                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3347  Retreat root canal premolar                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3348  Retreat root canal molar                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3351  Apexification/recalc initial                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3352  Apexification/recalc interim                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3353  Apexification/recalc final                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3355  Pulpal regeneration initial                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3356  Pulpal regeneration interim                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3357  Pulpal regeneration complete                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3410  Apicoectomy - anterior                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3421  Root surgery premolar                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3425  Root surgery molar                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3426  Root surgery ea add root                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3428  Bone graft peri per tooth                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3429  Bone graft peri each addl                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3430  Retrograde filling                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3431  Biological materials                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3432  Guided tissue regeneration                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3450  Root amputation                                   R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3460  Endodontic endosseous implan                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3470  Intentional replantation                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3471  Surg rep root res anterior                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3472  Surg rep root res premolar                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3473  Surg rep root res molar                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3501  Surg exp root surf anterior                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3502  Surg exp root surf premolar                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3503  Surg exp root surf molar                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3910  Isolation- tooth w rubb dam                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3911  Intraorifice barrier                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3920  Tooth splitting                                   R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3921  Decor or submerg erupt tooth                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3950  Canal prep/fitting of dowel                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D3999  Endodontic procedure                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4210  Gingivectomy/plasty 4 or mor                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4211  Gingivectomy/plasty 1 to 3                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4212  Gingivectomy/plasty rest                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4230  Ana crown exp 4 or> per quad                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4231  Ana crown exp 1-3 per quad                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4240  Gingival flap proc w/ planin                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4241  Gngvl flap w rootplan 1-3 th                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4245  Apically positioned flap                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4249  Crown lengthen hard tissue                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 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  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4261  Osseous surg 1 to 3 teeth                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 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  0.009YYY.00.00.0099999             33.2875 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  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4265  Bio mtrls to aid soft/os reg                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4266  Guided tiss regen resorble                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4267  Guided tiss regen nonresorb                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4268  Surgical revision procedure                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 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  0.009YYY.00.00.0099999             33.2875 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  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4274  Mesial/distal wedge proc                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4275  Non-auto graft 1st tooth                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4276  Con tissue w pedicle graft                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4277  Soft tissue graft firsttooth                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 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  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4283  Auto tissue graft addl tooth                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4285  Non-auto graft addl tooth                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4286  Remove non-resorb barrier                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4322  Splint intra-coronal                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4323  Splint extra-coronal                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4341  Periodontal scaling & root                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4342  Periodontal scaling 1-3teeth                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4346  Scaling gingiv inflammation                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4355  Full mouth debridement                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4381  Localized delivery antimicro                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4910  Periodontal maint procedures                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4920  Unscheduled dressing change                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4921  Gingival irrigation per quad                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D4999  Unspecified periodontal proc                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5110  Dentures complete maxillary                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5120  Dentures complete mandible                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5130  Dentures immediat maxillary                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5140  Dentures immediat mandible                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5211  Dentures maxill part resin                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5212  Dentures mand part resin                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5213  Dentures maxill part metal                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5214  Dentures mandibl part metal                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5221  Immed max part denture resin                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5222  Immed man part denture resin                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5223  Immed max part dent metal                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5224  Immed mand part dent metal                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5225  Maxillary part denture flex                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5226  Mandibular part denture flex                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5227  Immed max part denture                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5228  Immed mand part denture                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5282  Remove unil part denture,max                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5283  Remove unil part denture,man                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5284  Rem unilat dent flex base                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5286  Rem unilat dent 1 pc resin                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5410  Dentures adjust cmplt maxil                       R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5411  Dentures adjust cmplt mand                        R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5421  Dentures adjust part maxill                       R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5422  Dentures adjust part mandbl                       R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5511  Rep broke comp dent base man                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5512  Rep broke comp dent base max                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5520  Replace denture teeth complt                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5611  Rep resin part dent base man                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5612  Rep resin part dent base max                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5621  Rep cast part frame man                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5622  Rep cast part frame max                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5630  Rep partial denture clasp                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5640  Replace part denture teeth                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5650  Add tooth to partial denture                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5660  Add clasp to partial denture                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5670  Replc tth&acrlc on mtl frmwk                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5671  Replc tth&acrlc mandibular                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5710  Dentures rebase cmplt maxil                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5711  Dentures rebase cmplt mand                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5720  Dentures rebase part maxill                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5721  Dentures rebase part mandbl                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5725  Rebase hybrid prosthesis                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5730  Denture reln cmplt max dir                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5731  Denture reln cmplt mand dir                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5740  Denture reln part max dir                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5741  Denture reln part mand dir                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5750  Denture reln cmplt max indir                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5751  Denture reln cmplt mand ind                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5760  Denture reln part max indir                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5761  Denture reln part mand indir                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5765  Liner compl/partial rem dent                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5810  Denture interm cmplt maxill                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5811  Denture interm cmplt mandbl                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5820  Denture interm part maxill                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5821  Denture interm part mandbl                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5850  Denture tiss conditn maxill                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5851  Denture tiss condtin mandbl                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5862  Precision attachment                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5863  Overdenture complete max                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5864  Overdenture partial max                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5865  Overdenture complete mandib                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5866  Overdenture partial mandib                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D5867  Replacement of precision att                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5875  Prosthesis modification                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5876  Add metal sub to acrylc dent                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5899  Removable prosthodontic proc                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 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.00.00.0001000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D5913  Nasal prosthesis                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5914  Auricular prosthesis                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5915  Orbital prosthesis                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5916  Ocular prosthesis                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5919  Facial prosthesis                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5922  Nasal septal prosthesis                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5923  Ocular prosthesis interim                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5924  Cranial prosthesis                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5925  Facial augmentation implant                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5926  Replacement nasal prosthesis                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5927  Auricular replacement                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5928  Orbital replacement                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5929  Facial replacement                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5931  Surgical obturator                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5932  Postsurgical obturator                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5933  Refitting of obturator                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5934  Mandibular flange prosthesis                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5935  Mandibular denture prosth                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5936  Temp obturator prosthesis                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5937  Trismus appliance                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D5952  Pediatric speech aid                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5953  Adult speech aid                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5954  Superimposed prosthesis                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5955  Palatal lift prosthesis                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5958  Intraoral con def inter plt                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5959  Intraoral con def mod palat                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5960  Modify speech aid prosthesis                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5982  Surgical stent                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D5986  Fluoride applicator                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D5988  Surgical splint                                   R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5991  Vesiculobullous disease carr                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5992  Adjust max prost appliance                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5993  Main/clean max prosthesis                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5995  Peri medicament w/seal, max                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5996  Peri medicament w/seal, mand                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D5999  Maxillofacial prosthesis                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6010  Odontics endosteal implant                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6011  Second stage implant surgery                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6012  Endosteal implant                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6013  Surgical place mini implant                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6040  Odontics eposteal implant                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6050  Odontics transosteal implnt                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6051  Interim implant abutment                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6055  Implant connecting bar                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6056  Prefabricated abutment                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6057  Custom abutment                                   R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6058  Abutment supported crown                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6059  Abutment supported mtl crown                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6060  Abutment supported mtl crown                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6061  Abutment supported mtl crown                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6062  Abutment supported mtl crown                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6063  Abutment supported mtl crown                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6064  Abutment supported mtl crown                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6065  Implant supported crown                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6066  Implant supported mtl crown                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6067  Implant supported mtl crown                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6068  Abutment supported retainer                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6069  Abutment supported retainer                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6070  Abutment supported retainer                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6071  Abutment supported retainer                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6072  Abutment supported retainer                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6073  Abutment supported retainer                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6074  Abutment supported retainer                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6075  Implant supported retainer                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6076  Implant supported retainer                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6077  Implant supported retainer                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6080  Implant maintenance                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6081  Scale & debride, single imp                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6082  Imp crown porc to base alloy                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6083  Imp crown porc to noble allo                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6084  Imp crown porc to titanium                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6085  Interim implant crown                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6086  Imp crown base alloys                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6087  Implant crown noble alloys                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6088  Imp crown titanium alloys                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6089  Access/retorq implant screw                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6090  Repair implant                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6091  Repl semi/precision attach                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6092  Recement supp crown                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6093  Recement supp part denture                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6094  Abut support crown titanium                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6095  Odontics repr abutment                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6096  Remove broken imp ret screw                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6097  Abut crown porc to titanium                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6098  Imp retain porc to base allo                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6099  Imp retainer for fpd                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6100  Surg removal of implant body                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6101  Debridement of a periimplant                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6102  Debridement & contouring                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6103  Bone graft repair perimplant                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6104  Bone graft time of implant                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6105  Remove implant body                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6106  Tissue regen resorbable                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6107  Tissue regen non-resorbable                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6110  Implnt/abut remov dent max                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6111  Implnt/abut remov dent mand                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6112  Imp/abut rem dent part max                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6113  Imp/abut rem dent part mand                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6114  Implnt/abut fixed dent max                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6115  Implnt/abut fixed dent mand                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6116  Imp/abut fixed dent part max                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6117  Imp/abut fixed dent part man                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6118  Imp/abut int fixed dent man                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6119  Int/abut int fixed dent max                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6120  Imp retain porc to titanium                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6121  Retain metal fpd base alloys                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6122  Retain metal fpd noble alloy                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6123  Retain metal fpd titanium                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6190  Radio/surgical implant index                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6191  Semi precision abutment                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6192  Semi precision attachment                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6194  Abut support retainer titani                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6195  Abut retain porc to titanium                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6197  Replace material prosthesis                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6198  Remove interim implant                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6199  Implant procedure                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6205  Pontic-indirect resin based                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6210  Prosthodont high noble metal                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6211  Bridge base metal cast                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6212  Bridge noble metal cast                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6214  Pontic titanium                                   R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6240  Bridge porcelain high noble                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6241  Bridge porcelain base metal                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6242  Bridge porcelain nobel metal                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6243  Pontic porcelain to titanium                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6245  Bridge porcelain/ceramic                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6250  Bridge resin w/high noble                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6251  Bridge resin base metal                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6252  Bridge resin w/noble metal                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6253  Interim pontic                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6545  Dental retainr cast metl                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6548  Porcelain/ceramic retainer                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6549  Resin retainer                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6600  Porcelain/ceramic inlay 2srf                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6601  Porc/ceram inlay >= 3 surfac                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6602  Cst hgh nble mtl inlay 2 srf                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6603  Cst hgh nble mtl inlay >=3sr                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6604  Cst bse mtl inlay 2 surfaces                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6605  Cst bse mtl inlay >= 3 surfa                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6606  Cast noble metal inlay 2 sur                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6607  Cst noble mtl inlay >=3 surf                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6608  Onlay porc/crmc 2 surfaces                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6609  Onlay porc/crmc >=3 surfaces                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6610  Onlay cst hgh nbl mtl 2 srfc                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6611  Onlay cst hgh nbl mtl >=3srf                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6612  Onlay cst base mtl 2 surface                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6613  Onlay cst base mtl >=3 surfa                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6614  Onlay cst nbl mtl 2 surfaces                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6615  Onlay cst nbl mtl >=3 surfac                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6624  Inlay titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6634  Onlay titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6710  Crown-indirect resin based                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6720  Retain crown resin w hi nble                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6721  Crown resin w/base metal                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6722  Crown resin w/noble metal                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6740  Crown porcelain/ceramic                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6750  Crown porcelain high noble                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6751  Crown porcelain base metal                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6752  Crown porcelain noble metal                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6753  Retain crown porc to titaniu                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6780  Crown 3/4 high noble metal                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6781  Crown 3/4 cast based metal                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6782  Crown 3/4 cast noble metal                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6783  Crown 3/4 porcelain/ceramic                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6784  Retainer crown 3/4 titanium                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6790  Crown full high noble metal                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6791  Crown full base metal cast                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6792  Crown full noble metal cast                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6793  Interim retainer crown                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D6794  Crown titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D6930  Recement/bond part denture                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6940  Stress breaker                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6950  Precision attachment                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6980  Fixed partial repair                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6985  Pediatric partial denture fx                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D6999  Fixed prosthodontic proc                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7111  Extraction coronal remnants                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7140  Extraction erupted tooth/exr                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0099999             33.2875 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.00.00.0099999             33.2875 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.00.00.0099999             33.2875 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.00.00.0099999             33.2875 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.00.00.0099999             33.2875 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.00.00.0099999             33.2875 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.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7251  Coronectomy                                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7260  Oral antral fistula closure                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7261  Primary closure sinus perf                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7270  Tooth reimplantation                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7272  Tooth transplantation                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7280  Exposure of unerupted tooth                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7282  Mobilize erupted/malpos toot                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7283  Place device impacted tooth                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7284  Exc biopsy of saliv glands                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7285  Biopsy of oral tissue hard                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7286  Biopsy of oral tissue soft                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7287  Exfoliative cytolog collect                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7288  Brush biopsy                                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7290  Repositioning of teeth                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7291  Transseptal fiberotomy                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7292  Screw retained plate                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7293  Temp anchorage dev w flap                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7294  Temp anchorage dev w/o flap                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7295  Bone harvest,auto graft proc                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7296  Corticotomy, 1-3 teeth                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7297  Corticotomy, 4 or more teeth                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7298  Remove screw retained plate                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7299  Rem anchorage device w/flap                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7300  Rem anchorage dev w/o flap                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7310  Alveoplasty w/ extraction                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7311  Alveoloplasty w/extract 1-3                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7320  Alveoplasty w/o extraction                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7321  Alveoloplasty not w/extracts                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7340  Vestibuloplasty ridge extens                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7350  Vestibuloplasty exten graft                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7410  Rad exc lesion up to 1.25 cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7411  Excision benign lesion>1.25c                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7412  Excision benign lesion compl                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7413  Excision malig lesion<=1.25c                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7414  Excision malig lesion>1.25cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7415  Excision malig les complicat                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7440  Malig tumor exc to 1.25 cm                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7441  Malig tumor > 1.25 cm                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7450  Rem odontogen cyst to 1.25cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7451  Rem odontogen cyst > 1.25 cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7460  Rem nonodonto cyst to 1.25cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7461  Rem nonodonto cyst > 1.25 cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7465  Lesion destruction                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7471  Rem exostosis any site                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7472  Removal of torus palatinus                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7473  Remove torus mandibularis                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7485  Surg reduct osseoustuberosit                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7490  Maxilla or mandible resectio                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7509  Marsupialization odon cyst                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7510  I&d absc intraoral soft tiss                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7511  Incision/drain abscess intra                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7520  I&d abscess extraoral                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7521  Incision/drain abscess extra                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7530  Removal fb skin/areolar tiss                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7540  Removal of fb reaction                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7550  Removal of sloughed off bone                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7560  Maxillary sinusotomy                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7610  Maxilla open reduct simple                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7620  Clsd reduct simpl maxilla fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7630  Open red simpl mandible fx                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7640  Clsd red simpl mandible fx                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7650  Open red simp malar/zygom fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7660  Clsd red simp malar/zygom fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7670  Closd rductn splint alveolus                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7671  Alveolus open reduction                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7680  Reduct simple facial bone fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7710  Maxilla open reduct compound                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7720  Clsd reduct compd maxilla fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7730  Open reduct compd mandble fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7740  Clsd reduct compd mandble fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7750  Open red comp malar/zygma fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7760  Clsd red comp malar/zygma fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7770  Open reduc compd alveolus fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7771  Alveolus clsd reduc stblz te                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7780  Reduct compnd facial bone fx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7810  Tmj open reduct-dislocation                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7820  Closed tmp manipulation                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7830  Tmj manipulation under anest                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7840  Removal of tmj condyle                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7850  Tmj meniscectomy                                  R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7852  Tmj repair of joint disc                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7854  Tmj excisn of joint membrane                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7856  Tmj cutting of a muscle                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7858  Tmj reconstruction                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7860  Tmj cutting into joint                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7865  Tmj reshaping components                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7870  Tmj aspiration joint fluid                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7871  Lysis + lavage w catheters                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7872  Tmj diagnostic arthroscopy                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7873  Tmj arthroscopy lysis adhesn                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7874  Tmj arthroscopy disc reposit                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7875  Tmj arthroscopy synovectomy                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7876  Tmj arthroscopy discectomy                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7877  Tmj arthroscopy debridement                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7880  Occlusal orthotic appliance                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7881  Occ orthotic device adjust                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7899  Tmj unspecified therapy                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7910  Dent sutur recent wnd to 5cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7911  Dental suture wound to 5 cm                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7912  Suture complicate wnd > 5 cm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7920  Dental skin graft                                 R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7921  Collect & appl blood product                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7922  Place intra-socket bio dress                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7939  Indexing for osteotomy                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7940  Reshaping bone orthognathic                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7941  Bone cutting ramus closed                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7943  Cutting ramus open w/graft                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7944  Bone cutting segmented                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7945  Bone cutting body mandible                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7946  Reconstruction maxilla total                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7947  Reconstruct maxilla segment                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7948  Reconstruct midface no graft                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7949  Reconstruct midface w/graft                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7950  Mandible graft                                    R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7951  Sinus aug w bone or bone sub                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7952  Sinus augmentation vertical                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7953  Bone replacement graft                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7955  Repair maxillofacial defects                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7956  Tiss regen edent resorb                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7957  Tiss regen edent nonresorb                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D7961  Buccal/labial frenectomy                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7962  Lingual frenectomy                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7963  Frenuloplasty                                     R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7970  Excision hyperplastic tissue                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7971  Excision pericoronal gingiva                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7972  Surg redct fibrous tuberosit                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7979  Non-surgical sialolithotomy                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7980  Surgical sialolithotomy                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7981  Excision of salivary gland                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7982  Sialodochoplasty                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7983  Closure of salivary fistula                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7990  Emergency tracheotomy                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7991  Dental coronoidectomy                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7993  Surg place craniofacial impl                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7994  Surg place zygomatic impl                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7995  Synthetic graft facial bones                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7996  Implant mandible for augment                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7997  Appliance removal                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7998  Intraoral place of fix dev                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D7999  Oral surgery procedure                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D8010  Limited dental tx primary                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8020  Limited dental tx transition                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8030  Limited dental tx adolescent                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8040  Limited dental tx adult                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8070  Compre dental tx transition                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8080  Compre dental tx adolescent                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8090  Compre dental tx adult                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8210  Orthodontic rem appliance tx                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8220  Fixed appliance therapy habt                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8660  Preorthodontic tx visit                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8670  Periodic orthodontc tx visit                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8680  Orthodontic retention                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8681  Removable retainer adjust                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8695  Remove fixed ortho appliance                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8696  Rep of ortho appliance max                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8697  Rep of ortho appliance man                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8698  Recement fixed retainer max                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8699  Recement fixed retainer man                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8701  Repair fixed retainer max                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8702  Repair of fixed retainer man                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8703  Replace broken retainer max                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8704  Replace broken retainer man                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D8999  Orthodontic procedure                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9110  Palliative tx dental pain                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9120  Fix partial denture section                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9130  Temporomandibular joint dysf                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9210  Dent anesthesia w/o surgery                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9211  Regional block anesthesia                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9212  Trigeminal block anesthesia                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9215  Local anesthesia                                  R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9219  Eval mod/deep sed/gen anest                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9222  Deep anest, 1st 15 min                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9223  General anesth ea addl 15 mi                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9230  Analgesia                                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9239  Iv mod sedation, 1st 15 min                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9243  Iv sedation ea addl 15m                           R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9248  Sedation (non-iv)                                 R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9310  Dental consultation                               R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9311  Consult w/med hlth care prof                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9410  Dental house call                                 R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9420  Hospital/asc call                                 R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9430  Office visit during hours                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9440  Office visit after hours                          R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9450  Case presentation tx plan                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9610  Dent therapeutic drug inject                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9612  Thera par drugs 2 or > admin                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9613  Infiltration thera drug                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D9910  Dent appl desensitizing med                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9911  Appl desensitizing resin                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9912  Pre-visit patient screening                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9920  Behavior management                               R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9930  Treatment of complications                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9932  Clean & inspect rem dent max                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9933  Clean & inspect rem dent man                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9934  Clean rem part denture max                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9935  Clean rem part denture mand                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9938  Fab removable appliance                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9939  Placemnt removable appliance                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9941  Fabrication athletic guard                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9942  Repair/reline occlusal guard                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9943  Occlusal guard adjustment                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9944  Occ guard, hard, full arch                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9945  Occ guard, soft, full arch                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9946  Occ guard, hard, part arch                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9947  Sleep apnea appliance                             N   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9948  Adjust sleep apnea appliance                      N   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9949  Repair sleep apnea appliance                      N   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9950  Occlusion analysis                                R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9951  Limited occlusal adjustment                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9952  Complete occlusal adjustment                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9953  Reline sleep apnea appliance                      N   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9954  Fab/del oral appliance thxpy                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9955  Oral app thxpy titration vis                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9956  Admin home sleep apnea test                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9957  Screening sleep disorders                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9961  Dup/copy patient's records                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9970  Enamel microabrasion                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9971  Odontoplasty per tooth                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9972  Extrnl bleaching per arch                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9973  Extrnl bleaching per tooth                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9974  Intrnl bleaching per tooth                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
D9975  External bleaching home app                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
D9990  Trans or sign language svcs                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9991  Case mgmt, appt barriers                          R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9992  Case mgmt, care coordination                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9993  Case mgmt, interviewing                           R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9994  Case mgmt, pt education                           R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9995  Teledentistry real-time                           R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9996  Teledentistry dent review                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9997  Dent case mgmt special needs                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
D9999  Adjunctive procedure                              R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0011  Hiv prep counsel, md 15-30m                       A   0.45   0.31     0.19    0.03   0.79  0.670XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0012  Injection of hiv prep drug                        A   0.17   0.25     0.25NA  0.01   0.43  0.435XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0013  Hiv prep counsel, clin staff                      A   0.18   0.51     0.07    0.01   0.70  0.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0017  Crisis psychotherapy 60m                          A   4.70   1.52     0.73    0.15   6.37  5.580XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0018  Crisis psychotherapy add 30m                      A   2.25   0.79     0.43    0.12   3.16  2.800ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0019  Comm hlth intg svs sdoh 60mn                      A   1.00   1.35     0.42    0.07   2.42  1.490XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0022  Comm hlth intg svs add 30 m                       A   0.70   0.76     0.29    0.05   1.51  1.040ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0023  Pin service 60m per month                         A   1.00   1.35     0.42    0.07   2.42  1.490XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0024  Pin srv add 30 min pr m                           A   0.70   0.76     0.29    0.05   1.51  1.040ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0029  No tob scr/cess int                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0030  Pt scr tob & cess int                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0031  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0032  2+ antipsy schiz                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0033  2+ benzo seiz                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0034  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0035  Pt ed pos 23                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0036  Pt/ptn decln assess                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0037  Pt not able to participate                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0038  Clin pt no ref                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0039  Pt no ref, rn spec                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0040  Pt phys/occ therapy                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0041  Pt/ptn decln referral                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0042  Ref to therapy                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0043  Pt mech pros ht valv                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0044  Pt mitral stenosis                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0045  Mrs 90 days post stk                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0046  No mrs 90 days post stk                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0047  Ped blunt hd traum                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0048  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0049  Main hemo in-cntr                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0050  Pt w/ lmted life expec                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0051  Pt hospice mnth                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0052  Pt peri dialysis dur mo                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0053  Adv rheum pt care mvp                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0054  Strk cr prev pos outcme mvp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0055  Adv care heart dx mvp                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0057  Best pct pt safety em mvp                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0058  Imprv care le jnt repr mvp                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0059  Pt sfty pos exp w aneth mvp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0060  Allergy/immunology ss                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0061  Anesthesiology ss                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0062  Audiology ss                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0063  Cardiology ss                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0064  Cert nurse midwife ss                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0065  Chiropractic ss                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0066  Clinical social work ss                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0067  Dentistry ss                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0068  Adm iv infusion drug in home                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0069  Adm sq infusion drug in home                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0071  Comm svcs by rhc/fqhc 5 min                       X+  0.22   0.16     0.28NA  0.02   0.40  0.520XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0076  Care manag h vst new pt 20 m                      A   1.01   0.42     0.42NA  0.05   1.48  1.480XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0077  Care manag h vst new pt 30 m                      A   1.52   0.60     0.60NA  0.08   2.20  2.200XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0078  Care manag h vst new pt 45 m                      A   2.53   0.96     0.96NA  0.12   3.61  3.610XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0079  Care manag h vst new pt 60 m                      A   3.38   1.20     1.20NA  0.16   4.74  4.740XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0080  Care manag h vst new pt 75 m                      A   4.09   1.88     1.88NA  0.25   6.22  6.220XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0081  Care man h v ext pt 20 mi                         A   1.00   0.40     0.40NA  0.05   1.45  1.450XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0082  Care man h v ext pt 30 m                          A   1.56   0.70     0.70NA  0.08   2.34  2.340XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0083  Care man h v ext pt 45 m                          A   2.33   1.19     1.19NA  0.16   3.68  3.680XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0084  Care man h v ext pt 60 m                          A   3.28   1.68     1.68NA  0.24   5.20  5.200XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0085  Care man h v ext pt 75 m                          A   4.09   1.88     1.88NA  0.25   6.22  6.220XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0086  Care man home care plan 30 m                      A   1.25   0.87     0.87NA  0.10   2.22  2.220XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0087  Care man home care plan 60 m                      A   1.80   1.17     1.17NA  0.14   3.11  3.110XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0088  Adm iv drug 1st home visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0089  Adm subq drug 1st home visit                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0090  Adm iv chemo 1st home visit                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0101  Ca screen;pelvic/breast exam                      A   0.45   0.66     0.30    0.07   1.18  0.820XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0102  Prostate ca screening; dre                        A   0.18   0.51     0.07    0.01   0.70  0.260XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0104  Ca screen;flexi sigmoidscope                      A   0.84   4.63     0.73    0.12   5.59  1.690000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
G0105  Colorectal scrn; hi risk ind                      A   3.26   6.51     1.77    0.42  10.19  5.450000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
G010553Colorectal scrn; hi risk ind                      A   1.63   3.25     0.89    0.21   5.09  2.730000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
G0106  Colon ca screen;barium enema                      A   1.26   5.24     5.24NA  0.07   6.57  6.571XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0106TCColon ca screen;barium enema                      A   0.00   4.80     4.80NA  0.01   4.81  4.811XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
G010626Colon ca screen;barium enema                      A   1.26   0.44     0.44    0.06   1.76  1.761XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0108  Diab manage trn  per indiv                        A   0.90   0.69     0.69NA  0.04   1.63  1.630XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0109  Diab manage trn ind/group                         A   0.25   0.21     0.21NA  0.01   0.47  0.470XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0117  Glaucoma scrn hgh risk direc                      T   0.45   1.44     1.44NA  0.02   1.91  1.910XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0118  Glaucoma scrn hgh risk direc                      T   0.17   1.08     1.08NA  0.01   1.26  1.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0120  Colon ca scrn; barium enema                       A   1.26   5.24     5.24NA  0.07   6.57  6.571XXX.00.00.0000000             33.2875 090 99     11.58  11.58   0.11
G0120TCColon ca scrn; barium enema                       A   0.00   4.80     4.80NA  0.01   4.81  4.811XXX.00.00.0000000             33.2875 090 99     11.14  11.14   0.05
G012026Colon ca scrn; barium enema                       A   1.26   0.44     0.44    0.06   1.76  1.761XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0121  Colon ca scrn not hi rsk ind                      A   3.26   6.51     1.77    0.43  10.20  5.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
G012153Colon ca scrn not hi rsk ind                      A   1.63   3.25     0.89    0.22   5.10  2.740000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
G0122  Colon ca scrn; barium enema                       N+  0.99   8.63     8.63NA  0.04   9.66  9.661XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0122TCColon ca scrn; barium enema                       N+  0.00   8.25     8.25NA  0.02   8.27  8.271XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G012226Colon ca scrn; barium enema                       N+  0.99   0.38     0.38    0.02   1.39  1.391XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0124  Screen c/v thin layer by md                       A   0.26   0.45     0.45    0.01   0.72  0.720XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0127  Trim nail(s)                                      R   0.17   0.54     0.04    0.01   0.72  0.220000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
G0128  Corf skilled nursing service                      R   0.00   0.28     0.28NA  0.01   0.29  0.293XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0129  Php/iop ot service                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0130  Single energy x-ray study                         A   0.22   0.86     0.86NA  0.02   1.10  1.101XXX.00.00.0000000             33.2875 090 99      3.25   3.25   0.05
G0130TCSingle energy x-ray study                         A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
G013026Single energy x-ray study                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0136  Adm of soc dtr assess 5-15 m                      A   0.18   0.38     0.08    0.01   0.57  0.270XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0137  Inten outpt svs,min 9 pr 7 d                      X   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0140  Nav srv peer sup 60 min pr m                      A   1.00   1.35     0.42    0.07   2.42  1.490XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0141  Scr c/v cyto,autosys and md                       A   0.26   0.45     0.45    0.01   0.72  0.720XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0146  Nav srv peer sup add 30 pr m                      A   0.70   0.76     0.29    0.05   1.51  1.040ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0166  Extrnl counterpulse, per tx                       A   0.00   3.04     3.04NA  0.04   3.08  3.085XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0168  Wound closure by adhesive                         A   0.31   3.29     0.07    0.06   3.66  0.440000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0176  Opps/php/iop; activity thrpy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0177  Opps/php/iop; train & educ                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0179  Md recertification hha pt                         A   0.45   0.78     0.78NA  0.03   1.26  1.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0180  Md certification hha patient                      A   0.67   0.89     0.89NA  0.05   1.61  1.610XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0181  Home health care supervision                      A   1.73   1.29     1.29NA  0.12   3.14  3.140XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0182  Hospice care supervision                          A   1.73   1.29     1.29NA  0.11   3.13  3.130XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0237  Therapeutic procd strg endur                      A   0.00   0.33     0.33NA  0.01   0.34  0.345XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0238  Oth resp proc, indiv                              A   0.00   0.30     0.30NA  0.01   0.31  0.315XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0239  Oth resp proc, group                              A   0.00   0.38     0.38NA  0.01   0.39  0.395XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0245  Initial foot exam pt lops                         R   0.88   1.02     0.26    0.04   1.94  1.180XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0246  Followup eval of foot pt lop                      R   0.45   0.70     0.12    0.02   1.17  0.590XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0247  Routine footcare pt w lops                        R   0.50   2.01     0.12    0.02   2.53  0.640ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0248  Demonstrate use home inr mon                      R   0.00   2.96     2.96NA  0.04   3.00  3.003XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
G0249  Provide inr test mater/equip                      R   0.00   1.96     1.96NA  0.01   1.97  1.973XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G025226Pet imaging initial dx                            N+  1.50   0.58     0.58    0.03   2.11  2.111XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0268  Removal of impacted wax md                        A   0.61   0.87     0.29    0.09   1.57  0.990000.00.00.0022100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0270  Mnt subs tx for change dx                         A   0.45   0.49     0.35    0.01   0.95  0.810XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0271  Group mnt 2 or more 30 mins                       A   0.25   0.24     0.20    0.01   0.50  0.460XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0276  Pild/placebo control clin tr                      R   7.17   3.03NA   3.03    0.75  10.95 10.950000.00.00.0022210             33.2875 090 99      0.00   0.00   0.00
G0277  Hbot, full body chamber, 30m                      A   0.00   5.43     5.43NA  0.04   5.47  5.473XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0279  Tomosynthesis, mammo                              A   0.60   0.79     0.79NA  0.03   1.42  1.421ZZZ.00.00.0002900             33.2875 090 99      0.00   0.00   0.00
G0279TCTomosynthesis, mammo                              A   0.00   0.58     0.58NA  0.00   0.58  0.581ZZZ.00.00.0002900             33.2875 090 99      0.00   0.00   0.00
G027926Tomosynthesis, mammo                              A   0.60   0.21     0.21    0.03   0.84  0.841ZZZ.00.00.0002900             33.2875 090 99      0.00   0.00   0.00
G0281  Elec stim unattend for press                      A   0.18   0.16     0.16NA  0.01   0.35  0.357XXX.00.00.0050000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0283  Elec stim other than wound                        A   0.18   0.16     0.16NA  0.01   0.35  0.357XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
G0288  Recon, cta for surg plan                          A   0.00   1.22     1.22NA  0.09   1.31  1.313XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
G0289  Arthro, loose body + chondro                      A   1.48   0.76NA   0.76    0.30   2.54  2.540ZZZ.00.00.0001000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0296  Visit to determ ldct elig                         A   0.52   0.28     0.20    0.03   0.83  0.750XXX.00.00.0000000             33.2875 090 99      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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0310  Immunize counsel 5-15 min                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0311  Immunize counsel 16-30 mins                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0312  Immunize couns < 21yr 5-15 m                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0313  Immunize couns < 21yr 6-30 m                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0314  Counsel immune <21 16-30 m                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0315  Counsel immune <21  5-15 m                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0316  Prolong inpt eval add15 m                         A   0.61   0.30     0.25    0.04   0.95  0.900ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0317  Prolong nursin fac eval 15m                       A   0.61   0.30     0.25    0.04   0.95  0.900ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0318  Prolong home eval add 15m                         A   0.61   0.27     0.23    0.05   0.93  0.890ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0320  Two-way audio and video hhs                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0321  Audio-only hhs                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0322  Home h physio data collec tr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0323  Care manage beh svs 20mins                        A   0.93   0.66     0.31    0.06   1.65  1.300XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0327  Colon ca scrn;bld-bsd biomrk                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0330  Facility svs dental rehab                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0337  Hospice evaluation preelecti                      X+  1.42   0.55     0.55    0.09   2.06  2.069XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0341  Percutaneous islet celltrans                      A   6.98  39.59     1.29    0.87  47.44  9.140000.00.00.0020010             33.2875 090 99      0.00   0.00   0.00
G0342  Laparoscopy islet cell trans                      A  11.92   7.71NA   7.71    3.06  22.69 22.690090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
G0343  Laparotomy islet cell transp                      A  19.85  12.13NA  12.13    5.11  37.09 37.090090.09.81.1020210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0396  Alcohol/subs interv 15-30mn                       A   0.65   0.33     0.24    0.05   1.03  0.940XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0397  Alcohol/subs interv >30 min                       A   1.30   0.58     0.49    0.12   2.00  1.910XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0402  Initial preventive exam                           A   2.60   2.21     1.13    0.17   4.98  3.900XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0403  Ekg for initial prevent exam                      A   0.17   0.24     0.24NA  0.02   0.43  0.434XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0404  Ekg tracing for initial prev                      A   0.00   0.18     0.18NA  0.01   0.19  0.193XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0406  Inpt/tele follow up 15                            A   0.76   0.38NA   0.38    0.09   1.23  1.230XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0407  Inpt/tele follow up 25                            A   1.39   0.63NA   0.63    0.12   2.14  2.140XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0408  Inpt/tele follow up 35                            A   2.00   0.94NA   0.94    0.18   3.12  3.120XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0409  Corf related serv 15 mins ea                      R   0.00   0.70     0.70NA  0.01   0.71  0.719XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0410  Grp psych php/iop 45-50                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0411  Interactive grp psyc php/iop                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0412  Open tx iliac spine uni/bil                       A  10.45   9.32NA   9.32    2.16  21.93 21.930090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
G0413  Pelvic ring fracture uni/bil                      A  15.73  13.17NA  13.17    3.22  32.12 32.120090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
G0414  Pelvic ring fx treat int fix                      A  14.65  12.66NA  12.66    3.00  30.31 30.310090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
G0415  Open tx post pelvic fxcture                       A  20.93  15.82NA  15.82    4.43  41.18 41.180090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
G0416  Prostate biopsy, any mthd                         A   3.60   7.18     7.18NA  0.11  10.89 10.891XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0416TCProstate biopsy, any mthd                         A   0.00   5.70     5.70NA  0.05   5.75  5.751XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0420  Ed svc ckd ind per session                        A   2.12   0.99     0.99NA  0.13   3.24  3.240XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0421  Ed svc ckd grp per session                        A   0.50   0.28     0.28NA  0.03   0.81  0.810XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0422  Intens cardiac rehab w/exerc                      A   1.92   1.81     1.81    0.12   3.85  3.850XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0423  Intens cardiac rehab no exer                      A   1.92   1.81     1.81    0.12   3.85  3.850XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0425  Inpt/ed teleconsult30                             A   1.92   0.65NA   0.65    0.18   2.75  2.750XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0426  Inpt/ed teleconsult50                             A   2.61   1.05NA   1.05    0.23   3.89  3.890XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0427  Inpt/ed teleconsult70                             A   3.86   1.38NA   1.38    0.26   5.50  5.500XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0429  Dermal filler injection(s)                        A   1.19   1.66     0.71    0.14   2.99  2.040000.00.00.0020000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0438  Ppps, initial visit                               A   2.60   2.20     2.20NA  0.17   4.97  4.970XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0439  Ppps, subseq visit                                A   1.92   1.86     1.86NA  0.13   3.91  3.910XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0442  Annual alcohol screen 15 min                      A   0.18   0.38     0.08    0.01   0.57  0.270XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0443  Brief alcohol misuse counsel                      A   0.45   0.27     0.19    0.03   0.75  0.670XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0444  Depression screen annual                          A   0.18   0.38     0.08    0.01   0.57  0.270XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0445  High inten beh couns std 30m                      A   0.45   0.31     0.19    0.03   0.79  0.670XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0446  Intens behave ther cardio dx                      A   0.45   0.28     0.20    0.03   0.76  0.680XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0447  Behavior counsel obesity 15m                      A   0.45   0.28     0.19    0.03   0.76  0.670XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0451  Devlopment test interpt&rep                       A   0.00   0.34     0.34NA  0.01   0.35  0.355XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
G0452  Molecular pathology interpr                       A   0.93   0.51     0.51NA  0.03   1.47  1.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0452TCMolecular pathology interpr                       A   0.00   0.09     0.09NA  0.01   0.10  0.101XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G045226Molecular pathology interpr                       A   0.93   0.42     0.42    0.02   1.37  1.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0453  Cont intraop neuro monitor                        A   0.60   0.30NA   0.30    0.05   0.95  0.950XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0455  Fecal microbiota prep instil                      A   1.34   2.44     0.60    0.15   3.93  2.090000.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0459  Telehealth inpt pharm mgmt                        A   0.95   0.26NA   0.26    0.05   1.26  1.260XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
G0460  Autolog prp not diab ulcer                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0465  Autolog prp diab wound ulcer                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0473  Group behave couns 2-10                           A   0.23   0.13     0.10    0.01   0.37  0.349XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0500  Mod sedat endo service >5yrs                      A   0.10   1.59     0.04    0.03   1.72  0.179XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0506  Comp asses care plan ccm svc                      A   0.87   0.95     0.38    0.06   1.88  1.310ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0508  Crit care telehea consult 60                      A   4.00   1.78NA   1.78    0.34   6.12  6.120XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
G0509  Crit care telehea consult 50                      A   3.86   1.45NA   1.45    0.33   5.64  5.640XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
G0511  Ccm/bhi by rhc/fqhc 20min mo                      X+  1.17   0.93     0.00NA  0.09   2.19  1.260XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0512  Cocm by rhc/fqhc 60 min mo                        X+  1.97   2.30     0.00NA  0.13   4.40  2.100XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G0513  Prolong prev svcs, first 30m                      A   1.17   0.64     0.51    0.08   1.89  1.760ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0514  Prolong prev svcs, addl 30m                       A   1.17   0.65     0.52    0.08   1.90  1.770ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G0516  Insert drug del implant, >=4                      A   1.82   3.97     0.94    0.11   5.90  2.870000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
G0517  Remove drug implant                               A   2.10   4.33     1.05    0.12   6.55  3.270000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
G0518  Remove w insert drug implant                      A   3.55   7.70     1.60    0.21  11.46  5.360000.00.00.0020000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G0917  Care survey not complete                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G1024  Cdsm radrite                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G1025  Pt mnth 1 mcp prov                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G1026  Pt hemo > 3mo                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G1027  Pt hemo < 3mo                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G1028  Take home supply 8mg per 0.1                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2001  Post d/c h vst new pt 20 m                        A   1.01   0.42     0.42NA  0.05   1.48  1.480XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2002  Post-d/c h vst new pt 30 m                        A   1.52   0.60     0.60NA  0.08   2.20  2.200XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2003  Post-d/c h vst new pt 45 m                        A   2.53   0.96     0.96NA  0.12   3.61  3.610XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2004  Post-d/c h vst new pt 60 m                        A   3.38   1.20     1.20NA  0.16   4.74  4.740XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2005  Post-d/c h vst new pt 75 m                        A   4.09   1.88     1.88NA  0.25   6.22  6.220XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2006  Post-d/c h vst ext pt 20 m                        A   1.00   0.40     0.40NA  0.05   1.45  1.450XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2007  Post-d/c h vst ext pt 30 m                        A   1.56   0.70     0.70NA  0.08   2.34  2.340XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2008  Post-d/c h vst ext pt 45 m                        A   2.33   1.19     1.19NA  0.16   3.68  3.680XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2009  Post-d/c h vst ext pt 60 m                        A   3.28   1.68     1.68NA  0.24   5.20  5.200XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2010  Remot image submit by pt                          A   0.18   0.18     0.08    0.01   0.37  0.270XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2011  Alcohol/sub misuse assess                         A   0.33   0.14     0.14    0.03   0.50  0.500XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2012  Brief check in by md/qhp                          A   0.25   0.15     0.11    0.02   0.42  0.380XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2013  Post-d/c h vst ext pt 75 m                        A   4.09   1.88     1.88NA  0.25   6.22  6.220XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2014  Post-d/c care plan overs 30m                      A   1.25   0.87     0.87NA  0.10   2.22  2.220XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2015  Post-d/c care plan overs 60m                      A   1.80   1.17     1.17NA  0.14   3.11  3.110XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2020  Hi inten serv for sip model                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2025  Dis site tele svcs rhc/fqhc                       X+  1.44   1.37     1.37    0.10   2.91  2.910XXX.00.00.0099999             33.2875 090 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2082  Visit esketamine 56m or less                      A   0.70  24.86     0.27    0.08  25.64  1.050XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2083  Visit esketamine, > 56m                           A   0.70  35.62     0.27    0.08  36.40  1.050XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2086  Off base opioid tx 70min                          A   8.36   4.99     3.08    0.55  13.90 11.990XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2087  Off base opioid tx, 60 m                          A   8.19   4.08     2.81    0.57  12.84 11.570XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2088  Off base opioid tx, add30                         A   0.82   0.89     0.27    0.05   1.76  1.140ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2097  Dx uri 3d after other dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2105  Pt 66+ snp or ltc pos > 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2106  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2115  Pt 66-80 frailty and med dem                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2116  Pt 66-80 frailty and adv ill                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2126  Pt 66-80 frailty and adv ill                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2127  Pt 66-80 frailty and med dem                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2139  Bk pain vas 9-15mo > 3                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G2172  Tx for opioid use demo proj                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2173  Uri w comorb 12m oth dx                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2174  Uri new rx antibiotic 30d                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2175  Pt comorb dx 12m of epi                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2176  Outpt ed obs w inpt admit                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2177  Bronch w rx antibx 30d                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2178  Pt not elig low neuro ex                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2179  Med doc rsn no low ex                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2180  Inelig footwr eval                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2181  Bmi not doc medrsn ptref                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2182  Pt 1st biolog antirheum                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2183  Doc pt unable comm                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2184  No caregiver                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2185  Caregiver dem trained                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2186  Pt ref app rsrcs                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2187  Clin ind img hd trauma                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2188  Pt 50 yrs w/clin ind hd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2189  Img hd abnml neuro exam                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2190  Ind img hd rad neck                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2191  Ind img hd pos hd ache                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2192  >55 yrs temp hd ache                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2193  <6yr new onset hd ache                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2194  New hdache ped pt dis                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2195  Occip hdache child                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2196  Screen unhlthy etoh use                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2197  Screen hlthy etoh use                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2199  Not scrn etoh no rsn                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2200  Unhlthy etoh rcvd couns                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2202  No rsn no brief couns                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2204  Pt 45-85 w/ scope                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2205  Preg drng adjv trtmt                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2206  Adjv trtmt chemo her2                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2207  Rsn no trtmt chem her2                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2208  No trtmt chemo and her2                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2209  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2210  No neck fs prom no rsn                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2211  Complex e/m visit add on                          A   0.33   0.14     0.14    0.02   0.49  0.490ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2212  Prolong outpt/office vis                          A   0.61   0.31     0.27    0.05   0.97  0.930XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2213  Initiat med assist tx in er                       A   1.30   0.50     0.39    0.11   1.91  1.800ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2214  Init/sub psych care m 1st 30                      A   0.77   0.90     0.32    0.05   1.72  1.140XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2215  Home supply nasal naloxone                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2216  Home supply inject naloxon                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G2250  Remot img sub by pt, non e/m                      A   0.18   0.18     0.08    0.01   0.37  0.270XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2251  Brief chkin, 5-10, non-e/m                        A   0.25   0.15     0.11    0.02   0.42  0.380XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G2252  Brief chkin by md/qhp, 11-20                      A   0.50   0.26     0.21    0.03   0.79  0.740XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G3002  Chronic pain mgmt 30 mins                         A   1.45   0.92     0.65    0.11   2.48  2.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G3003  Chronic pain mgmt addl 15m                        A   0.50   0.37     0.23    0.04   0.91  0.770ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G4000  Dermatology ss                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4001  Diagnostic rad ss                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4002  Ep cardio ss                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4003  Emergency med ss                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4004  Endocrinology ss                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4005  Family medicine ss                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4006  Gastroenterology ss                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4007  General surgery ss                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4008  Geriatrics ss                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4009  Hospitalists ss                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4010  Infectious disease ss                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4011  Internal medicine ss                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4012  Interventional rad ss                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4013  Mntal/behav/psych hlth ss                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4014  Nephrology ss                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4015  Neurology ss                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4016  Neurosurgical ss                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4017  Nutrition/dietician ss                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4018  Ob/gyn ss                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4019  Oncology/hema ss                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4020  Ophthalmology/optometry ss                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4021  Orthopedic surgery ss                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4022  Otolaryngology ss                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4023  Pathology ss                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4024  Pediatrics ss                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4025  Physical medicine ss                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4026  Phys/occ therapy ss                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4027  Plastic surgery ss                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4028  Podiatry ss                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4029  Preventive medicine ss                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4030  Pulmonology ss                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4031  Radiation oncology ss                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4032  Rheumatology ss                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4033  Skilled nursing facility ss                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4034  Speech language path ss                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4035  Thoracic surgery ss                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4036  Urgent care ss                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4037  Urology ss                                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G4038  Vascular surgery ss                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G6001  Echo guidance radiotherapy                        A   0.58   4.79     4.79NA  0.03   5.40  5.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6001TCEcho guidance radiotherapy                        A   0.00   4.45     4.45NA  0.01   4.46  4.461XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G600126Echo guidance radiotherapy                        A   0.58   0.34     0.34    0.02   0.94  0.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6002  Stereoscopic x-ray guidance                       A   0.39   1.84     1.84NA  0.03   2.26  2.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6002TCStereoscopic x-ray guidance                       A   0.00   1.64     1.64NA  0.01   1.65  1.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G600226Stereoscopic x-ray guidance                       A   0.39   0.20     0.20    0.02   0.61  0.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6003  Radiation treatment delivery                      A   0.00   4.61     4.61NA  0.01   4.62  4.623XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6004  Radiation treatment delivery                      A   0.00   3.78     3.78NA  0.01   3.79  3.793XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6005  Radiation treatment delivery                      A   0.00   3.79     3.79NA  0.01   3.80  3.803XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6006  Radiation treatment delivery                      A   0.00   3.76     3.76NA  0.01   3.77  3.773XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6007  Radiation treatment delivery                      A   0.00   6.89     6.89NA  0.01   6.90  6.903XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6008  Radiation treatment delivery                      A   0.00   5.21     5.21NA  0.02   5.23  5.233XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6009  Radiation treatment delivery                      A   0.00   5.20     5.20NA  0.02   5.22  5.223XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6010  Radiation treatment delivery                      A   0.00   5.16     5.16NA  0.02   5.18  5.183XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6011  Radiation treatment delivery                      A   0.00   6.86     6.86NA  0.02   6.88  6.883XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6012  Radiation treatment delivery                      A   0.00   6.87     6.87NA  0.02   6.89  6.893XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6013  Radiation treatment delivery                      A   0.00   6.90     6.90NA  0.02   6.92  6.923XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6014  Radiation treatment delivery                      A   0.00   6.85     6.85NA  0.02   6.87  6.873XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6015  Radiation tx delivery imrt                        A   0.00  10.62    10.62NA  0.06  10.68 10.683XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G6016  Delivery comp imrt                                A   0.00  10.62    10.62NA  0.01  10.63 10.633XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8430  Doc med rsn no medrec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8600  Tpa initi w/in 4.5 hr                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G8601  No elig tpa init w/in 4.5 hr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G8602  No tpa init w/in 4.5 hr                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8650  Rafs crs ki no scor no rsn                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8709  Uri ep compete diag                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8711  Pres antibx on/within 3 day                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8734  Doc neg eld req                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8851  Adhere tx assess at lst ann                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G8854  Reas no adhere therapy                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G8855  Ther not assessed annually                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G8924  Spir res doc fev1/fvc<70%                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9157  Transesoph doppl cardiac mon                      A   2.20   0.40NA   0.40    0.18   2.78  2.782XXX.00.00.0099900             33.2875 090 99      0.00   0.00   0.00
G9187  Bpci home visit                                   A   0.18   1.22     1.22NA  0.03   1.43  1.430XXX.00.00.0000999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9299  No eval risk vte card prior                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9315  Amox w/wo clav rx                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9452  Doc med reas no hcv test                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9481  Remote e/m new pt 10mins                          A   0.48   0.00     0.00    0.06   0.54  0.540XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9482  Remote e/m new pt 20mins                          A   0.93   0.00     0.00    0.08   1.01  1.010XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9483  Remote e/m new pt 30mins                          A   1.42   0.00     0.00    0.16   1.58  1.580XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9484  Remote e/m new pt 45mins                          A   2.43   0.00     0.00    0.24   2.67  2.670XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9485  Remote e/m new pt 60mins                          A   3.17   0.00     0.00    0.33   3.50  3.500XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9486  Remote e/m est. pt 10mins                         A   0.48   0.00     0.00    0.06   0.54  0.540XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9487  Remote e/m est. pt 15mins                         A   0.97   0.00     0.00    0.10   1.07  1.070XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9488  Remote e/m est. pt 25mins                         A   1.50   0.00     0.00    0.14   1.64  1.640XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9489  Remote e/m est. pt 40mins                         A   2.11   0.00     0.00    0.22   2.33  2.330XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9490  Cmmi mod home visit                               A   0.18   1.22     1.22NA  0.03   1.43  1.430XXX.00.00.0000999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9537  Img hd clin trial                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9626  Med rsn no rpt bladder inj                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9659  >=86y no hx colo ca/rsn scop                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9660  Doc med rsn scope pt >= 86y                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9661  Pt >= 86  w/ hi risk                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9685  Acute nursing facility care                       A   3.86   1.38     1.38    0.29   5.53  5.530XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9703  Anbx 30 prior to episode                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9717  Doc pt dx bipol                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9727  Pt unable cmplt lepf prom                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9729  Pt unbl cmplt lepf prom                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9731  Pt unbl cmplt lepf prom                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9868  Cmmi asyntelehealth <10min                        A   0.80   0.00     0.00    0.00   0.80  0.809XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9869  Cmmi asyntelehealth 10-20min                      A   1.07   0.00     0.00    0.00   1.07  1.079XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9870  Cmmi asyntelehealth >20min                        A   1.34   0.00     0.00    0.00   1.34  1.349XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9886  In-person attendance g code                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9887  Distance learning attendance                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9888  5% wl maintnd from bsline wt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9898  Pt 66+ snp or ltc pos > 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9901  Pt 66+ snp or ltc pos > 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9910  Pt 66+ snp or ltc pos > 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9914  Pt initiated anti-tnf agent                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9938  Pt 66+ snp or ltc pos > 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
G9978  Remote e/m new pt 10mins                          A   0.48   0.94     0.29    0.06   1.48  0.830XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9979  Remote e/m new pt 20mins                          A   0.93   1.16     0.40    0.08   2.17  1.410XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9980  Remote e/m new pt 30 mins                         A   1.42   1.59     0.68    0.16   3.17  2.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9981  Remote e/m new pt 45mins                          A   2.43   2.18     1.13    0.24   4.85  3.800XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9982  Remote e/m new pt 60mins                          A   3.17   2.79     1.57    0.33   6.29  5.070XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9983  Remote e/m est. pt 10mins                         A   0.48   0.94     0.29    0.06   1.48  0.830XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9984  Remote e/m est. pt  15mins                        A   0.97   1.33     0.56    0.10   2.40  1.630XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9985  Remote e/m est. pt 25mins                         A   1.50   1.79     0.83    0.14   3.43  2.470XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9986  Remote e/m est. pt 40mins                         A   2.11   2.40     1.27    0.22   4.73  3.600XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
G9987  Bpci advanced in home visit                       A   0.18   1.22     1.22    0.03   1.43  1.430XXX.00.00.0000999             33.2875 090 99      0.00   0.00   0.00
G9988  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9990  No pneum vax admin 19+                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9991  Pneum vax admin 19+                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9992  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9993  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9994  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9996  Doc pt pal or hospice                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9997  Doc pt preg dur msrmt pd                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9998  Doc med rsn <3 colon                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
G9999  Doc sys rsn <3 colon                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
H2038  Skill train and dev/diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
H2040  Coord specialty care, month                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
H2041  Coord special care encounter                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0131  Inj, acetaminophen (nos)                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0134  Inj acetaminophen -fresenius                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0136  Inj, acetaminophen (b braun)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0137  Inj, acetaminophen (hikma)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0172  Inj, aducanumab-avwa, 2 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0173  Inj, epinephrine (belcher)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0174  Inj, lecanemab-irmb, 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0184  Inj, amisulpride, 1 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0206  Inj allopurinol sodium 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0208  Inj sodium thiosulfate 100mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0216  Inj, alfentanil hcl, 500mcg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0217  Inj velmanase alfa-tycv 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0218  Inj olipudase alfa-rpcp 1mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0219  Inj aval alfa-nqpt 4mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0224  Inj. lumasiran, 0.5 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0225  Inj, vutrisiran, 1 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0248  Inj, remdesivir, 1 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0283  Inj, amiodarone (nexterone)                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0349  Inj, rezafungin, 1 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0391  Inj, artesunate, 1mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0402  Inj, abilify asimtufii, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0457  Injection, aztreonam, 100 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0491  Inj anifrolumab-fnia 1mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0576  Inj buprenorph (brixadi) 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0612  Calcium glucon (fresenius)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0613  Calcium glucon (wg critical)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0665  Inj, bupivacaine, nos, 0.5mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0688  Inj cefazolin sodium, hikma                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0689  Inj cefazolin sodium, baxter                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0699  Inj, cefiderocol, 10 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0701  Inj. cefepime hcl (baxter)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0703  Inj, cefepime hcl (b braun)                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0736  Inj, clindamycin phosp 300mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0737  Inj, clindamycin (baxter)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0739  Hiv prep, inj, cabotegravir                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0741  Inj, cabote rilpivir 2mg 3mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0750  Hiv prep, ftc/tdf 200/300mg                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0751  Hiv prep, ftc/taf 200/25mg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0799  Hiv prep, fda approved, noc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0801  Inj. acthar gel to 40 units                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0802  Inj. (ani), up to 40 units                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0873  Inj, daptomycin (xellia)                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0874  Inj, daptomycin (baxter)                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0877  Inj, daptomycin (hospira)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0879  Difelikefalin, esrd on dialy                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0889  Daprodustat oral 1mg esrd                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0891  Argatroban nonesrd (accord)                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0892  Argatroban dialysis (accord)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0893  Inj, decitabine (sun pharma)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J0898  Argatroban nonesrd (auromed)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J0899  Argatroban dialysis, auromed                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1105  Dexmedetomidine film, 1 mcg                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1246                                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1302  Inj, sutimlimab-jome, 10 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1304  Inj tofersen intrathec 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1305  Inj, evinacumab-dgnb, 5mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1306  Injection, inclisiran, 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1411  Inj, hemgenix, per tx dose                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1412  Inj roctavian ml 2x10^13vc g                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1413  Inj delandistrogene mox rokl                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1426  Injection, casimersen, 10 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1427  Inj. viltolarsen                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1440  Fecal microbiota jslm 1 ml                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1445  Inj triferic avnu 0.1mg iron                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1448  Injection, trilaciclib, 1mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1449  Inj eflapegrastim-xnst 0.1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1456  Inj, fosaprepitant (teva)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1551  Inj cutaquig 100 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1554  Inj. asceniv                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1574  Inj, ganciclovir (exela)                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1576  Inj, panzyga, 500 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1596  Inj, glycopyrrolate, 0.1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1611  Inj glucagon hcl, fresenius                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1643  Inj heparin, pfizer, 1000u                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1747  Inj, spesolimab-sbzo, 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1805  Inj, esmolol hcl, 10mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1806  Inj esmolol hcl wg crit care                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1811  Fiasp for insulin pump use                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1812  Inj. insulin (fiasp)                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1813  Lyumjev for insulin pump use                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1814  Inj. insulin (lyumjev)                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1823  Inj. inebilizumab-cdon, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1836  Inj, metronidazole, 10 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1920  Inj, labetalol hcl, 5mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1921  Inj labetalol hcl hikma, 5mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1932  Inj, lanreotide, (cipla) 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1939  Inj, bumetanide, 0.5 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1941  Inj, furoscix, 20 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1944  Aripiprazole lauroxil 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1951  Inj fensolvi 0.25 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J1952  Leuprolide inj, camcevi, 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1954  Leuprolide depot cipla 7.5mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J1961  Inj, lenacapavir, 1 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2021  Inj, linezolid (hospira)                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2184  Inj, meropenem (b. braun)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2247  Inj, micafungin (par pharm)                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2249  Inj, remimazolam, 1 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2251  Inj midazolam (wg crit care)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2272  Inj, morphine (fresenius)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2281  Inj moxifloxacin (fres kabi)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2305  Inj, nitroglycerin, 5 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2311  Inj, naloxone hcl (zimhi)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2327  Inj risankizumab-rzaa 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2329  Inj ublituximab-xiiy, 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2356  Inj tezepelumab-ekko, 1mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2359  Inj. olanzapine, 0.5mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2371  Inj phenylephrine hcl 20 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2372  Inj, biorphen, 20 micrograms                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2401  Chloroprocaine hcl injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2402  Chloroprocaine (clorotekal)                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2403  Chloroprocaine opht gel, 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2404  Inj, nicardipine 0.1 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2406  Injection, oritavancin 10 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2426  Inj, invega sustenna, 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2427  Inj, invega hafyera/trinza                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2506  Inj pegfilgrast ex bio 0.5mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2508  Pegunigalsidase alfa-iwxj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2561  Inj, sezaby, 1 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2598  Inj, vasopressin, 1 unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J2599  Inj vasopressin (am reg) 1 u                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2679  Inj fluphenazine hcl 1.25 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2777  Inj, faricimab-svoa, 0.1mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2779  Inj, susvimo 0.1 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2781  Inj, pegcetacoplan, 1mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2799  Inj, uzedy, 1 mg                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2806  Inj sincalide, maia, 5 mcg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J2998  Inj plasminogen tvmh 1mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J3244  Inj. tigecycline (accord)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J3299  Inj xipere 1 mg                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J3371  Inj, vancomycin hcl (mylan)                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J3372  Inj, vancomycin hcl (xellia)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J3401  Vyjuvek 5x10^9pfu/ml, 0.1 ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J3425  Inj, hydroxocobalamin                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J7168  Prothrombin complex kcentra                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J7189  Factor viia recomb novoseven                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J7212  Factor viia recomb sevenfact                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J7213  Inj, ixinity, 1 i.u.                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J7214  Altuviiio per factor viii iu                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J7294  Seg acet and eth estr yearly                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J7295  Eth estr and eton monthly                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J7321  Hyalgan supartz visco-3 dose                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J7351  Inj bimatoprost itc imp1mcg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J7352  Afamelanotide implant, 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J7353  Anacaulase-bcdb 8.8% gel 1 g                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J7402  Mometasone sinus sinuva                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J7519  Inj. mycophenolate mofetil                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9021  Inj, aspara, rylaze, 0.1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9029  Inj, adstiladrin, per tx dos                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9037  Inj belantamab mafodot blmf                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9041  Injection, bortezomib, 0.1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9046  Inj, bortezomib, dr. reddy's                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9048  Inj, bortezomib freseniuskab                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9049  Inj, bortezomib, hospira                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9051  Inj, bortezomib (maia)                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9052  Inj, carmustine (accord)                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9056  Inj, bendamustine, 1 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9058  Inj apotex/bendamustine 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9059  Inj bendamustine, baxter 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9061  Inj, amivantamab-vmjw                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9063  Inj, elahere, 1 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9064  Inj, cabazitaxel (sandoz)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9071  Inj cyclophosphamd auromedic                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9072  Inj cyclophos dr.reddy's 5mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9144  Daratumumab, hyaluronidase                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9172  Docetaxel (ingenus), 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9196  Inj gemcitabine hcl (accord)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9223  Inj. lurbinectedin, 0.1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9247  Inj, melphalan flufenami 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9255  Inj, methotrexate (accord)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9258  Paclitaxel (teva)                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9259  Paclitaxel (american regent)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9272  Inj, dostarlimab-gxly, 10 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9273  Inj tisotu vedotin-tftv, 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9274  Inj, tebentafusp-tebn, 1 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9281  Mitomycin instillation                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9286  Inj glofitamab gxbm, 2.5 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9294  Inj pemetrexed, hospira 10mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9296  Inj pemetrexed (accord) 10mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9297  Inj pemetrexed (sandoz) 10mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9298  Inj nivol relatlimab 3mg/1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9314  Inj pemetrexed (teva) 10mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9316  Pertuzu, trastuzu, 10 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9317  Sacituzumab govitecan-hziy                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9318  Inj romidepsin non-lyo 0.1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9319  Inj romidepsin lyophil 0.1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9321  Inj epcoritamab-bysp 0.16 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9322  Inj pemetrexed (bluepoint)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9323  Inj pemetrexed ditromethamin                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9324  Inj, pemrydi rtu, 10 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9331  Inj sirolimus prot part 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9332  Inj efgartigimod 2mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9333  Inj ronzanolixizum-noli 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9334  Inj efgart-alfa 2mg hya-qvfc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9345  Inj, retifanlimab-dlwr, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9347  Inj, tremelimumab-actl, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9348  Inj. naxitamab-gqgk, 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9349  Inj., tafasitamab-cxix                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9350  Inj mosunetuzumab-axgb, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9353  Inj. margetuximab-cmkb, 5 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9359  Inj lon tesirin-lpyl 0.075mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9380  Inj teclistamab cqyv 0.5 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9381  Inj teplizumab mzwv 5 mcg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
J9393  Inj, fulvestrant (teva)                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
J9394  Inj, fulvestrant (fresenius)                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M0001  Advancing cancer care mvp                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0002  Opt care kidney hlth mvp                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0003  Opt care episod neuro mvp                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0004  Support care neur cond mvp                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0005  Value in primary care mvp                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0010  Eom meos payment                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M0201  Pne flu hepb cov home admin                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0220  Tixagev and cilgav inj                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0221  Tixagev and cilgav inj hm                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0222  Bebtelovimab injection                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0223  Bebtelovimab injection home                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0240  Casiri and imdev repeat                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0241  Casiri and imdev repeat hm                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0243  Casirivi and imdevi inj                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0244  Casirivi and imdevi inj hm                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0245  Bamlan and etesev infusion                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0246  Bamlan and etesev infus home                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0247  Sotrovimab infusion                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0248  Sotrovimab inf, home admin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0249  Adm tocilizu covid-19 1st                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M0250  Adm tocilizu covid-19 2nd                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1045  Fs oks 9-15mo >= 37 >= 71                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1046  Fs oks 9-15mo < 37 < 71                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1108  Oc ni pt home prog                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1109  Oc ni pt dc                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1110  Oc not p pt selfdc                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1113  Oc ni pt home prog                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1114  Oc ni pt dc                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1115  Oc ni pt selfdc                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1118  Oc ni pt home prog                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1119  Oc ni pt dc                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1120  Oc ni pt selfdc                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1123  Oc ni pt home prog                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1128  Oc ni pt home prog                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1129  Oc ni pt dc                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1130  Oc ni pt selfdc                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1132  Oc ni pt home prog                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1133  Oc ni pt dc                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1134  Oc ni pt selfdc                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
M1146  Ongoing care not ind                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1147  Care not poss med rsn                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1148  Pt self dschg                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1149  No neck fs prom incap                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1150  Lvef <=40% or mod/sev l vsf                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1151  Pt w/ hx trnsplt or lvad                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1152  Pt w/ hx trnsplt or lvad                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1153  Pt w/ dx osteo doe                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1154  Hospc serv dur meas pd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1155  Pt anphx due to pneum                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1159  Hospc serv dur meas pd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1160  Pt anphx due to mengb bef 13                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1161  Pt anphx due to dtp bef 13                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1162  Pt enceph due to dtp bef 13                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1163  Pt anphx due to hpv bef 13                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1164  Pt w/ dementia any time                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1165  Pt use hspc dur meas pd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1166  Path rpt tis spec wle/reexc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1167  Hspc dur meas pd                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1168  Pt recd flu vax 7/1-6/30                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1169  Doc med rsn no flu vax                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1170  Pt w/o flu vax 7/1-6/30                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1171  Pt recd 1 td/tdap 9yrs prior                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1172  Doc med rsn no td/tdap                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1173  Pt no rec td/tdap 9yrs prior                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1174  Pt w 2 hzv on/aft 50                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1175  Doc med rsn no hzv                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1176  Pt w/o hzv on/aft age 50                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1177  Pt recd pcv on/aft 60                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1178  Doc med rsn no pcv                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1179  No pcv recd                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1180  Pt imm ckpt inhib therapy                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1181  Gr 2 or> dia or gr2 or> col                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1182  Not elg pre ex ibd/uc/crohn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1183  Doc imm ckpt inhib hld                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1184  Doc med rsn no cst/ist rx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1185  Imm ckpt inhib not hld no rx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1186  Pt w/ rx for hspc/plltv care                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1187  Pt w/ esrd                                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1188  Pt w/ ckd stg 5                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1189  Doc khe pef w/efgr/uacr                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1190  Doc khe not pef w/efgr/uacr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1191  Hspc svc any time in meas pd                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1192  Pt w/ dx sq cell ca of esoph                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1193  Rpts w/ imp/con mmr/msi                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1194  Med rsn no imp/con mmr/msi                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1195  Rpt wo imp/con mmr/msi                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1196  Ixv nrs vrs iqa >=4                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1197  Isa reduced >=3 fr ixv                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1198  Isa not red 3pts /no assess                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1199  Pt rec'g rrt                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1200  Ace-i/arb rx                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1201  Med rsn no ace-i/arb rx                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1202  Pt rsn no ace-i/arb rx                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1203  No rsn ace-i/arb rx                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1204  Ixv nrs vrs iqa >=4                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1205  Isa reduced >=3                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1206  Isa not red 3pts/no assess                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1207  Pt scrn sdoh                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1208  Pt no scrn sdoh                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1209  >=2 same hi-rsk med w/o diag                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1210  >=2 same meds tbl4 not ord                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1211  Hemoglobin a1c level >9.0%                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1212  Missing hb a1c level                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1213  No hx spiro prs spiro>=70%                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1214  Spiro results wth obs doc                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1215  Med rsn for no doc spiro                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1216  No spiro doc no res doc                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1217  Sys rsn no doc spiro                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1218  Pt copd symptoms                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1219  Anphx due to vax                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1220  Dre wth interp rtnopthy                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1221  Dre w/o rtnopthy                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1222  Glaucoma pln of care not doc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1223  Glaucoma plan of care doc                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1224  Iop dec <20% from base                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1225  Iop dec>=20% from base                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1226  Iop not doc                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1227  Eb therapy prescribed                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1228  Pt + hcv aby +vir w/ rx 3 mo                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1229  Pt w/ +hcv +vir ref win 1 mo                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1230  Pt hcv rctv aby no f/u tst                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1231  Pt hcv tst no reactive res                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1232  Pt hcv tst reactive result                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1233  Pt no hcv aby or result                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1234  Pt hcv rctv aby f/u neg                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1235  Doc pt hcv aby rna tst                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1236  Baseline mrs > 2                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1237  Pt rsn no scrn                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1238  Doc 2nd recom hzv 2-6 mo int                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1239  Pt no resp heard                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1240  Pt no resp best int                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1241  Pt no resp seen as person                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1242  Pt no resp imprt to me                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1243  Pt othr thn true heard                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1244  Pt othr thn true best int                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1245  Pt othr thn true person                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1246  Pt othr thn true imprt to me                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1247  Pt resp true best int                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1248  Pt resp true seen as person                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1249  Pt resp true imprt to me                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1250  Pt resp true heard                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1251  Pts proxy cmplt hu surv                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1252  Pts no cmplt hu survey                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1253  Pts hu surv no amb plltv                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1254  Pts deceased prior hu surv                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1255  Pts w/ othr rsn vst,+prg tst                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1256  Prior history of known cvd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1257  Cvd risk assess not perf                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1258  Cvd risk assess perf                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1259  Pt kid transplt wtlst lv don                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1260  Pt no kd trnsplt wtlst lv do                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1261  Pts on wtlist bef dialysis                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1262  Pts transplt bef dialysis                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1263  Pts hosp dialysis dt                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1264  Pts 75+ dialysis dt                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1265  Cms 2728 completed                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1266  Pts admit snf                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1267  Pt no act kid transplt wtlst                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1268  Pt ac stat kid trnsplt wtlst                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1269  Rec'd esrd mcp lst day of mo                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1270  Pts no kid transplt wtlst                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1271  Pts dem any time/dur mo                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1272  Pts kid transplt wtlst                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1273  Pts snf 1 yr dialysis                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1274  Pts snf exl mo                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1275  Pts hosp exl                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1276  Calc bmi out nrm param nof/u                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1277  Colorectal ca screen doc rev                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1278  Pre-htn or htn doc, f/u indc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1279  Pre-htn/htn, no f/u, not gvn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1280  Bilat mast/hx bi /unilat mas                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1281  Bp scrn no perf at interval                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1282  Pt scrn tbco id as non user                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1283  Pt scrn tbco and id as user                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1284  Pt 66+ snp or ltc pos > 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1285  Scrn mam perf rslts not doc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1286  Bmi doc onl fup not cmpltd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1287  Calc bmi blw low param f/u                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1288  Doc rsn no hbp scrn or f/u                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1289  No pt tbco cess interv rng                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1290  Pt not eli d/t act dig htn                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1291  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1292  Pt 66+ frail inpt adv ill                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1293  Calc bmi abv up param f/u                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1294  Bp scrn perf rec interval                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1295  Pt hx tot col or colon ca                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1296  Calc bmi norm parameters                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1297  Bmi not doc medrsn ptref                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1298  Doc pt preg dur msrmt pd                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1299  Flu immunize order/admin                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1300  Flu imm no admin doc rea                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1301  Pt recv tbco cess interv                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1302  Scrn mam perf rslts doc                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1303  Hospc serv dur meas pd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1304  No pneum vax admin 19+                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1305  Pneum vax admin 19+                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1306  Pt anphx due to pneum                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1307  Doc pt pal or hospice                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1308  Flu immunize no admin                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1309  Pall serv during meas                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1310  Pt scr tob & cess int                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1311  Aphlx to vax bef enc                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1312  No pt tbco scrn rng                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1313  No tob scr/cess int                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1314  Bmi not calculated                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1315  Crc no doc no rsn                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1316  Tobacco non-user                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1317  Pts counsl cpt opt out                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1318  Pts no csp doc contact                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1319  Pts csp doc contact                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1320  Pts scrn + hrsn                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1321  Pts no 7wk inj,no iop,iop>25                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1322  Pts 7wk inj, scrn iop =<25                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1323  Pts 7wk inj, scrn iop >25                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1324  Pts intravitreal/pci                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1325  Doc med rsn not seen                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1326  Pts dx hypotony                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1327  Pts no eval ini xm no 8 wks                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1328  Pts dx acute vitreous hem                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1329  Pts act pvd 2 wks 8 wks                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1330  Doc pts rsn no f/u xm                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1331  Pts eval ini xm 8 wks                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1332  Pts no eval ini xm no 2 wks                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1333  Acute vitreous hemorrhage                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1334  Pts act pvd 2 wks 2 wks                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1335  Doc pts rsn no f/u xm                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1336  Pts eval ini xm 2 wks                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1337  Acute pvd                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1338  Pt f/u 30-180 dys no + imprv                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1339  Pts f/u 30-180 dys + improv                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1340  Indx whodas 2.0 or sds                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1341  Pt no f/u 30-180 dys                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1342  Pts died perf per                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1343  Pt pam lvl 4 base or srt lin                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1344  Pts no bsln or 2nd pam score                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1345  Pt bsln pam, 2nd scr 6-12 mo                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1346  Pts no pam 6 pts 6-12 mo                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1347  Pt pam incr 3 pt 6-12 mo                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1348  Pt pam incr 6 pt 6-12 mo                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1349  Pt no pam 3 pts 6-12 mo                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1350  Pt w/ suic saf pln init rev                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1351  Pt cmplt suicd saf pln 120dy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1352  Suicd c-ssrs assessment, equ                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1353  Pts no cmplt suicd saf pln                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1354  Pt no suicd saf pln 120dy                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1355  Suicd based cln eval                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1356  Pt died dur meas pd                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1357  Pt w/red suic idea 120 days                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1358  Pts no <suicd idea 120 dys                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1359  Indx suicd idea, no 0 scr                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1360  Suicd c-ssrs assessment                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1361  Suicd based cln eval                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1362  Pt died dur meas pd                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1363  Pts no f/u 120 dys                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1364  Ascvd risk >=20pct                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1365  Hosp+pall care spec code 17                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1366  Focus on women's health mvp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1367  Qual care ent disorder mvp                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1368  Prev trt inf d/o hiv/hep mvp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1369  Qualcare mental hlth/sud mvp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
M1370  Rehab support msk care mvp                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
P3001  Screening pap smear by phys                       A   0.26   0.45     0.45    0.01   0.72  0.720XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
P9025  Plasma cryo redu path each                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
P9026  Cryo fib comp path redu each                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q0091  Obtaining screen pap smear                        A   0.37   0.94     0.15    0.02   1.33  0.540XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
Q0092  Set up port xray equipment                        A   0.00   0.77     0.77    0.01   0.78  0.783XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q0220  Tixagev and cilgav, 300mg                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0221  Tixagev and cilgav, 600mg                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0222  Bebtelovimab 175 mg                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0240  Casirivi and imdevi 600 mg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0243  Casirivimab and imdevimab                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0244  Casirivi and imdevi 1200 mg                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0245  Bamlanivimab and etesevima                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0247  Sotrovimab                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0249  Tocilizumab for covid-19                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q0516  Supply fee hiv prep 30-days                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0517  Supply fee hiv prep 60-days                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q0518  Supply fee hiv prep 90-days                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q2052  Home ivig, services/supplies                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q2053  Brexucabtagene car pos t                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q2054  Lisocabtagene mara car pos t                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q2055  Idecabtagene vicleucel car                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q2056  Ciltacabtagene car-pos t                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q4128  Flexhd/allopatchhd/sq cm                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q4199  Cygnus matrix, per sq cm                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q4224  Hhf10-p per sq cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4225  Amnio or derma tl, per sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q4251  Vim, per square centimeter                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4252  Vendaje, per square centimet                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4253  Zenith amniotic membrane psc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q4256  Mlg complet, per sq cm                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4257  Relese, per sq cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4258  Enverse, per sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4259  Celera per sq cm                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4260  Signature apatch, per sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4261  Tag, per square centimeter                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4262  Dual layer impax, per sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4263  Surgraft tl, per sq cm                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4264  Cocoon membrane, per sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4265  Neostim tl per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4266  Neostim per sq cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4267  Neostim dl per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4268  Surgraft ft per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4269  Surgraft xt per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4270  Complete sl per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4271  Complete ft per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4272  Esano a, per sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4273  Esano aaa, per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4274  Esano ac, per sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4275  Esano aca, per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4276  Orion, per sq cm                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4277  Woundplus e-grat, per sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4278  Epieffect, per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4279  Vendaje ac, per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4280  Xcell amnio matrix per sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4281  Barrera slor dl per sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4282  Cygnus dual per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4283  Biovance tri or 3l, sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4284  Dermabind sl, per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4285  Nudyn dl or dl mesh pr sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4286  Nudyn sl or slw, per sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4287  Dermabind dl, per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4288  Dermabind ch, per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4289  Revoshield+ amnio, per sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4290  Membrane wrap hydr per sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4291  Lamellas xt, per sq cm                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4292  Lamellas, per sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4293  Acesso dl, per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4294  Amnio quad-core, per sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4295  Amnio tri-core, per sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4296  Rebound matrix, per sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4297  Emerge matrix, per sq cm                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4298  Amnicore pro, per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4299  Amnicore pro+, per sq cm                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4300  Acesso tl, per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4301  Activate matrix, per sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4302  Complete aca, per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4303  Complete aa, per sq cm                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q4304  Grafix plus, per sq cm                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
Q5122  Inj, nyvepria                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5123  Inj. riabni, 10 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5124  Inj. byooviz, 0.1 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5125  Inj, releuko 1 mcg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5126  Inj alymsys 10 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5127  Inj, stimufend, 0.5 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5128  Inj, cimerli, 0.1 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5129  Inj, vegzelma, 10 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5130  Inj, fylnetra, 0.5 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5131  Inj, idacio, 20 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q5132  Inj, abrilada, 10 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q9001  Chaplain assessment                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q9002  Chaplain counsel individu                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q9003  Chaplain counsel group                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
Q9004  Va whole health partner serv                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
S0013  Esketamine, nasal spray                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
S1091  Stent non-coronary propel                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
S9432  Med food non inborn err meta                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
S9562  Ht inj palivizumab/ab diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
S9563  Ht inj immuno diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
T1032  Sv doula brth wrk per 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
T1033  Sv doula brth wrk per diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
T2050  Financial mgt waiver/diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
T2051  Support broker waiver/diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
V2525  Cl, hydrophilic, dual focus                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
V2526  Cntct lens blue violet                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0072T  Fcsd us abltj leiomyom>=200                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
00750  Anes hrna rpr upr abd nos                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00752  Anes hrna rpr lmbr&vnt&/dehs                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00754  Anes hrna rpr omphalocele                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00756  Anes hrna rpr diphrg hrna                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
00770  Anes px maj abd blood vessel                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00790  Anes iper upr abd nos                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00792  Anes iper upr abd prtl hptc                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00794  Anes iper upr abd pncrtect                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00796  Anes iper upr abd lvr trnspl                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
00797  Anes iper upr abd gstr px mo                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0101T  Esw muscskel sys nos                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0102T  Esw phy anes lat hmrl epcndl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
01937  Anes drg/aspir crv/thrc                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01938  Anes drg/aspir lmbr/sac                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01939  Anes nulyt agt crv/thrc                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01940  Anes nulyt agt lmbr/sac                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01941  Anes neuromd/ntrvrt crv/thrc                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01942  Anes neuromd/ntrvrt lmbr/sac                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
01958  Anes xtrnl cephalic version                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01960  Anes vaginal delivery only                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01961  Anes cesarean delivery only                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01962  Anes urgent hysterectomy                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01963  Anes cesarean hysterectomy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01965  Anes incompl/missed ab px                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01966  Anes induced abortion px                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01967  Neuraxl lbr anes vag dlvr                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01968  Anes/analg cs dlvr neuraxial                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
01969  Anes c hyst flwg neuraxial                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
01999  Unlisted anes procedure                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0398T  Mrgfus strtctc les abltj                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0398TTCMrgfus strtctc les abltj                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040000             33.2875 030 88      0.00   0.00   0.00
0398T26Mrgfus strtctc les abltj                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0402T  Colgn crs-link crn&pachymtry                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0446T  Insj impltbl glucose sensor                       A   1.14  91.71     0.47    0.07  92.92  1.680000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0447T  Rmvl impltbl glucose sensor                       A   1.34   1.57     0.55    0.08   2.99  1.970000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0448T  Remvl insj impltbl gluc sens                      A   1.91  90.48     0.78    0.11  92.50  2.800000.00.00.0020100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0483T  Tmvi percutaneous approach                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020221             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0509T  Pattern erg w/i&r                                 A   0.40   1.86     1.86NA  0.02   2.28  2.281XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
0509TTCPattern erg w/i&r                                 A   0.00   1.65     1.65NA  0.01   1.66  1.661XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
0509T26Pattern erg w/i&r                                 A   0.40   0.21     0.21    0.01   0.62  0.621XXX.00.00.0072000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0517F  Glaucoma plan of care docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0517T  Insj wcs lv both compnt pg                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0518T  Rmvl pg wcs lv battery only                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0519T  Rmv&rplcmt pg wcs lv both                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0520T  Rmv&rplcmt pg wcs lv battery                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0521F  Plan of care 4 pain docd                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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.00.00.0000210             33.2875 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             33.2875 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.00.00.0000210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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.00.00.0000210             33.2875 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.00.00.0000210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
0620T  Evasc ven artlz tibl/prnl vn                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0621T  Trabeculostomy interno laser                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0622T  Trabeculostomy int lsr w/scp                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0623T  Auto quantification c plaque                      C   0.00   0.00     0.00    0.00   0.00  0.004XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0624T  Auto quan c plaq data prep                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0625T  Auto quan c plaq cptr alys                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0626T  Auto quan c plaq i&r                              C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0627T  Perq njx algc fluor lmbr 1st                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0022000             33.2875 090 99      0.00   0.00   0.00
0628T  Perq njx algc fluor lmbr ea                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
0629T  Perq njx algc ct lmbr 1st                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0022000             33.2875 090 99      0.00   0.00   0.00
0630T  Perq njx algc ct lmbr ea                          C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
0631T  Tc vis lit hyperspectral img                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0632T  Perq tcat us abltj nrv p-art                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0633T  Ct breast w/3d uni c-                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0633TTCCt breast w/3d uni c-                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      3.19   3.19   0.01
0633T26Ct breast w/3d uni c-                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0634T  Ct breast w/3d uni c+                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0634TTCCt breast w/3d uni c+                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 020 99      5.34   5.34   0.01
0634T26Ct breast w/3d uni c+                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0635T  Ct breast w/3d uni c-/c+                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0635TTCCt breast w/3d uni c-/c+                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 020 99      5.34   5.34   0.01
0635T26Ct breast w/3d uni c-/c+                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0636T  Ct breast w/3d bi c-                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0636TTCCt breast w/3d bi c-                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      7.12   7.12   0.01
0636T26Ct breast w/3d bi c-                              C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0637T  Ct breast w/3d bi c+                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0637TTCCt breast w/3d bi c+                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 020 99     11.18  11.18   0.01
0637T26Ct breast w/3d bi c+                              C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0638T  Ct breast w/3d bi c-/c+                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0638TTCCt breast w/3d bi c-/c+                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             33.2875 020 99     11.18  11.18   0.01
0638T26Ct breast w/3d bi c-/c+                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0639T  Wrls skn snr anisotropy meas                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0640T  Ncntc ifr spctrsc o/t pad 1                       C   0.00   0.00     0.00    0.00   0.00  0.004XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0643T  Tcat l ventr rstrj dev implt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0644T  Tcat rmvl/dblk icar mas perq                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0645T  Tcat impltj c sins rdctj dev                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0646T  Ttvi/rplcmt w/prstc vlv perq                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020221             33.2875 090 99      0.00   0.00   0.00
0647T  Insj gtube perq mag gastrpxy                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0648T  Quan mr tis wo mri 1orgn                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
0648TTCQuan mr tis wo mri 1orgn                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0043000             33.2875 010 88     29.02  29.02   0.01
0648T26Quan mr tis wo mri 1orgn                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
0649T  Quan mr tiss w/mri 1orgn                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0649TTCQuan mr tiss w/mri 1orgn                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 010 99     29.02  29.02   0.01
0649T26Quan mr tiss w/mri 1orgn                          C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0650T  Prgrmg dev eval scrms remote                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0650TTCPrgrmg dev eval scrms remote                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0650T26Prgrmg dev eval scrms remote                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0651T  Mag ctrld capsule endoscopy                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0652T  Egd flx transnasal dx br/wa                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0653T  Egd flx transnasal bx 1/mlt                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0030100       0652T 33.2875 090 99      0.00   0.00   0.00
0654T  Egd flx transnasal tube/cath                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0030100       0652T 33.2875 090 99      0.00   0.00   0.00
0655T  Tprnl focal abltj mal prst8                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0656T  Vrt bdy tethering ant <7 seg                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
0657T  Vrt bdy tethering ant 8+ seg                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
0658T  Elec impd spectrsc 1+skn les                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0659T  Tcat intra-c nfs supersat o2                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0090000             33.2875 090 99      0.00   0.00   0.00
0660T  Implt ant sgm io nbio rx sys                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
0661T  Rmvl&rimpltj ant sgm implt                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
0662T  Scalp cool 1st meas&calbrj                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0663T  Scalp cool plmt mntr rmvl                         C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0664T  Don hysterectomy open cdvr                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0665T  Don hysterectomy open liv                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0666T  Don hysterectomy laps liv                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0667T  Don hysterectomy rcp uter                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0668T  Bkbench prep don uter algrft                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
0669T  Bkbench rcnstj don uter ven                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
0670T  Bkbench rcnstj don uter artl                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
0671T  Insj ant sgm aq drg dev 1+                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
0672T  Ndovag cryg rf remdl tiss                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0673T  Abltj b9 thyr ndul perq lasr                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0674T  Laps insj nw/rpcmt prm isdss                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0675T  Laps insj nw/rpcmt isdss 1ld                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0676T  Laps insj nw/rpcmt isdss ea                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
0677T  Laps repos lead isdss 1st ld                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0678T  Laps repos lead isdss ea add                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
0679T  Laps rmvl lead isdss                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0680T  Insj/rplcmt pg only isdss                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0681T  Rlcj pulse gen only isdss                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0682T  Removal pulse gen only isdss                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0683T  Prgrmg dev eval isdss ip                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0683TTCPrgrmg dev eval isdss ip                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
0683T26Prgrmg dev eval isdss ip                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0684T  Peri-px dev eval isdss ip                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0684TTCPeri-px dev eval isdss ip                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
0684T26Peri-px dev eval isdss ip                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0685T  Interrog dev eval isdss ip                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0685TTCInterrog dev eval isdss ip                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
0685T26Interrog dev eval isdss ip                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0686T  Histotripsy mal hepatcel tis                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0687T  Tx amblyopia dev setup 1st                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0688T  Tx amblyopia assmt w/report                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0689T  Quan us tis charac w/o dx us                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0689TTCQuan us tis charac w/o dx us                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040000             33.2875 010 88      2.63   2.63   0.01
0689T26Quan us tis charac w/o dx us                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0690T  Quan us tis charac w/dx us                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0690TTCQuan us tis charac w/dx us                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0690T26Quan us tis charac w/dx us                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0691T  Auto alys xst ct std vrt fx                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0691TTCAuto alys xst ct std vrt fx                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0691T26Auto alys xst ct std vrt fx                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0692T  Therapeutic ultrafiltration                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0693T  Compre ful bdy 3d mtn alys                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0694T  3d vol img&rcnstj brst/ax                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0694TTC3d vol img&rcnstj brst/ax                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0694T263d vol img&rcnstj brst/ax                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0695T  Bdy srf mpg pm/cvdfb tm impl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0696T  Bdy surf mapg pm/cvdfb f/up                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0697T  Quan mr tis wo mri mlt orgn                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0697TTCQuan mr tis wo mri mlt orgn                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040000             33.2875 020 88      0.00   0.00   0.00
0697T26Quan mr tis wo mri mlt orgn                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0698T  Quan mr tiss w/mri mlt orgn                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0698TTCQuan mr tiss w/mri mlt orgn                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
0698T26Quan mr tiss w/mri mlt orgn                       C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0699T  Njx pst chmbr eye medication                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
0700T  Molec fluor img sus nev 1st                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0700TTCMolec fluor img sus nev 1st                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
0700T26Molec fluor img sus nev 1st                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0701T  Molec fluor img sus nev ea                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0701TTCMolec fluor img sus nev ea                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0003000             33.2875 020 99      0.00   0.00   0.00
0701T26Molec fluor img sus nev ea                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
0704T  Rem tx amblyopia setup&edu                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0092999             33.2875 090 99      0.00   0.00   0.00
0705T  Rem tx amblyopia tech sprt                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0092999             33.2875 090 99      0.00   0.00   0.00
0706T  Rem tx amblyopia i&r phy/qhp                      C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.0092999             33.2875 090 99      0.00   0.00   0.00
0707T  Njx b1 sub mtrl sbchdrl dfct                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
0708T  Id ca immntx prep & 1st njx                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0709T  Id ca immntx each addl njx                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
0710T  N-invas artl plaq alys                            C   0.00   0.00     0.00    0.00   0.00  0.004XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0711T  N-nvs artl plaq alys dat prp                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0712T  N-nvs artl plaq alys quan                         C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0713T  N-nvs artl plaq alys rvw i&r                      C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0714T  Tprnl lsr ablt b9 prst8 hypr                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0716T  Car acous wavfrm rec cad rsk                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0717T  Adrc ther prtl rc tear                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0718T  Adrc ther prtl rc tear njx                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0719T  Pst vrt jt rplcmt lmbr 1 sgm                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
0720T  Prq elc nrv stim cn wo implt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
0721T  Quan ct tiss charac w/o ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
0721TTCQuan ct tiss charac w/o ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0043000             33.2875 010 88      0.00   0.00   0.00
0721T26Quan ct tiss charac w/o ct                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
0722T  Quan ct tiss charac w/ct                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0722TTCQuan ct tiss charac w/ct                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0722T26Quan ct tiss charac w/ct                          C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0723T  Qmrcp w/o dx mri sm anat ses                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
0723TTCQmrcp w/o dx mri sm anat ses                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0043000             33.2875 010 88      0.00   0.00   0.00
0723T26Qmrcp w/o dx mri sm anat ses                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
0724T  Qmrcp w/dx mri same anatomy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0724TTCQmrcp w/dx mri same anatomy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0724T26Qmrcp w/dx mri same anatomy                       C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0725T  Vestibular dev impltj uni                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0726T  Rmvl implt vstibular dev uni                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0727T  Rmvl&rplcmt implt vstblr dev                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0728T  Dx alys vstblr implt uni 1st                      C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0001000             33.2875 020 99      0.00   0.00   0.00
0729T  Dx alys vstblr implt uni sbq                      C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0001000             33.2875 020 99      0.00   0.00   0.00
0730T  Trabeculotomy lsr w/oct gdn                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
0731T  Augmnt ai-based fcl phnt a/r                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0732T  Immntx admn electroporatn im                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0733T  Rem r-t mtn nrehab ther sply                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0734T  Rem r-t mtn nrehab tx mgmt                        C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0735T  Prep tum cav iort prim crnot                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
0736T  Colonic lavage 35+l water                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0737T  Xenograft impltj artclr surf                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
0738T  Tx pln mag fld abltj prst8                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0739T  Abltj mal prst8 mag fld ndct                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
0740T  Rem auton alg nsln cal setup                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0741T  Rem auton alg nsln data coll                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0742T  Aqmbf spect xers/strs & rest                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0742TTCAqmbf spect xers/strs & rest                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0742T26Aqmbf spect xers/strs & rest                      C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0743T  B1 str & fx rsk vrt fx assmt                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0743TTCB1 str & fx rsk vrt fx assmt                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0743T26B1 str & fx rsk vrt fx assmt                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0744T  Insj bioprostc vlv fem vn                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021210             33.2875 090 99      0.00   0.00   0.00
0745T  Car ablt rad arr n-invas loc                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0746T  Car ablt rad arr cnv loc map                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0747T  Car ablt rad arrhyt dlvr rad                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0748T  Njx stm cl prdct anl sft tis                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0749T  B1 str&fx rsk assmt dxr-bmd                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0750T  B1 str&fx rsk asmt dxrbmd1vw                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0751T  Dgtz gls mcrscp sld level ii                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0752T  Dgtz gls mcrscp sld lvl iii                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0753T  Dgtz gls mcrscp sld level iv                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0754T  Dgtz gls mcrscp sld level v                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0755T  Dgtz gls mcrscp sld level vi                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0756T  Dgtz gls mcrscp sld spc grpi                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0757T  Dgtz gls mcrscp sl spc grpii                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0758T  Dgtz gls mcrscp sl spc hchem                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0759T  Dgtz gls mcrscp sl sp grpiii                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0760T  Dgtz gls mcrscp sl imm 1st                        C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0761T  Dgtz gls mcrscp sl imm ea 1                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0762T  Dgtz gls mcrscp sl imm ea m                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0763T  Dgtz gls mcrscp mphmtrc alys                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0764T  Asstv alg ecg rsk asmt cncrt                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0765T  Asstv alg ecg rsk asmt prev                       C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0766T  Tc mag stimj pn 1st nerve                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0767T  Tc mag stimj pn ea addl nrv                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0770T  Vr technology assist therapy                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0771T  Vr px dissoc svc sm phy 1st                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0772T  Vr px dissoc svc sm phy ea                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0773T  Vr px dissoc svc oth phy 1st                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0774T  Vr px dissoc svc oth phy ea                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0776T  Ther indctj ntrabrn hypthrm                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0777T  R-t prs sensing edrl gdn sys                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0777TTCR-t prs sensing edrl gdn sys                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
0777T26R-t prs sensing edrl gdn sys                      C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0778T  Smmg cncrnt appl imu snr                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
0779T  Gi myoelectrical actv study                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0779TTCGi myoelectrical actv study                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0779T26Gi myoelectrical actv study                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0780T  Instlj fecal microbiota ssp                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0781T  Brnchsc rf dstrj pulm nrv bi                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0032100       31622 33.2875 090 99      0.00   0.00   0.00
0782T  Brnchsc rf dstrj plm nrv uni                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
0783T  Tc auriculr neurostimulation                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0784T  Ins/rplmt eltrd ra spi nstim                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0785T  Revj/rmvl nea spi w/nstim                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0786T  Insj/rplcmt prq ra sac nstim                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0787T  Revj/rmvl nea sac w/nstim                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0788T  Elec aly smp iins sp/sac nrv                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0789T  Elec aly cpx iins sp/sac nrv                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0790T  Revj rplcmt/rmvl vrt tethrg                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
0791T  Motr cog vr gait train ea 15                      C   0.00   0.00     0.00    0.00   0.00  0.007ZZZ.00.00.0050100             33.2875 090 99      0.00   0.00   0.00
0792T  Appl slvr diamn fluoride 38%                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0793T  Prq tcat thrm ablt nrv p-art                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0794T  Pt spec alg rx-onc tx option                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
0795T  Tcat ins 2chmbr ldls pm cmpl                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
0796T  Tcat ins 2chmbr ldls pm ra                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
0797T  Tcat ins 2chmbr ldls pm rv                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
0798T  Tcat rmv 2chmbr ldls pm cmpl                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0799T  Tcat rmvl 2chmbr ldls pm ra                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0800T  Tcat rmvl 2chmbr ldls pm rv                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0801T  Tcat rmv&rpl 2chmbr ldls pm                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
0802T  Tcat rmv&rpl2chmb ldls pm ra                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
0803T  Tcat rmv&rpl2chmb ldls pm rv                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
0804T  Prgrmg evl ldls pm 2chmbr ip                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0804TTCPrgrmg evl ldls pm 2chmbr ip                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
0804T26Prgrmg evl ldls pm 2chmbr ip                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0805T  Tcat s&ivc prstc vl impl prq                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
0806T  Tcat s&ivc prstc vl impl opn                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
0807T  Pulm tiss vntj alys prev ct                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040100             33.2875 090 88      0.00   0.00   0.00
0807TTCPulm tiss vntj alys prev ct                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040100             33.2875 010 88      0.00   0.00   0.00
0807T26Pulm tiss vntj alys prev ct                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040100             33.2875 090 88      0.00   0.00   0.00
0808T  Pulm tiss vntj alys w/ct                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040100             33.2875 090 88      0.00   0.00   0.00
0808TTCPulm tiss vntj alys w/ct                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0040100             33.2875 010 88      0.00   0.00   0.00
0808T26Pulm tiss vntj alys w/ct                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040100             33.2875 090 88      0.00   0.00   0.00
0810T  Subrta njx rx agt w/vtrc                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021210             33.2875 090 99      0.00   0.00   0.00
0811T  Rem mlt day uroflow setup                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0812T  Rem mlt day uroflow dev sply                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0813T  Egd vol adjmt bariatric balo                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
0814T  Prq njx biod osteo matrl fem                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
0815T  Us rems b1 dns hips plvs/spi                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0815TTCUs rems b1 dns hips plvs/spi                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0815T26Us rems b1 dns hips plvs/spi                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0816T  Opn insj/rplcmt ins ptn subq                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0817T  Opn insj/rplcmt ins ptn subf                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
0818T  Revj/rmvl ins ptn subq                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0819T  Revj/rmvl ins ptn subf                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0820T  Mntr psychdlc med 1stphy/qhp                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0821T  Mntr psychdlc med 2ndphy/qhp                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0822T  Mntr psychdlc med cln staff                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0823T  Tcat ins 1chmbr ldls pm ra                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
0824T  Tcat rmv 1chmbr ldls pm ra                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0825T  Tcat rmv&rpl1chmb ldls pm ra                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0826T  Prgrmg evl ldls pm 1chmbr ip                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0826TTCPrgrmg evl ldls pm 1chmbr ip                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
0826T26Prgrmg evl ldls pm 1chmbr ip                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
0827T  Dgtz gls mcrscp cytp smears                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0828T  Dgtz gls mcrscp cytp smpl fl                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0829T  Dgtz gls mcrscp cytp conctrj                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0830T  Dgtz gls mcrscp cytp slctv                        C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0831T  Dgtz gls mcrscp cytp c/v                          C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0832T  Dgtz gls mcrscp cytp oth scr                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0833T  Dgtz gls mcrscp cytp oth prp                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0834T  Dgtz gls mcrscp cytp oth xtn                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0835T  Dgtz gls mcrscp fna 1st ea                        C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0836T  Dgtz gls mcrscp fna ea addl                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0837T  Dgtz gls mcrscp fna i&r                           C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0838T  Dgtz gls mcrscp cslt sld els                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0839T  Dgtz gls mcrscp cslt mat prp                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0840T  Dgtz gls mcrscp cslt compre                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0841T  Dgtz gls mcrscp pth cslt 1st                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0842T  Dgtz gls mcrscp pth cslt ea                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0843T  Dgtz gls mcrscp cslt cyt 1st                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0844T  Dgtz gls mcrscp cslt cyt ea                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0845T  Dgtz gls mcrscp imfluor 1st                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0846T  Dgtz gls mcrscp imfluor ea                        C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0847T  Dgtz gls mcrscp xm arch tiss                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0848T  Dgtz gls mcrscp ish 1st                           C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0849T  Dgtz gls mcrscp ish ea adl 1                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0850T  Dgtz gls mcrscp ish ea mult                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0851T  Dgtz gls mcrscp mphmtrc 1st                       C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0852T  Dgtz gls mcrscp mphmtrc ea 1                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0853T  Dgtz gls mcrscp mphmtrc ea m                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0854T  Dgtz gls mcrscp bld smr prph                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0855T  Dgtz gls mcrscp b1 marow smr                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0856T  Dgtz gls mcrscp electron mic                      C   0.00   0.00     0.00    0.00   0.00  0.003ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0857T  Opto-acoustic img breast uni                      C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
0857TTCOpto-acoustic img breast uni                      C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0001000             33.2875 010 99      0.00   0.00   0.00
0857T26Opto-acoustic img breast uni                      C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
0858T  Ext trnscranl mag stimj meas                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0858TTCExt trnscranl mag stimj meas                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0858T26Ext trnscranl mag stimj meas                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0859T  Ncntc ifr spctrsc o/t pad ea                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0860T  Ncntc ifr spctrsc scr pad                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
0861T  Rmvl pg wcs lv both compnt                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0862T  Rlcj pg wcs lv battery only                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0863T  Rlcj pg wcs lv trnsmtr only                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
0864T  Low ntsty eswt corpus cvrnsm                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0865T  Quan mri alys brn w/o dx mri                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0865TTCQuan mri alys brn w/o dx mri                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040000             33.2875 010 88      0.00   0.00   0.00
0865T26Quan mri alys brn w/o dx mri                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
0866T  Quan mri alys brn w/dx mri                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
0866TTCQuan mri alys brn w/dx mri                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
0866T26Quan mri alys brn w/dx mri                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10004  Fna bx w/o img gdn ea addl                        A   0.80   0.64     0.36    0.13   1.57  1.290ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
10005  Fna bx w/us gdn 1st les                           A   1.46   2.41     0.54    0.16   4.03  2.160XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
10006  Fna bx w/us gdn ea addl                           A   1.00   0.70     0.38    0.10   1.80  1.480ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
10007  Fna bx w/fluor gdn 1st les                        A   1.81   7.08     0.62    0.22   9.11  2.650XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
10008  Fna bx w/fluor gdn ea addl                        A   1.18   2.90     0.19    0.15   4.23  1.520ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
10009  Fna bx w/ct gdn 1st les                           A   2.26  10.31     0.72    0.22  12.79  3.200XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
10010  Fna bx w/ct gdn ea addl                           A   1.65   5.19     0.27    0.21   7.05  2.130ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10021  Fna bx w/o img gdn 1st les                        A   1.03   1.87     0.46    0.14   3.04  1.630XXX.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10030  Img gid flu coll drg sft tis                      A   2.75  15.93     0.91    0.31  18.99  3.979000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
10035  Plmt sft tiss loclzj dev 1st                      A   1.70   8.94     0.60    0.17  10.81  2.470000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
10036  Plmt sft tiss loclzj dev ea                       A   0.85   7.90     0.30    0.10   8.85  1.250ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10040  Acne surgery                                      A   0.91   2.49     0.54    0.10   3.50  1.550010.10.80.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
1006F  Osteoarthritis assess                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
10060  I&d abscess simple/single                         A   1.22   2.48     1.87    0.13   3.83  3.220010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
10061  I&d abscess comp/multiple                         A   2.45   3.70     2.79    0.32   6.47  5.560010.10.80.1020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10080  I&d pilonidal cyst simple                         A   1.22   6.12     1.76    0.20   7.54  3.180010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
10081  I&d pilonidal cyst comp                           A   2.50   7.38     2.18    0.47  10.35  5.150010.10.80.1020100             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10120  Inc&rmvl fb subq tiss smpl                        A   1.22   3.22     1.82    0.15   4.59  3.190010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
10121  Inc&rmvl fb subq tiss comp                        A   2.74   4.83     2.38    0.40   7.97  5.520010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
10140  I&d hmtma seroma/fluid collj                      A   1.58   3.33     1.78    0.21   5.12  3.570010.10.80.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10160  Pnxr aspir absc hmtma bulla                       A   1.25   2.50     1.50    0.16   3.91  2.910010.10.80.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
10180  I&d complex po wound infctj                       A   2.30   5.11     2.58    0.51   7.92  5.390010.10.80.1020100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11000  Dbrdmt ecz/infected skin<10%                      A   0.60   1.13     0.17    0.05   1.78  0.820000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11001  Dbrdmt ecz/infct skn ea addl                      A   0.30   0.49     0.11    0.03   0.82  0.440ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
11004  Dbrdmt skin xtrnl gent&per                        A  10.80   3.96NA   3.96    2.08  16.84 16.840000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11005  Dbrdmt skin abdominal wall                        A  14.24   5.29NA   5.29    3.42  22.95 22.950000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
11006  Dbrdmt skin xtrnl gent per                        A  13.10   4.84NA   4.84    2.82  20.76 20.760000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11008  Rmv prstc mtrl/mesh abd wall                      A   5.00   1.85NA   1.85    1.23   8.08  8.080ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
1101F  Pt falls assess-docd le1/yr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
11010  Debride skin at fx site                           A   4.19   8.51     3.33    0.74  13.44  8.260010.10.80.1022100             33.2875 090 99      0.00   0.00   0.00
11011  Debride skin musc at fx site                      A   4.94   9.10     2.97    0.97  15.01  8.880000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
11012  Deb skin bone at fx site                          A   6.87  11.33     4.19    1.34  19.54 12.400000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
11042  Dbrdmt subq tis 1st 20sqcm/<                      A   1.01   2.76     0.67    0.13   3.90  1.810000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11043  Dbrdmt musc&/fsca 1st 20/<                        A   2.70   3.89     1.48    0.40   6.99  4.580000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11044  Dbrdmt bone 1st 20 sq cm/<                        A   4.10   4.59     1.96    0.66   9.35  6.720000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11045  Dbrdmt subq tiss each addl                        A   0.50   0.62     0.17    0.08   1.20  0.750ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
11046  Dbrdmt musc&/fsca ea addl                         A   1.03   0.97     0.41    0.19   2.19  1.630ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
11047  Dbrdmt bone each addl                             A   1.80   1.47     0.73    0.35   3.62  2.880ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
11055  Paring/cutg b9 hyprker les 1                      R   0.35   1.76     0.08    0.03   2.14  0.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11056  Parng/cutg b9 hyprkr les 2-4                      R   0.50   1.94     0.11    0.04   2.48  0.650000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11057  Parng/cutg b9 hyprkr les >4                       R   0.65   2.01     0.15    0.05   2.71  0.850000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11102  Tangntl bx skin single les                        A   0.66   2.29     0.39    0.07   3.02  1.120000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11103  Tangntl bx skin ea sep/addl                       A   0.38   1.09     0.23    0.04   1.51  0.650ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
11104  Punch bx skin single lesion                       A   0.83   2.83     0.46    0.10   3.76  1.390000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11105  Punch bx skin ea sep/addl                         A   0.45   1.28     0.25    0.06   1.79  0.760ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
11106  Incal bx skn single les                           A   1.01   3.53     0.54    0.13   4.67  1.680000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11107  Incal bx skn ea sep/addl                          A   0.54   1.53     0.30    0.07   2.14  0.910ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
1111F  Dschrg med/current med merge                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11200  Rmvl skin tags up to&inc 15                       A   0.82   1.88     1.40    0.09   2.79  2.310010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11201  Rmvl skin tags ea addl 10                         A   0.29   0.23     0.16    0.03   0.55  0.480ZZZ.00.00.0000100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11300  Shave skin lesion 0.5 cm/<                        A   0.60   2.35     0.34    0.07   3.02  1.010000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11301  Shave skin lesion 0.6-1.0 cm                      A   0.90   2.65     0.52    0.10   3.65  1.520000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11302  Shave skin lesion 1.1-2.0 cm                      A   1.05   2.96     0.61    0.11   4.12  1.770000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11303  Shave skin lesion >2.0 cm                         A   1.25   3.17     0.72    0.14   4.56  2.110000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11305  Shave skin lesion 0.5 cm/<                        A   0.80   2.29     0.24    0.07   3.16  1.110000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11306  Shave skin lesion 0.6-1.0 cm                      A   0.96   2.63     0.40    0.09   3.68  1.450000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11307  Shave skin lesion 1.1-2.0 cm                      A   1.20   2.84     0.53    0.12   4.16  1.850000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11308  Shave skin lesion >2.0 cm                         A   1.46   2.79     0.48    0.13   4.38  2.070000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11310  Shave skin lesion 0.5 cm/<                        A   0.80   2.59     0.46    0.09   3.48  1.350000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11311  Shave skin lesion 0.6-1.0 cm                      A   1.10   2.89     0.64    0.12   4.11  1.860000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11312  Shave skin lesion 1.1-2.0 cm                      A   1.30   3.23     0.76    0.14   4.67  2.200000.00.00.0029000             33.2875 090 99      0.00   0.00   0.00
11313  Shave skin lesion >2.0 cm                         A   1.68   3.57     0.98    0.19   5.44  2.850000.00.00.0029000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11400  Exc tr-ext b9+marg 0.5 cm<                        A   0.90   2.85     1.53    0.12   3.87  2.550010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11401  Exc tr-ext b9+marg 0.6-1 cm                       A   1.28   3.27     1.75    0.16   4.71  3.190010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11402  Exc tr-ext b9+marg 1.1-2 cm                       A   1.45   3.55     1.85    0.19   5.19  3.490010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11403  Exc tr-ext b9+marg 2.1-3cm                        A   1.84   3.87     2.41    0.27   5.98  4.520010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11404  Exc tr-ext b9+marg 3.1-4 cm                       A   2.11   4.31     2.51    0.35   6.77  4.970010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11406  Exc tr-ext b9+marg >4.0 cm                        A   3.52   5.45     3.31    0.66   9.63  7.490010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11420  Exc h-f-nk-sp b9+marg 0.5/<                       A   1.03   2.69     1.35    0.10   3.82  2.480010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11421  Exc h-f-nk-sp b9+marg 0.6-1                       A   1.47   3.18     1.65    0.17   4.82  3.290010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11422  Exc h-f-nk-sp b9+marg 1.1-2                       A   1.68   3.52     2.21    0.21   5.41  4.100010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11423  Exc h-f-nk-sp b9+marg 2.1-3                       A   2.06   3.87     2.41    0.27   6.20  4.740010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11424  Exc h-f-nk-sp b9+marg 3.1-4                       A   2.48   4.33     2.61    0.37   7.18  5.460010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11426  Exc h-f-nk-sp b9+marg >4 cm                       A   4.09   5.17     3.34    0.63   9.89  8.060010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11440  Exc face-mm b9+marg 0.5 cm/<                      A   1.05   3.17     2.08    0.11   4.33  3.240010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11441  Exc face-mm b9+marg 0.6-1 cm                      A   1.53   3.53     2.30    0.20   5.26  4.030010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11442  Exc face-mm b9+marg 1.1-2 cm                      A   1.77   3.83     2.43    0.24   5.84  4.440010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11443  Exc face-mm b9+marg 2.1-3 cm                      A   2.34   4.22     2.74    0.32   6.88  5.400010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11444  Exc face-mm b9+marg 3.1-4 cm                      A   3.19   4.91     3.16    0.44   8.54  6.790010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11446  Exc face-mm b9+marg >4 cm                         A   4.80   6.09     4.05    0.68  11.57  9.530010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11450  Exc skn hdrdnt ax smpl/ntrm                       A   3.22   9.02     3.98    0.74  12.98  7.940090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
11451  Exc skn hdrdnt ax complex                         A   4.43  10.43     4.64    0.95  15.81 10.020090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
11462  Exc skn hdrdnt ing smpl/ntrm                      A   3.00   8.94     3.88    0.68  12.62  7.560090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
11463  Exc skn hdrdnt ing complex                        A   4.43  10.67     4.73    0.91  16.01 10.070090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
11470  Exc skn h/p/p/u smpl/ntrm                         A   3.74   9.20     4.16    0.78  13.72  8.680090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
11471  Exc skn h/p/p/u complex                           A   4.89  10.65     4.82    0.91  16.45 10.620090.10.71.1920000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11600  Exc tr-ext mal+marg 0.5 cm/<                      A   1.63   4.10     1.83    0.22   5.95  3.680010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11601  Exc tr-ext mal+marg 0.6-1 cm                      A   2.07   4.57     2.13    0.25   6.89  4.450010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11602  Exc tr-ext mal+marg 1.1-2 cm                      A   2.27   4.85     2.31    0.25   7.37  4.830010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11603  Exc tr-ext mal+marg 2.1-3 cm                      A   2.82   5.23     2.61    0.34   8.39  5.770010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11604  Exc tr-ext mal+marg 3.1-4 cm                      A   3.17   5.76     2.76    0.42   9.35  6.350010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11606  Exc tr-ext mal+marg >4 cm                         A   5.02   7.60     3.57    0.87  13.49  9.460010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11620  Exc h-f-nk-sp mal+marg 0.5/<                      A   1.64   4.11     1.84    0.23   5.98  3.710010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11621  Exc s/n/h/f/g mal+mrg 0.6-1                       A   2.08   4.57     2.13    0.26   6.91  4.470010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11622  Exc s/n/h/f/g mal+mrg 1.1-2                       A   2.41   4.93     2.37    0.29   7.63  5.070010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11623  Exc s/n/h/f/g mal+mrg 2.1-3                       A   3.11   5.40     2.74    0.40   8.91  6.250010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11624  Exc s/n/h/f/g mal+mrg 3.1-4                       A   3.62   6.01     2.97    0.52  10.15  7.110010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11626  Exc s/n/h/f/g mal+mrg >4 cm                       A   4.61   6.83     3.31    0.77  12.21  8.690010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11640  Exc f/e/e/n/l mal+mrg 0.5cm<                      A   1.67   4.25     1.93    0.21   6.13  3.810010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11641  Exc f/e/e/n/l mal+mrg 0.6-1                       A   2.17   4.70     2.22    0.27   7.14  4.660010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11642  Exc f/e/e/n/l mal+mrg 1.1-2                       A   2.62   5.12     2.49    0.34   8.08  5.450010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11643  Exc f/e/e/n/l mal+mrg 2.1-3                       A   3.42   5.60     2.91    0.46   9.48  6.790010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11644  Exc f/e/e/n/l mal+mrg 3.1-4                       A   4.34   6.74     3.45    0.62  11.70  8.410010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11646  Exc f/e/e/n/l mal+mrg >4 cm                       A   6.26   7.92     4.36    0.99  15.17 11.610010.10.80.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11719  Trim nail(s) any number                           R   0.17   0.25     0.04    0.01   0.43  0.220000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11720  Debride nail 1-5                                  A   0.32   0.64     0.07    0.03   0.99  0.420000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
11721  Debride nail 6 or more                            A   0.54   0.76     0.12    0.04   1.34  0.700000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
11730  Removal of nail plate                             A   1.05   2.32     0.46    0.09   3.46  1.600000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11732  Remove nail plate add-on                          A   0.38   0.58     0.09    0.03   0.99  0.500ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
11740  Drain blood from under nail                       A   0.37   1.34     0.57    0.03   1.74  0.970000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11750  Removal of nail bed                               A   1.58   3.13     1.35    0.13   4.84  3.060010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11755  Biopsy nail unit                                  A   1.25   2.32     0.45    0.10   3.67  1.800000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11760  Repair of nail bed                                A   1.63   3.74     1.47    0.19   5.56  3.290010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11762  Reconstruction of nail bed                        A   2.94   5.39     2.34    0.33   8.66  5.610010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11765  Excision of nail fold toe                         A   1.22   3.68     1.48    0.10   5.00  2.800010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11770  Remove pilonidal cyst simple                      A   2.66   7.41     2.34    0.60  10.67  5.600010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
11771  Remove pilonidal cyst exten                       A   6.09  11.51     6.13    1.40  19.00 13.620090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
11772  Remove pilonidal cyst compl                       A   7.35  14.26     8.50    1.66  23.27 17.510090.10.71.1920100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
11900  Inject skin lesions </w 7                         A   0.52   1.15     0.31    0.06   1.73  0.890000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11901  Inject skin lesions >7                            A   0.80   1.23     0.47    0.08   2.11  1.350000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11920  Correct skin color 6.0 cm/<                       R   1.61   4.13     1.50    0.30   6.04  3.410000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11921  Correct skn color 6.1-20.0cm                      R   1.93   4.39     1.63    0.35   6.67  3.910000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11922  Correct skin color ea 20.0cm                      R   0.49   1.26     0.28    0.09   1.84  0.860ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
11950  Tx contour defects 1 cc/<                         R   0.84   1.46     0.55    0.16   2.46  1.550000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11951  Tx contour defects 1.1-5.0cc                      R   1.19   1.86     0.76    0.22   3.27  2.170000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11952  Tx contour defects 5.1-10cc                       R   1.69   2.37     1.05    0.31   4.37  3.050000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11954  Tx contour defects >10.0 cc                       R   1.85   2.62     1.14    0.34   4.81  3.330000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11960  Insert tissue expander(s)                         A  11.49  17.08NA  17.08    2.02  30.59 30.590090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
11970  Rplcmt tiss xpndr perm implt                      A   7.49   8.07NA   8.07    1.39  16.95 16.950090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
11971  Rmvl tis xpndr wo insj implt                      A   7.02   8.37NA   8.37    1.30  16.69 16.690090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
11976  Remove contraceptive capsule                      R   1.78   2.29     0.69    0.30   4.37  2.770000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11980  Implant hormone pellet(s)                         A   1.10   1.58     0.40    0.15   2.83  1.650000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
11981  Insertion drug dlvr implant                       A   1.14   1.68     0.52    0.21   3.03  1.870000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11982  Remove drug implant device                        A   1.34   1.76     0.60    0.24   3.34  2.180000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
11983  Remove/insert drug implant                        A   1.91   2.02     0.83    0.34   4.27  3.080000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
12001  Rpr s/n/ax/gen/trnk 2.5cm/<                       A   0.84   1.84     0.34    0.16   2.84  1.340000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12002  Rpr s/n/ax/gen/trnk2.6-7.5cm                      A   1.14   2.08     0.40    0.22   3.44  1.760000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12004  Rpr s/n/ax/gen/trk7.6-12.5cm                      A   1.44   2.28     0.47    0.29   4.01  2.200000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12005  Rpr s/n/a/gen/trk12.6-20.0cm                      A   1.97   2.97     0.46    0.40   5.34  2.830000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12006  Rpr s/n/a/gen/trk20.1-30.0cm                      A   2.39   3.30     0.60    0.47   6.16  3.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12007  Rpr s/n/ax/gen/trnk >30.0 cm                      A   2.90   3.51     0.82    0.58   6.99  4.300000.00.00.0020110             33.2875 090 99      0.00   0.00   0.00
12011  Rpr f/e/e/n/l/m 2.5 cm/<                          A   1.07   2.10     0.38    0.21   3.38  1.660000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12013  Rpr f/e/e/n/l/m 2.6-5.0 cm                        A   1.22   2.06     0.27    0.24   3.52  1.730000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12014  Rpr f/e/e/n/l/m 5.1-7.5 cm                        A   1.57   2.41     0.35    0.32   4.30  2.240000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12015  Rpr f/e/e/n/l/m 7.6-12.5 cm                       A   1.98   2.81     0.43    0.40   5.19  2.810000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12016  Rpr fe/e/en/l/m 12.6-20.0 cm                      A   2.68   3.36     0.59    0.54   6.58  3.810000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
12017  Rpr fe/e/en/l/m 20.1-30.0 cm                      A   3.18   0.73NA   0.73    0.69   4.60  4.600000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
12018  Rpr f/e/e/n/l/m >30.0 cm                          A   3.61   0.80NA   0.80    0.77   5.18  5.180000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
12020  Tx supfc wnd dehsn smpl clsr                      A   2.67   5.94     2.57    0.42   9.03  5.660010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12021  Tx supfc wnd dehsn w/packing                      A   1.89   3.15     2.05    0.31   5.35  4.250010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12031  Intmd rpr s/a/t/ext 2.5 cm/<                      A   2.00   5.66     2.29    0.25   7.91  4.540010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12032  Intmd rpr s/a/t/ext 2.6-7.5                       A   2.52   6.33     2.89    0.29   9.14  5.700010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12034  Intmd rpr s/tr/ext 7.6-12.5                       A   2.97   6.70     2.78    0.40  10.07  6.150010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12035  Intmd rpr s/a/t/ext 12.6-20                       A   3.50   7.58     3.11    0.63  11.71  7.240010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12036  Intmd rpr s/a/t/ext 20.1-30                       A   4.23   7.94     3.36    0.88  13.05  8.470010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12037  Intmd rpr s/tr/ext >30.0 cm                       A   5.00   8.60     3.78    1.06  14.66  9.840010.10.80.1020010             33.2875 090 99      0.00   0.00   0.00
12041  Intmd rpr n-hf/genit 2.5cm/<                      A   2.10   5.57     1.99    0.26   7.93  4.350010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12042  Intmd rpr n-hf/genit2.6-7.5                       A   2.79   6.21     2.74    0.33   9.33  5.860010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12044  Intmd rpr n-hf/genit7.6-12.5                      A   3.19   7.87     2.78    0.45  11.51  6.420010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12045  Intmd rpr n-hf/genit12.6-20                       A   3.75   8.00     3.78    0.69  12.44  8.220010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12046  Intmd rpr n-hf/genit20.1-30                       A   4.30   9.65     4.16    1.12  15.07  9.580010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
12047  Intmd rpr n-hf/genit >30.0cm                      A   4.95  10.28     4.40    1.27  16.50 10.620010.10.80.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
12051  Intmd rpr face/mm 2.5 cm/<                        A   2.33   5.89     2.44    0.31   8.53  5.080010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12052  Intmd rpr face/mm 2.6-5.0 cm                      A   2.87   6.27     2.75    0.35   9.49  5.970010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12053  Intmd rpr face/mm 5.1-7.5 cm                      A   3.17   7.36     2.87    0.40  10.93  6.440010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12054  Intmd rpr face/mm 7.6-12.5cm                      A   3.50   7.49     2.57    0.52  11.51  6.590010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12055  Intmd rpr face/mm 12.6-20 cm                      A   4.50   9.82     3.74    0.81  15.13  9.050010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
12056  Intmd rpr face/mm 20.1-30.0                       A   5.30  11.14     5.24    0.98  17.42 11.520010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
12057  Intmd rpr face/mm >30.0 cm                        A   6.00  11.11     5.45    1.12  18.23 12.570010.10.80.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
13100  Cmplx rpr trunk 1.1-2.5 cm                        A   3.00   6.85     2.60    0.38  10.23  5.980010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13101  Cmplx rpr trunk 2.6-7.5 cm                        A   3.50   7.99     3.44    0.42  11.91  7.360010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13102  Cmplx rpr trunk addl 5cm/<                        A   1.24   2.05     0.69    0.20   3.49  2.130ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
13120  Cmplx rpr s/a/l 1.1-2.5 cm                        A   3.23   7.03     3.28    0.40  10.66  6.910010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13121  Cmplx rpr s/a/l 2.6-7.5 cm                        A   4.00   8.29     3.21    0.47  12.76  7.680010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13122  Cmplx rpr s/a/l addl 5 cm/>                       A   1.44   2.14     0.79    0.22   3.80  2.450ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
13131  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   3.73   7.46     3.02    0.46  11.65  7.210010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13132  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   4.78   8.79     3.67    0.55  14.12  9.000010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13133  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   2.19   2.56     1.24    0.29   5.04  3.720ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
13151  Cmplx rpr e/n/e/l 1.1-2.5 cm                      A   4.34   7.81     3.40    0.54  12.69  8.280010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13152  Cmplx rpr e/n/e/l 2.6-7.5 cm                      A   5.34   8.90     3.98    0.66  14.90  9.980010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
13153  Cmplx rpr e/n/e/l addl 5cm/<                      A   2.38   2.79     1.30    0.37   5.54  4.050ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
13160  Sec clsr surg wnd/dehsn xtn                       A  12.04   9.78NA   9.78    2.07  23.89 23.890090.10.71.1920100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
14000  Tis trnfr trunk 10 sq cm/<                        A   6.37  11.71     7.69    1.14  19.22 15.200090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14001  Tis trnfr trunk 10.1-30sqcm                       A   8.78  14.05     9.23    1.65  24.48 19.660090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14020  Tis trnfr s/a/l 10 sq cm/<                        A   7.22  12.97     8.79    1.05  21.24 17.060090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14021  Tis trnfr s/a/l 10.1-30 sqcm                      A   9.72  15.07    10.19    1.36  26.15 21.270090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14040  Tis trnfr f/c/c/m/n/a/g/h/f                       A   8.60  13.20     9.01    1.12  22.92 18.730090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14041  Tis trnfr f/c/c/m/n/a/g/h/f                       A  10.83  15.65    10.67    1.34  27.82 22.840090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14060  Tis trnfr e/n/e/l 10 sq cm/<                      A   9.23  12.79     9.58    1.14  23.16 19.950090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14061  Tis trnfr e/n/e/l10.1-30sqcm                      A  11.48  17.11    11.61    1.44  30.03 24.530090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
14301  Tis trnfr any 30.1-60 sq cm                       A  12.65  17.89    11.35    2.05  32.59 26.050090.10.71.1920200             33.2875 090 99      0.00   0.00   0.00
14302  Tis trnfr addl 30 sq cm                           A   3.73   1.99     1.99    0.68   6.40  6.400ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
14350  Filleted finger/toe flap                          A  11.05   8.10NA   8.10    1.14  20.29 20.290090.10.71.1920000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
15002  Wound prep trk/arm/leg                            A   3.65   5.99     2.22    0.66  10.30  6.530000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
15003  Wound prep addl 100 cm                            A   0.80   1.10     0.36    0.18   2.08  1.340ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
15004  Wound prep f/n/hf/g                               A   4.58   6.56     2.51    0.62  11.76  7.710000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
15005  Wnd prep f/n/hf/g addl cm                         A   1.60   1.55     0.73    0.33   3.48  2.660ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
15040  Harvest cultured skin graft                       A   2.00   5.45     1.35    0.39   7.84  3.740000.00.00.0000100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
15050  Pinch graft up to 2 cm diam                       A   5.57  11.09     7.20    1.01  17.67 13.780090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15100  Skin splt grft trnk/arm/leg                       A   9.90  14.30     9.68    1.93  26.13 21.510090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15101  Skin splt grft t/a/l add-on                       A   1.72   3.46     1.20    0.38   5.56  3.300ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15110  Epidrm autogrft trnk/arm/leg                      A  10.97  12.00     8.41    2.10  25.07 21.480090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15111  Epidrm autogrft t/a/l add-on                      A   1.85   1.12     0.75    0.42   3.39  3.020ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15115  Epidrm a-grft face/nck/hf/g                       A  11.28  11.30     7.88    1.74  24.32 20.900090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15116  Epidrm a-grft f/n/hf/g addl                       A   2.50   1.54     1.06    0.55   4.59  4.110ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
15120  Skn splt a-grft fac/nck/hf/g                      A  10.15  13.64     8.91    1.67  25.46 20.730090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15121  Skn splt a-grft f/n/hf/g add                      A   2.00   3.80     1.52    0.40   6.20  3.920ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
15130  Derm autograft trnk/arm/leg                       A   7.53  12.74     9.05    1.39  21.66 17.970090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15131  Derm autograft t/a/l add-on                       A   1.50   1.14     0.88    0.27   2.91  2.650ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
15135  Derm autograft face/nck/hf/g                      A  11.03  13.62    10.13    1.57  26.22 22.730090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15136  Derm autograft f/n/hf/g add                       A   1.50   1.10     0.88    0.27   2.87  2.650ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
15150  Cult skin grft t/arm/leg                          A   9.39   9.43     7.45    2.41  21.23 19.250090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15151  Cult skin grft t/a/l addl                         A   2.00   1.03     0.73    0.51   3.54  3.240ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15152  Cult skin graft t/a/l +%                          A   2.50   1.39     1.11    0.52   4.41  4.130ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15155  Cult skin graft f/n/hf/g                          A  10.14  11.87     9.86    1.86  23.87 21.860090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15156  Cult skin grft f/n/hfg add                        A   2.75   1.31     1.01    0.71   4.77  4.470ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
15157  Cult epiderm grft f/n/hfg +%                      A   3.00   1.53     1.10    0.77   5.30  4.870ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
15200  Fth grf fr trnk 20 sq cm/<                        A   9.15  14.52     9.45    1.65  25.32 20.250090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15201  Fth grf fr trnk each addl                         A   1.32   2.62     0.70    0.25   4.19  2.270ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15220  Fth grf fr s/a/l 20 sq cm/<                       A   8.09  13.93     9.06    1.19  23.21 18.340090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15221  Fth grf fr s/a/l each addl                        A   1.19   2.47     0.65    0.21   3.87  2.050ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15240  Fth gr fr f/c/c/m/n/ax/g/h/f                      A  10.41  16.16    12.07    1.44  28.01 23.920090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15241  Fth gr f/c/c/m/n/ax/g/h/f ea                      A   1.86   3.06     1.01    0.31   5.23  3.180ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15260  Fth grf fr n/e/e/l 20 sqcm/<                      A  11.64  17.07    12.32    1.39  30.10 25.350090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15261  Fth grf fr n/e/e/l each addl                      A   2.23   3.58     1.46    0.33   6.14  4.020ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15271  Skin sub graft trnk/arm/leg                       A   1.50   2.91     0.78    0.22   4.63  2.500000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
15272  Skin sub graft t/a/l add-on                       A   0.33   0.36     0.12    0.05   0.74  0.500ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15273  Skin sub grft t/arm/lg child                      A   3.50   5.12     1.66    0.64   9.26  5.800000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
15274  Skn sub grft t/a/l child add                      A   0.80   1.46     0.35    0.17   2.43  1.320ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15275  Skin sub graft face/nk/hf/g                       A   1.83   2.75     0.75    0.19   4.77  2.770000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
15276  Skin sub graft f/n/hf/g addl                      A   0.50   0.40     0.17    0.07   0.97  0.740ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15277  Skn sub grft f/n/hf/g child                       A   4.00   5.50     1.89    0.72  10.22  6.610000.00.00.0020110             33.2875 090 99      0.00   0.00   0.00
15278  Skn sub grft f/n/hf/g ch add                      A   1.00   1.64     0.45    0.20   2.84  1.650ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
15570  Skin pedicle flap trunk                           A  10.21  15.08     9.70    1.99  27.28 21.900090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15572  Skin pedicle flap arms/legs                       A  10.12  14.66    10.24    1.79  26.57 22.150090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15574  Pedcle fh/ch/ch/m/n/ax/g/h/f                      A  10.70  14.30     9.86    1.67  26.67 22.230090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15576  Pedicle e/n/e/l/ntroral                           A   9.37  12.97     8.90    1.15  23.49 19.420090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15600  Delay flap trunk                                  A   2.01   7.84     4.05    0.37  10.22  6.430090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15610  Delay flap arms/legs                              A   2.52   8.15     4.43    0.45  11.12  7.400090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15620  Delay flap f/c/c/n/ax/g/h/f                       A   3.75   9.17     5.53    0.59  13.51  9.870090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15630  Delay flap eye/nos/ear/lip                        A   4.08   9.33     5.74    0.56  13.97 10.380090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15650  Transfer skin pedicle flap                        A   4.77  10.70     6.54    0.89  16.36 12.200090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15730  Mdfc flap w/prsrv vasc pedcl                      A  13.50  27.61    12.33    1.56  42.67 27.390090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15731  Forehead flap w/vasc pedicle                      A  14.38  17.21    13.36    2.18  33.77 29.920090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15733  Musc myoq/fscq flp h&n pedcl                      A  15.68  12.61NA  12.61    2.56  30.85 30.850090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15734  Muscle-skin graft trunk                           A  23.00  17.03NA  17.03    4.98  45.01 45.010090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15736  Muscle-skin graft arm                             A  17.04  16.19NA  16.19    3.34  36.57 36.570090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15738  Muscle-skin graft leg                             A  19.04  15.27NA  15.27    3.68  37.99 37.990090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15740  Island pedicle flap graft                         A  11.80  16.92    11.68    1.82  30.54 25.300090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15750  Neurovascular pedicle flap                        A  12.96  12.57NA  12.57    2.57  28.10 28.100090.10.71.1920200             33.2875 090 99      0.00   0.00   0.00
15756  Free myo/skin flap microvasc                      A  36.94  25.18NA  25.18    6.10  68.22 68.220090.10.71.1920220             33.2875 090 99      0.00   0.00   0.00
15757  Free skin flap microvasc                          A  37.15  24.74NA  24.74    5.88  67.77 67.770090.10.71.1920220             33.2875 090 99      0.00   0.00   0.00
15758  Free fascial flap microvasc                       A  36.90  24.78NA  24.78    5.81  67.49 67.490090.10.71.1920220             33.2875 090 99      0.00   0.00   0.00
15760  Composite skin graft                              A   9.86  14.25     9.74    1.37  25.48 20.970090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15769  Grfg autol soft tiss dir exc                      A   6.68   6.54NA   6.54    1.26  14.48 14.480090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
15770  Derma-fat-fascia graft                            A   8.96   9.90NA   9.90    1.45  20.31 20.310090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15771  Grfg autol fat lipo 50 cc/<                       A   6.73  10.45     7.46    1.25  18.43 15.440090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
15772  Grfg autol fat lipo ea addl                       A   2.50   2.79     1.45    0.46   5.75  4.410ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15773  Grfg autol fat lipo 25 cc/<                       A   6.83   9.98     7.11    1.17  17.98 15.110090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
15774  Gfrg autol fat lipo ea addl                       A   2.41   2.74     1.41    0.44   5.59  4.260ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15775  Hair trnspl 1-15 punch grfts                      R   3.95   6.62     2.93    0.73  11.30  7.610000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
15776  Hair trnspl >15 punch grafts                      R   5.53   8.71     3.86    1.04  15.28 10.430000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
15777  Acellular derm matrix implt                       A   3.65   2.01     2.01    0.71   6.37  6.370ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
15778  Impl absrb msh/prsth dly cls                      A   7.05   2.82NA   2.82    1.62  11.49 11.490000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
15780  Dermabrasion total face                           A   8.73  15.85    10.28    0.92  25.50 19.930090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15781  Dermabrasion segmental face                       A   5.02  10.34     7.06    0.77  16.13 12.850090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15782  Dermabrasion other than face                      A   4.44   9.74     6.24    0.46  14.64 11.140090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15783  Dermabrasion suprfl any site                      A   4.41   8.72     5.84    0.45  13.58 10.700090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15786  Abrasion lesion single                            A   2.08   4.59     1.73    0.23   6.90  4.040010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
15787  Abrasion lesions add-on                           A   0.33   0.55     0.14    0.02   0.90  0.490ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15788  Chemical peel face epiderm                        R   2.09   9.40     4.21    0.24  11.73  6.540090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15789  Chemical peel face dermal                         R   4.91  10.58     6.88    0.57  16.06 12.360090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15792  Chemical peel nonfacial                           R   1.86   8.01     4.26    0.24  10.11  6.360090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15793  Chemical peel nonfacial                           A   3.96   9.86     6.30    0.51  14.33 10.770090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15819  Plastic surgery neck                              A  10.65  11.45NA  11.45    1.98  24.08 24.080090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15820  Revision of lower eyelid                          A   6.27  10.68     8.72    0.49  17.44 15.480090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
15821  Revision of lower eyelid                          A   6.84  11.19     9.03    0.64  18.67 16.510090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
15822  Revision of upper eyelid                          A   4.62   8.77     6.85    0.52  13.91 11.990090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
15823  Revision of upper eyelid                          A   6.81  11.30     9.12    0.59  18.70 16.520090.10.71.1921100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
15830  Exc skin abd                                      R  17.11  14.70NA  14.70    3.38  35.19 35.190090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15832  Excise excessive skin thigh                       A  12.85  12.44NA  12.44    2.44  27.73 27.730090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
15833  Excise excessive skin leg                         A  11.90  12.29NA  12.29    2.20  26.39 26.390090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
15834  Excise excessive skin hip                         A  12.17  12.45NA  12.45    2.24  26.86 26.860090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
15835  Excise excessive skin buttck                      A  12.99  12.61NA  12.61    2.39  27.99 27.990090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15836  Excise excessive skin arm                         A  10.61  11.43NA  11.43    1.96  24.00 24.000090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
15837  Excise excess skin arm/hand                       A   9.55  14.84    10.27    1.75  26.14 21.570090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15838  Excise excess skin fat pad                        A   8.25   9.81NA   9.81    1.52  19.58 19.580090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15839  Excise excess skin & tissue                       A  10.50  14.48     9.83    1.93  26.91 22.260090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15840  Nerve palsy fascial graft                         A  14.99  13.07NA  13.07    2.32  30.38 30.380090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15841  Nerve palsy muscle graft                          A  25.99  22.50NA  22.50    4.80  53.29 53.290090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15842  Nerve palsy microsurg graft                       A  41.01  31.99NA  31.99    7.61  80.61 80.610090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15845  Skin and muscle repair face                       A  14.32  14.97NA  14.97    2.65  31.94 31.940090.10.71.1920200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
15851  Removal sutr/staple req anes                      A   1.10   0.48     0.73    0.12   1.70  1.950000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
15852  Dressing change not for burn                      A   0.86   0.33NA   0.33    0.14   1.33  1.330000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
15853  Removal sutr/stapl xreq anes                      A   0.00   0.34     0.34NA  0.01   0.35  0.355ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15854  Removal sutr&stapl xreq anes                      A   0.00   0.46     0.46NA  0.02   0.48  0.485ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
15860  Test for blood flow in graft                      A   1.95   0.84NA   0.84    0.37   3.16  3.160000.00.00.0020000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
15920  Removal of tail bone ulcer                        A   8.29   8.87NA   8.87    1.89  19.05 19.050090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15922  Removal of tail bone ulcer                        A  10.38  11.73NA  11.73    1.91  24.02 24.020090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15931  Remove sacrum pressure sore                       A  10.07   8.80NA   8.80    2.38  21.25 21.250090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15933  Remove sacrum pressure sore                       A  11.77  11.91NA  11.91    2.63  26.31 26.310090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15934  Remove sacrum pressure sore                       A  13.68  13.41NA  13.41    2.53  29.62 29.620090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15935  Remove sacrum pressure sore                       A  15.78  16.05NA  16.05    2.90  34.73 34.730090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15936  Remove sacrum pressure sore                       A  13.16  10.99NA  10.99    2.86  27.01 27.010090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15937  Remove sacrum pressure sore                       A  15.14  12.94NA  12.94    3.07  31.15 31.150090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15940  Remove hip pressure sore                          A  10.20   8.96NA   8.96    2.22  21.38 21.380090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15941  Remove hip pressure sore                          A  12.41  13.12NA  13.12    2.41  27.94 27.940090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15944  Remove hip pressure sore                          A  12.44  13.39NA  13.39    2.29  28.12 28.120090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15945  Remove hip pressure sore                          A  13.75  14.41NA  14.41    2.54  30.70 30.700090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
15946  Remove hip pressure sore                          A  24.12  19.40NA  19.40    4.82  48.34 48.340090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15950  Remove thigh pressure sore                        A   8.03   9.69NA   9.69    1.49  19.21 19.210090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
15951  Remove thigh pressure sore                        A  11.58  13.35NA  13.35    2.14  27.07 27.070090.10.71.1920010             33.2875 090 99      0.00   0.00   0.00
15952  Remove thigh pressure sore                        A  12.31  13.00NA  13.00    2.27  27.58 27.580090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
15953  Remove thigh pressure sore                        A  13.57  14.30NA  14.30    2.50  30.37 30.370090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15956  Remove thigh pressure sore                        A  16.79  15.26NA  15.26    3.63  35.68 35.680090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15958  Remove thigh pressure sore                        A  16.75  15.25NA  15.25    3.30  35.30 35.300090.10.71.1920110             33.2875 090 99      0.00   0.00   0.00
15999  Unlisted px exc pressure ulc                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
16000  Initial treatment of burn(s)                      A   0.89   1.37     0.33    0.14   2.40  1.360000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
16020  Dress/debrid p-thick burn s                       A   0.71   1.76     0.85    0.12   2.59  1.680000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
16025  Dress/debrid p-thick burn m                       A   1.74   2.71     1.31    0.29   4.74  3.340000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
16030  Dress/debrid p-thick burn l                       A   2.08   3.44     1.45    0.42   5.94  3.950000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
16035  Incision of burn scab initi                       A   3.74   1.49NA   1.49    0.60   5.83  5.830000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
16036  Escharotomy addl incision                         A   1.50   0.62NA   0.62    0.33   2.45  2.450ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
17000  Destruct premalg lesion                           A   0.61   1.37     0.99    0.06   2.04  1.660010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17003  Destruct premalg les 2-14                         A   0.04   0.16     0.02    0.00   0.20  0.060ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
17004  Destroy premal lesions 15/>                       A   1.37   3.52     1.43    0.15   5.04  2.950010.10.80.1000100             33.2875 090 99      0.00   0.00   0.00
17106  Destruction of skin lesions                       A   3.69   6.28     4.19    0.43  10.40  8.310090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
17107  Destruction of skin lesions                       A   4.79   8.17     5.49    0.53  13.49 10.810090.10.71.1920100             33.2875 090 99      0.00   0.00   0.00
17108  Destruction of skin lesions                       A   7.49  10.65     7.34    1.03  19.17 15.860090.10.71.1920000             33.2875 090 99      0.00   0.00   0.00
17110  Destruct b9 lesion 1-14                           A   0.70   2.66     1.30    0.07   3.43  2.070010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17111  Destruct lesion 15 or more                        A   0.97   2.94     1.44    0.10   4.01  2.510010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17250  Chem caut of granltj tissue                       A   0.50   2.04     0.55    0.08   2.62  1.130000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
17260  Dstrj mal les t/a/l 0.5 cm/<                      A   0.96   1.95     1.06    0.10   3.01  2.120010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17261  Dstrj mal les t/a/l .6-1.0cm                      A   1.22   3.13     1.27    0.13   4.48  2.620010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17262  Dstrj mal les t/a/l 1.1-2.0                       A   1.63   3.58     1.51    0.17   5.38  3.310010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17263  Dstrj mal les t/a/l 2.1-3.0                       A   1.84   3.79     1.63    0.19   5.82  3.660010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17264  Dstrj mal les t/a/l 3.1-4.0                       A   1.99   4.04     1.71    0.21   6.24  3.910010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17266  Dstrj mal les t/a/l >4.0 cm                       A   2.39   4.45     1.94    0.25   7.09  4.580010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17270  Dstr mal les s/n/h/f/g .5 /<                      A   1.37   3.00     1.35    0.15   4.52  2.870010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17271  Dstr mal les s/n/h/f/g 0.6-1                      A   1.54   3.32     1.45    0.16   5.02  3.150010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17272  Dstr mal les s/n/h/f/g 1.1-2                      A   1.82   3.68     1.62    0.19   5.69  3.630010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17273  Dstr mal les s/n/h/f/g 2.1-3                      A   2.10   3.99     1.78    0.22   6.31  4.100010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17274  Dstr mal les s/n/h/f/g 3.1-4                      A   2.64   4.46     2.09    0.27   7.37  5.000010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17276  Dstr mal les s/n/h/f/g >4.0                       A   3.25   4.95     2.43    0.35   8.55  6.030010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17280  Dstr mal ls f/e/e/n/l/m .5/<                      A   1.22   2.90     1.26    0.13   4.25  2.610010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17281  Dstr mal ls f/e/e/n/l/m .6-1                      A   1.77   3.47     1.58    0.19   5.43  3.540010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17282  Dstr mal ls f/e/e/n/l/m1.1-2                      A   2.09   3.89     1.77    0.22   6.20  4.080010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17283  Dstr mal ls f/e/e/n/l/m2.1-3                      A   2.69   4.35     2.12    0.29   7.33  5.100010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17284  Dstr mal ls f/e/e/n/l/m3.1-4                      A   3.20   4.78     2.39    0.34   8.32  5.930010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17286  Dstr mal ls f/e/e/n/l/m>4.0                       A   4.48   5.72     3.10    0.47  10.67  8.050010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17311  Mohs 1 stage h/n/hf/g                             A   6.20  13.61     3.68    0.64  20.45 10.520000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
17312  Mohs addl stage                                   A   3.30   8.76     1.95    0.35  12.41  5.600ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
17313  Mohs 1 stage t/a/l                                A   5.56  13.08     3.30    0.58  19.22  9.440000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
17314  Mohs addl stage t/a/l                             A   3.06   8.51     1.81    0.32  11.89  5.190ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
17315  Mohs surg addl block                              A   0.87   1.44     0.52    0.09   2.40  1.480ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
17340  Cryotherapy of skin                               A   0.77   0.72     0.61    0.09   1.58  1.470010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
17360  Skin peel therapy                                 A   1.46   2.09     1.17    0.16   3.71  2.790010.10.80.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
17999  Unlistd px skn muc memb subq                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
19000  Puncture aspir cyst breast                        A   0.84   2.06     0.30    0.11   3.01  1.250000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
19001  Puncture aspir cyst brst ea                       A   0.42   0.32     0.15    0.05   0.79  0.620ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
19020  Mastotomy expl drg absc dp                        A   3.83   9.42     4.76    0.93  14.18  9.520090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19030  Njx px only mam ducto/glcto                       A   1.53   3.23     0.55    0.15   4.91  2.230000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
19081  Bx breast 1st lesion strtctc                      A   3.29  11.23     1.17    0.33  14.85  4.790000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19082  Bx breast add lesion strtctc                      A   1.65   9.59     0.58    0.17  11.41  2.400ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19083  Bx breast 1st lesion us imag                      A   3.10  11.37     1.10    0.33  14.80  4.530000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19084  Bx breast add lesion us imag                      A   1.55   9.52     0.55    0.16  11.23  2.260ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19085  Bx breast 1st lesion mr imag                      A   3.64  18.70     1.29    0.33  22.67  5.260000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19086  Bx breast add lesion mr imag                      A   1.82  15.54     0.64    0.16  17.52  2.620ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19100  Bx breast percut w/o image                        A   1.27   2.90     0.48    0.31   4.48  2.060000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
19101  Biopsy of breast open                             A   3.23   5.86     2.72    0.79   9.88  6.740010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
19105  Cryosurg ablate fa each                           A   3.69  63.37     1.63    0.95  68.01  6.270000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
19110  Nipple exploration                                A   4.44   9.13     5.12    1.14  14.71 10.700090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19112  Excise breast duct fistula                        A   3.81   9.14     5.03    0.98  13.93  9.820090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
19120  Removal of breast lesion                          A   5.92   8.34     5.27    1.47  15.73 12.660090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19125  Excision breast lesion                            A   6.69   8.95     5.62    1.69  17.33 14.000090.10.71.1921110             33.2875 090 99      0.00   0.00   0.00
19126  Excision addl breast lesion                       A   2.93   1.10NA   1.10    0.74   4.77  4.770ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
19281  Perq device breast 1st imag                       A   2.00   5.03     0.71    0.18   7.21  2.890000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19282  Perq device breast ea imag                        A   1.00   4.01     0.36    0.09   5.10  1.450ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19283  Perq dev breast 1st strtctc                       A   2.00   5.52     0.71    0.21   7.73  2.920000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19284  Perq dev breast add strtctc                       A   1.00   4.54     0.35    0.11   5.65  1.460ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19285  Perq dev breast 1st us imag                       A   1.70   9.04     0.60    0.17  10.91  2.470000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19286  Perq dev breast add us imag                       A   0.85   7.97     0.30    0.09   8.91  1.240ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19287  Perq dev breast 1st mr guide                      A   2.55  16.04     0.91    0.23  18.82  3.690000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19288  Perq dev breast add mr guide                      A   1.28  13.10     0.45    0.11  14.49  1.840ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19294  Prepj tum cav iort prtl mast                      A   3.00   1.14NA   1.14    0.75   4.89  4.890ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19296  Place po breast cath for rad                      A   3.63 103.22     1.75    0.90 107.75  6.280000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19297  Place breast cath for rad                         A   1.72   0.65NA   0.65    0.42   2.79  2.790ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
19298  Place breast rad tube/caths                       A   5.75  19.85     3.25    0.45  26.05  9.450000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19300  Removal of breast tissue                          A   5.31  10.86     6.52    1.24  17.41 13.070090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19301  Partial mastectomy                                A  10.13   7.24NA   7.24    2.56  19.93 19.930090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
19302  P-mastectomy w/ln removal                         A  13.99   9.83NA   9.83    3.54  27.36 27.360090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19303  Mast simple complete                              A  15.00  10.11NA  10.11    3.77  28.88 28.880090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19305  Mast radical                                      A  17.46  12.77NA  12.77    4.40  34.63 34.630090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19306  Mast rad urban type                               A  18.13  14.01NA  14.01    4.66  36.80 36.800090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19307  Mast mod rad                                      A  17.99  13.01NA  13.01    4.55  35.55 35.550090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19316  Suspension of breast                              A  11.09  10.59NA  10.59    2.18  23.86 23.860090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19318  Breast reduction                                  A  16.03  13.80NA  13.80    3.00  32.83 32.830090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19325  Breast augmentation w/implt                       A   8.12   8.93NA   8.93    1.51  18.56 18.560090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
19328  Rmvl intact breast implant                        A   7.44   7.85NA   7.85    1.42  16.71 16.710090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19330  Rmvl ruptured breast implant                      A   9.00   8.75NA   8.75    1.71  19.46 19.460090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19340  Insj breast implt sm d mast                       A  10.48  10.33NA  10.33    2.06  22.87 22.870090.10.71.1921110             33.2875 090 99      0.00   0.00   0.00
19342  Insj/rplcmt brst implt sep d                      A  10.48  10.50NA  10.50    1.95  22.93 22.930090.10.71.1921010             33.2875 090 99      0.00   0.00   0.00
19350  Breast reconstruction                             A   9.11  14.24     9.48    1.70  25.05 20.290090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19355  Correct inverted nipple(s)                        A   8.52  12.67     8.50    1.57  22.76 18.590090.10.71.1921000             33.2875 090 99      0.00   0.00   0.00
19357  Tiss xpndr plmt brst rcnstj                       A  14.84  17.28NA  17.28    2.79  34.91 34.910090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19361  Brst rcnstj latsms drsi flap                      A  23.36  18.96NA  18.96    4.36  46.68 46.680090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19364  Brst rcnstj free flap                             A  42.58  30.63NA  30.63    8.02  81.23 81.230090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19367  Brst rcnstj 1 pdcl tram flap                      A  26.80  21.24NA  21.24    4.95  52.99 52.990090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19368  Brst rcnstj 1pdcl tram anast                      A  33.90  24.64NA  24.64    6.27  64.81 64.810090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19369  Brst rcnstj 2 pdcl tram flap                      A  31.31  23.13NA  23.13    5.79  60.23 60.230090.10.71.1921210             33.2875 090 99      0.00   0.00   0.00
19370  Revj peri-implt capsule brst                      A   9.17   9.37NA   9.37    1.71  20.25 20.250090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19371  Peri-implt capslc brst compl                      A   9.98   9.59NA   9.59    1.86  21.43 21.430090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19380  Revj reconstructed breast                         A  11.17  11.06NA  11.06    2.08  24.31 24.310090.10.71.1921100             33.2875 090 99      0.00   0.00   0.00
19396  Design custom breast implant                      A   2.17   5.60     1.70    0.40   8.17  4.270000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
19499  Unlisted procedure breast                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20100  Explore wound neck                                A  10.38   5.40NA   5.40    2.21  17.99 17.990010.10.80.1021200             33.2875 090 99      0.00   0.00   0.00
20101  Explore wound chest                               A   3.23  13.19     2.24    0.83  17.25  6.300010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20102  Explore wound abdomen                             A   3.98  13.44     2.76    0.97  18.39  7.710010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20103  Explore wound extremity                           A   5.34  10.59     4.01    1.03  16.96 10.380010.10.80.1020000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20150  Excise epiphyseal bar                             A  14.75  12.49NA  12.49    3.04  30.28 30.280090.10.69.2121210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20200  Muscle biopsy superficial                         A   1.46   4.67     1.03    0.37   6.50  2.860000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20205  Deep muscle biopsy                                A   2.35   6.14     1.65    0.66   9.15  4.660000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20206  Biopsy muscle perq needle                         A   0.99   5.46     0.60    0.10   6.55  1.690000.00.00.0020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20220  Bone biopsy trocar/ndl supfc                      A   1.65   5.12     0.76    0.16   6.93  2.570000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20225  Bone biopsy trocar/ndl deep                       A   2.45   8.62     1.11    0.25  11.32  3.810000.00.00.0020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20240  Bone biopsy open superficial                      A   2.61   1.27NA   1.27    0.30   4.18  4.180000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20245  Bone biopsy open deep                             A   6.00   3.20NA   3.20    1.05  10.25 10.250000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
2025F  7 fld rta photo w/o rtnopthy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
20250  Biopsy vrt bdy open thoracic                      A   5.19   5.18NA   5.18    1.47  11.84 11.840010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20251  Biopsy vrt bdy open lmbr/crv                      A   5.72   5.42NA   5.42    1.52  12.66 12.660010.10.80.1020200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
2027F  Optic nerve head eval done                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
2033F  Eye img valid w/o rtnopthy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20500  Injection of sinus tract                          A   1.28   2.30     1.26    0.15   3.73  2.690010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20501  Inject sinus tract for x-ray                      A   0.76   3.40     0.24    0.07   4.23  1.070000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20520  Removal of foreign body                           A   1.90   4.39     2.28    0.29   6.58  4.470010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20525  Removal of foreign body                           A   3.54   9.75     3.25    0.66  13.95  7.450010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20526  Ther injection carp tunnel                        A   0.94   1.37     0.59    0.17   2.48  1.700000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20527  Inj dupuytren cord w/enzyme                       A   1.00   1.45     0.78    0.19   2.64  1.970000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20550  Inj tendon sheath/ligament                        A   0.75   0.89     0.31    0.10   1.74  1.160000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20551  Inj tendon origin/insertion                       A   0.75   0.89     0.31    0.09   1.73  1.150000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20552  Inj trigger point 1/2 muscl                       A   0.66   0.84     0.36    0.08   1.58  1.100000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20555  Place ndl musc/tis for rt                         A   6.00   3.53NA   3.53    0.47  10.00 10.000000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
20560  Ndl insj w/o njx 1 or 2 musc                      A   0.32   0.44     0.11    0.01   0.77  0.440XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
20561  Ndl insj w/o njx 3+ musc                          A   0.48   0.61     0.16    0.02   1.11  0.660XXX.00.00.0000100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20600  Drain/inj joint/bursa w/o us                      A   0.66   0.87     0.32    0.09   1.62  1.070000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20604  Drain/inj joint/bursa w/us                        A   0.89   1.50     0.37    0.10   2.49  1.360000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20605  Drain/inj joint/bursa w/o us                      A   0.68   0.89     0.33    0.09   1.66  1.100000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20606  Drain/inj joint/bursa w/us                        A   1.00   1.58     0.42    0.13   2.71  1.550000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20610  Drain/inj joint/bursa w/o us                      A   0.79   1.04     0.44    0.13   1.96  1.360000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20611  Drain/inj joint/bursa w/us                        A   1.10   1.74     0.51    0.15   2.99  1.760000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20612  Aspirate/inj ganglion cyst                        A   0.70   1.16     0.43    0.10   1.96  1.230000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20615  Treatment of bone cyst                            A   2.33   5.02     2.25    0.32   7.67  4.900010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20650  Insert and remove bone pin                        A   2.28   4.36     2.41    0.37   7.01  5.060010.10.80.1020110             33.2875 090 99      0.00   0.00   0.00
20660  Apply rem fixation device                         A   4.00   1.92NA   1.92    1.28   7.20  7.200000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
20661  Application halo cranial                          A   5.26   8.94NA   8.94    1.86  16.06 16.060090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
20662  Application halo pelvic                           A   6.38   8.23NA   8.23    1.31  15.92 15.920090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
20663  Application halo femoral                          A   5.74   7.77NA   7.77    1.20  14.71 14.710090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
20664  Appl halo cranial 6+pins                          A  10.06  12.99NA  12.99    4.18  27.23 27.230090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
20665  Rmvl tongs/halo anthr indiv                       A   1.36   2.08     1.47    0.11   3.55  2.940010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
20670  Removal implant superficial                       A   1.79   8.62     2.32    0.27  10.68  4.380010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
20680  Removal of implant deep                           A   5.96  11.09     5.69    1.06  18.11 12.710090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
20690  Appl unipln uni ext fixj sys                      A   8.78   7.54NA   7.54    1.72  18.04 18.040090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
20692  Appl mltpln uni ext fixj sys                      A  16.27  14.94NA  14.94    2.88  34.09 34.090090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20693  Adjmt/revj ext fixj sys anes                      A   6.06   6.50NA   6.50    1.02  13.58 13.580090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
20694  Rmvl ext fixj sys under anes                      A   4.28   8.04     5.36    0.78  13.10 10.420090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
20696  App mltpln uni xtrnl fix 1st                      A  17.56  14.48NA  14.48    3.05  35.09 35.090090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20697  App mltpln uni xtrnl fix xch                      A   0.00  53.07    53.07NA  0.03  53.10 53.103000.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
20700  Mnl prep&insj dp rx dlvr dev                      A   1.50   0.73     0.73    0.29   2.52  2.520ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
20701  Rmvl deep rx delivery device                      A   1.13   0.56     0.56    0.22   1.91  1.910ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
20702  Mnl prep&insj imed rx dev                         A   2.50   1.25     1.25    0.49   4.24  4.240ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
20703  Rmvl imed rx delivery device                      A   1.80   0.93     0.93    0.37   3.10  3.100ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
20704  Mnl prep&insj i-artic rx dev                      A   2.60   1.34     1.34    0.52   4.46  4.460ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
20705  Rmvl i-artic rx delivery dev                      A   2.15   1.11     1.11    0.43   3.69  3.690ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
20802  Replantation arm complete                         A  42.62  30.76NA  30.76    8.82  82.20 82.200090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
20805  Replant forearm complete                          A  51.46  35.46NA  35.46   10.65  97.57 97.570090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
20808  Replantation hand complete                        A  63.09  41.47NA  41.47   13.08 117.64117.640090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
20816  Replantation digit complete                       A  31.95  22.98NA  22.98    6.61  61.54 61.540090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20822  Replantation digit complete                       A  26.66  21.07NA  21.07    5.51  53.24 53.240090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20824  Replantation thumb complete                       A  31.95  23.10NA  23.10    6.61  61.66 61.660090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
20827  Replantation thumb complete                       A  27.48  21.49NA  21.49    5.68  54.65 54.650090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
20838  Replantation foot complete                        A  42.88  31.67NA  31.67    8.87  83.42 83.420090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
20900  Removal of bone for graft                         A   3.00   8.06     1.89    0.50  11.56  5.390000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
20902  Removal of bone for graft                         A   4.58   2.79NA   2.79    0.85   8.22  8.220000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
20910  Remove cartilage for graft                        A   5.53   7.86NA   7.86    1.16  14.55 14.550090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
20912  Remove cartilage for graft                        A   6.54   7.05NA   7.05    1.03  14.62 14.620090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
20920  Removal of fascia for graft                       A   5.51   5.82NA   5.82    0.80  12.13 12.130090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
20922  Removal of fascia for graft                       A   6.93  10.13     6.61    1.57  18.63 15.110090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20924  Removal of tendon for graft                       A   6.68   7.40NA   7.40    1.24  15.32 15.320090.10.69.2120210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20931  Sp bone algrft struct add-on                      A   1.81   0.90NA   0.90    0.59   3.30  3.300ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
20932  Osteoart algrft w/surf & b1                       A  13.01   6.73NA   6.73    2.69  22.43 22.430ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
20933  Hemicrt intrclry algrft prtl                      A  11.94   6.17NA   6.17    2.46  20.57 20.570ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
20934  Intercalary algrft compl                          A  13.00   6.72NA   6.72    2.69  22.41 22.410ZZZ.00.00.0000210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
20937  Sp bone agrft morsel add-on                       A   2.79   1.39NA   1.39    0.80   4.98  4.980ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
20938  Sp bone agrft struct add-on                       A   3.02   1.49NA   1.49    0.98   5.49  5.490ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
20939  Bone marrow aspir bone grfg                       A   1.16   0.58NA   0.58    0.34   2.08  2.080ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
20950  Fluid pressure muscle                             A   1.26   6.48     1.18    0.22   7.96  2.660000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
20955  Fibula bone graft microvasc                       A  40.26  26.36NA  26.36    6.38  73.00 73.000090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20956  Iliac bone graft microvasc                        A  41.18  29.34NA  29.34    8.51  79.03 79.030090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20957  Mt bone graft microvasc                           A  42.61  30.92NA  30.92    8.82  82.35 82.350090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20962  Other bone graft microvasc                        A  39.21  32.82NA  32.82    8.10  80.13 80.130090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20969  Bone/skin graft microvasc                         A  45.43  28.83NA  28.83    6.86  81.12 81.120090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20970  Bone/skin graft iliac crest                       A  44.58  31.45NA  31.45    9.22  85.25 85.250090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
20972  Bone/skin graft metatarsal                        A  44.51  31.28NA  31.28    9.21  85.00 85.000090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
20973  Bone/skin graft great toe                         A  47.27  32.70NA  32.70    9.80  89.77 89.770090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
20974  Electrical bone stimulation                       A   0.62   1.75     0.76    0.16   2.53  1.540000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
20975  Electrical bone stimulation                       A   2.60   2.01NA   2.01    0.68   5.29  5.290000.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
20979  Us bone stimulation                               A   0.62   1.01     0.24    0.09   1.72  0.950000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
20982  Ablate bone tumor(s) perq                         A   7.02  94.81     2.72    1.08 102.91 10.820000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20983  Ablate bone tumor(s) perq                         A   6.88 142.10     2.40    0.78 149.76 10.060000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
20985  Cptr-asst dir ms px                               A   2.50   1.29NA   1.29    0.51   4.30  4.300ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
20999  Unlisted px muscskel general                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
21010  Incision of jaw joint                             A  11.04  10.02NA  10.02    1.15  22.21 22.210090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21011  Exc face les sc <2 cm                             A   2.99   7.80     4.41    0.51  11.30  7.910090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21012  Exc face les sbq 2 cm/>                           A   4.45   4.93NA   4.93    0.91  10.29 10.290090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21013  Exc face tum deep < 2 cm                          A   5.42   9.78     5.79    0.96  16.16 12.170090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21014  Exc face tum deep 2 cm/>                          A   7.13   7.30NA   7.30    1.35  15.78 15.780090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21015  Resect face/scalp tum < 2 cm                      A   9.89   9.50NA   9.50    1.65  21.04 21.040090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21016  Resect face/scalp tum 2 cm/>                      A  15.26  12.15NA  12.15    2.89  30.30 30.300090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21025  Excision of bone lower jaw                        A  10.03  12.73     8.77    1.09  23.85 19.890090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21026  Excision of facial bone(s)                        A   5.70   9.83     6.62    0.59  16.12 12.910090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21029  Contour of face bone lesion                       A   8.39  13.56     9.12    1.36  23.31 18.870090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21030  Excise max/zygoma b9 tumor                        A   4.91   8.38     5.45    0.48  13.77 10.840090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
21031  Remove exostosis mandible                         A   3.30   7.88     4.56    0.34  11.52  8.200090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
21032  Remove exostosis maxilla                          A   3.34   7.51     4.16    0.35  11.20  7.850090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21034  Excise max/zygoma mal tumor                       A  17.38  19.20    13.99    2.42  39.00 33.790090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21040  Excise mandible lesion                            A   4.91   8.52     5.49    0.48  13.91 10.880090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21044  Removal of jaw bone lesion                        A  12.80  11.34NA  11.34    1.81  25.95 25.950090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21045  Extensive jaw surgery                             A  18.37  15.00NA  15.00    2.63  36.00 36.000090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21046  Remove mandible cyst complex                      A  14.21  13.88NA  13.88    1.48  29.57 29.570090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
21047  Excise lwr jaw cyst w/repair                      A  20.07  13.84NA  13.84    2.31  36.22 36.220090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21048  Remove maxilla cyst complex                       A  14.71  13.60NA  13.60    1.52  29.83 29.830090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
21049  Excis uppr jaw cyst w/repair                      A  19.32  12.84NA  12.84    2.26  34.42 34.420090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21050  Removal of jaw joint                              A  11.76  12.88NA  12.88    1.22  25.86 25.860090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21060  Remove jaw joint cartilage                        A  11.07  11.22NA  11.22    1.15  23.44 23.440090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21070  Remove coronoid process                           A   8.62   8.59NA   8.59    1.25  18.46 18.460090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21073  Mnpj of tmj w/anesth                              A   3.45   7.61     3.37    0.39  11.45  7.210090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21076  Prepare face/oral prosthesis                      A  13.40  11.22     6.34    1.33  25.95 21.070010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
21077  Prepare face/oral prosthesis                      A  33.70  26.51    14.88    3.26  63.47 51.840090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21079  Prepare face/oral prosthesis                      A  22.31  19.07    10.38    2.16  43.54 34.850090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21080  Prepare face/oral prosthesis                      A  25.06  22.19    11.84    2.42  49.67 39.320090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21081  Prepare face/oral prosthesis                      A  22.85  20.87    11.01    2.24  45.96 36.100090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21082  Prepare face/oral prosthesis                      A  20.84  20.07    10.44    2.02  42.93 33.300090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21083  Prepare face/oral prosthesis                      A  19.27  19.67     9.66    1.85  40.79 30.780090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21084  Prepare face/oral prosthesis                      A  22.48  21.89    10.96    2.17  46.54 35.610090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21085  Prepare face/oral prosthesis                      A   8.99  10.53     4.57    0.90  20.42 14.460010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
21086  Prepare face/oral prosthesis                      A  24.88  19.86    10.93    2.39  47.13 38.200090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21087  Prepare face/oral prosthesis                      A  24.88  19.86    10.93    2.39  47.13 38.200090.10.69.2120000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
21089  Unlisted maxlfcl prosth px                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000111             33.2875 090 99      0.00   0.00   0.00
21100  Maxillofacial fixation                            A   4.73  13.41     5.54    0.45  18.59 10.720090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21110  Interdental fixation                              A   5.99  19.13    14.74    0.59  25.71 21.320090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21116  Injection jaw joint x-ray                         A   0.81   5.47     0.43    0.08   6.36  1.320000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
21120  Reconstruction of chin                            A   5.10  13.89     9.26    0.95  19.94 15.310090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
21121  Reconstruction of chin                            A   7.81  10.44     7.34    0.75  19.00 15.900090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21122  Reconstruction of chin                            A   8.71  12.19NA  12.19    1.61  22.51 22.510090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21123  Reconstruction of chin                            A  11.34  12.76NA  12.76    1.18  25.28 25.280090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21125  Augmentation lower jaw bone                       A  10.80  65.61     8.15    1.06  77.47 20.010090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21127  Augmentation lower jaw bone                       A  12.44 106.22     9.47    1.27 119.93 23.180090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21137  Reduction of forehead                             A  10.24  10.49NA  10.49    1.88  22.61 22.610090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21138  Reduction of forehead                             A  12.87  12.25NA  12.25    2.37  27.49 27.490090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21139  Reduction of forehead                             A  15.02  14.91NA  14.91    2.77  32.70 32.700090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21141  Lefort i-1 piece w/o graft                        A  19.57  18.17NA  18.17    2.01  39.75 39.750090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21142  Lefort i-2 piece w/o graft                        A  20.28  18.42NA  18.42    2.09  40.79 40.790090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21143  Lefort i-3/> piece w/o graft                      A  21.05  18.82NA  18.82    2.17  42.04 42.040090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21145  Lefort i-1 piece w/ graft                         A  23.94  19.78NA  19.78    2.45  46.17 46.170090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21146  Lefort i-2 piece w/ graft                         A  24.87  20.79NA  20.79    2.56  48.22 48.220090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21147  Lefort i-3/> piece w/ graft                       A  26.47  21.53NA  21.53    2.72  50.72 50.720090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21150  Lefort ii anterior intrusion                      A  25.96  19.52NA  19.52    3.78  49.26 49.260090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21151  Lefort ii w/bone grafts                           A  29.02  20.95NA  20.95    4.23  54.20 54.200090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21154  Lefort iii w/o lefort i                           A  31.29  22.49NA  22.49    4.56  58.34 58.340090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21155  Lefort iii w/ lefort i                            A  35.22  24.33NA  24.33    5.15  64.70 64.700090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21159  Lefort iii w/fhdw/o lefort i                      A  43.14  28.03NA  28.03    6.29  77.46 77.460090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21160  Lefort iii w/fhd w/ lefort i                      A  47.19  29.92NA  29.92    6.88  83.99 83.990090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21172  Reconstruct orbit/forehead                        A  28.20  24.40NA  24.40   11.75  64.35 64.350090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21175  Reconstruct orbit/forehead                        A  33.56  26.25NA  26.25    6.20  66.01 66.010090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21179  Reconstruct entire forehead                       A  22.65  18.65NA  18.65    4.19  45.49 45.490090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21180  Reconstruct entire forehead                       A  25.58  20.48NA  20.48    4.71  50.77 50.770090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21181  Contour cranial bone lesion                       A  10.28  10.13NA  10.13    1.89  22.30 22.300090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21182  Reconstruct cranial bone                          A  32.58  24.58NA  24.58    6.03  63.19 63.190090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21183  Reconstruct cranial bone                          A  35.70  26.41NA  26.41    6.61  68.72 68.720090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21184  Reconstruct cranial bone                          A  38.62  28.13NA  28.13    7.16  73.91 73.910090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21188  Reconstruction of midface                         A  23.15  21.53NA  21.53    2.37  47.05 47.050090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21193  Reconst lwr jaw w/o graft                         A  18.90  15.87NA  15.87    1.93  36.70 36.700090.10.69.2122210             33.2875 090 99      0.00   0.00   0.00
21194  Reconst lwr jaw w/graft                           A  21.82  18.37NA  18.37    2.23  42.42 42.420090.10.69.2122200             33.2875 090 99      0.00   0.00   0.00
21195  Reconst lwr jaw w/o fixation                      A  19.16  18.80NA  18.80    1.98  39.94 39.940090.10.69.2122200             33.2875 090 99      0.00   0.00   0.00
21196  Reconst lwr jaw w/fixation                        A  20.83  19.69NA  19.69    2.14  42.66 42.660090.10.69.2122210             33.2875 090 99      0.00   0.00   0.00
21198  Reconstr lwr jaw segment                          A  15.71  12.60NA  12.60    1.89  30.20 30.200090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21199  Reconstr lwr jaw w/advance                        A  16.73  11.86NA  11.86    1.72  30.31 30.310090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21206  Reconstruct upper jaw bone                        A  15.59  11.87NA  11.87    1.54  29.00 29.000090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21208  Augmentation of facial bones                      A  11.42  36.41     9.54    1.13  48.96 22.090090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21209  Reduction of facial bones                         A   7.82  15.22     9.56    0.83  23.87 18.210090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21210  Face bone graft                                   A  11.69  39.79     9.89    1.16  52.64 22.740090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21215  Lower jaw bone graft                              A  12.23 108.13    10.19    1.21 121.57 23.630090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
21230  Rib cartilage graft                               A  11.17   9.51NA   9.51    1.81  22.49 22.490090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21235  Ear cartilage graft                               A   7.50  13.69     8.68    1.06  22.25 17.240090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21240  Reconstruction of jaw joint                       A  16.07  13.58NA  13.58    1.64  31.29 31.290090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21242  Reconstruction of jaw joint                       A  14.59  14.15NA  14.15    1.51  30.25 30.250090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21243  Reconstruction of jaw joint                       A  24.53  23.01NA  23.01    2.51  50.05 50.050090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21244  Reconstruction of lower jaw                       A  13.62  14.79NA  14.79    1.81  30.22 30.220090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21245  Reconstruction of jaw                             A  13.12  22.09    13.81    1.35  36.56 28.280090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21246  Reconstruction of jaw                             A  12.92  11.11NA  11.11    1.33  25.36 25.360090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21247  Reconstruct lower jaw bone                        A  24.37  20.22NA  20.22    2.50  47.09 47.090090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21248  Reconstruction of jaw                             A  12.74  15.43     9.75    1.25  29.42 23.740090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21249  Reconstruction of jaw                             A  18.77  19.25    12.53    1.84  39.86 33.140090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21255  Reconstruct lower jaw bone                        A  18.46  19.50NA  19.50    1.89  39.85 39.850090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21256  Reconstruction of orbit                           A  17.66  16.31NA  16.31    3.27  37.24 37.240090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21260  Revise eye sockets                                A  17.90  19.78NA  19.78    3.31  40.99 40.990090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21261  Revise eye sockets                                A  34.07  32.17NA  32.17    6.30  72.54 72.540090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21263  Revise eye sockets                                A  31.01  30.38NA  30.38    5.73  67.12 67.120090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21267  Revise eye sockets                                A  20.69  23.42NA  23.42    3.82  47.93 47.930090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21268  Revise eye sockets                                A  27.07  28.07NA  28.07    5.00  60.14 60.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21270  Augmentation cheek bone                           A  10.63  18.06     9.90    1.96  30.65 22.490090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21275  Revision orbitofacial bones                       A  11.76  11.44NA  11.44    2.17  25.37 25.370090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21280  Revision of eyelid                                A   7.13   9.83NA   9.83    0.74  17.70 17.700090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21282  Revision of eyelid                                A   4.27   7.26NA   7.26    0.53  12.06 12.060090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
21295  Revision of jaw muscle/bone                       A   1.90   3.84NA   3.84    0.27   6.01  6.010090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21296  Revision of jaw muscle/bone                       A   4.78   6.88NA   6.88    0.70  12.36 12.360090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21299  Unlisted cranfcl&maxlfcl px                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
21315  Clsd tx nsl fx mnpj wo stblj                      A   0.96   3.48     0.67    0.16   4.60  1.790000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
21320  Clsd tx nsl fx w/mnpj&stablj                      A   1.59   4.69     1.02    0.24   6.52  2.850000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
21325  Open tx nose fx uncomplicatd                      A   4.18   8.67NA   8.67    0.60  13.45 13.450090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21330  Open tx nose fx w/skele fixj                      A   5.79   9.52NA   9.52    0.85  16.16 16.160090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21335  Open tx nose & septal fx                          A   9.02  11.26NA  11.26    1.36  21.64 21.640090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21336  Open tx septal fx w/wo stabj                      A   6.77  11.47NA  11.47    0.99  19.23 19.230090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21337  Closed tx septal&nose fx                          A   3.39   8.71     5.23    0.52  12.62  9.140090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21338  Open nasoethmoid fx w/o fixj                      A   6.87  12.35NA  12.35    1.02  20.24 20.240090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21339  Open nasoethmoid fx w/ fixj                       A   8.50  13.11NA  13.11    1.24  22.85 22.850090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21340  Perq tx nasoethmoid fx                            A  11.49   9.58NA   9.58    1.67  22.74 22.740090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21343  Open tx dprsd front sinus fx                      A  14.32  16.35NA  16.35    2.09  32.76 32.760090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21344  Open tx compl front sinus fx                      A  21.57  17.12NA  17.12    3.15  41.84 41.840090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
21345  Closed tx nose/jaw fx                             A   9.06  13.95     9.02    1.32  24.33 19.400090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21346  Opn tx nasomax fx w/fixj                          A  11.45  17.61NA  17.61    1.67  30.73 30.730090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
21347  Opn tx nasomax fx multple                         A  13.53  15.69NA  15.69    1.98  31.20 31.200090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21348  Opn tx nasomax fx w/graft                         A  17.52  12.86NA  12.86    2.56  32.94 32.940090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
21355  Perq tx malar fracture                            A   4.45   8.50     4.88    0.64  13.59  9.970010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
21356  Opn tx dprsd zygomatic arch                       A   4.83  10.76     6.47    0.90  16.49 12.200010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
21360  Opn tx dprsd malar fracture                       A   7.19   7.68NA   7.68    1.06  15.93 15.930090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
21365  Opn tx complx malar fx                            A  16.77  13.15NA  13.15    2.48  32.40 32.400090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21366  Opn tx complx malar w/grft                        A  18.60  16.24NA  16.24    3.44  38.28 38.280090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
21385  Opn tx orbit fx transantral                       A   9.57  10.73NA  10.73    1.76  22.06 22.060090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21386  Opn tx orbit fx periorbital                       A   9.57   9.52NA   9.52    1.76  20.85 20.850090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
21387  Opn tx orbit fx combined                          A  10.11  11.05NA  11.05    1.86  23.02 23.020090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
21390  Opn tx orbit periorbtl implt                      A  11.23  11.39NA  11.39    1.52  24.14 24.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21395  Opn tx orbit periorbt w/grft                      A  14.70  12.82NA  12.82    2.71  30.23 30.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21400  Closed tx orbit w/o manipulj                      A   1.50   4.85     3.41    0.27   6.62  5.180090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21401  Closed tx orbit w/manipulj                        A   3.68  11.03     5.66    0.68  15.39 10.020090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
21406  Opn tx orbit fx w/o implant                       A   7.42   8.84NA   8.84    1.37  17.63 17.630090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21407  Opn tx orbit fx w/implant                         A   9.02   9.14NA   9.14    1.16  19.32 19.320090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21408  Opn tx orbit fx w/bone grft                       A  12.78  11.99NA  11.99    2.35  27.12 27.120090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
21421  Treat mouth roof fracture                         A   6.02  12.77     9.76    0.57  19.36 16.350090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21422  Treat mouth roof fracture                         A   8.73   8.81NA   8.81    1.21  18.75 18.750090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21423  Treat mouth roof fracture                         A  10.85  11.09NA  11.09    2.01  23.95 23.950090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
21431  Treat craniofacial fracture                       A   7.90  12.11NA  12.11    0.76  20.77 20.770090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21432  Treat craniofacial fracture                       A   8.82  10.97NA  10.97    1.63  21.42 21.420090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21433  Treat craniofacial fracture                       A  26.29  20.72NA  20.72    4.85  51.86 51.860090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21435  Treat craniofacial fracture                       A  20.26  18.22NA  18.22    3.74  42.22 42.220090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21436  Treat craniofacial fracture                       A  30.30  25.08NA  25.08    5.61  60.99 60.990090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
21440  Treat dental ridge fracture                       A   3.44  19.02    14.43    0.36  22.82 18.230090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21445  Treat dental ridge fracture                       A   6.26  16.37    11.94    0.68  23.31 18.880090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21450  Treat lower jaw fracture                          A   3.71  13.65    10.35    0.36  17.72 14.420090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21451  Treat lower jaw fracture                          A   5.65  16.86    13.03    0.54  23.05 19.220090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21452  Treat lower jaw fracture                          A   2.40  19.32    11.10    0.24  21.96 13.740090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21453  Treat lower jaw fracture                          A   6.64  25.27    20.38    0.91  32.82 27.930090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21454  Treat lower jaw fracture                          A   7.36   6.64NA   6.64    0.71  14.71 14.710090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
21461  Treat lower jaw fracture                          A   9.31  44.41    21.32    1.29  55.01 31.920090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
21462  Treat lower jaw fracture                          A  11.01  46.17    22.35    1.44  58.62 34.800090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21465  Treat lower jaw fracture                          A  13.12   9.55NA   9.55    1.26  23.93 23.930090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21470  Treat lower jaw fracture                          A  17.54  15.06NA  15.06    2.38  34.98 34.980090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21480  Reset dislocated jaw                              A   0.61   3.52     0.20    0.12   4.25  0.930000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
21485  Reset dislocated jaw                              A   4.77  23.48    18.22    0.48  28.73 23.470090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
21490  Repair dislocated jaw                             A  12.95   9.39NA   9.39    1.25  23.59 23.590090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21497  Interdental wiring                                A   4.64  16.15    12.56    0.44  21.23 17.640090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21499  Unlisted muscskel px head                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
21501  Drain neck/chest lesion                           A   3.98   9.96     5.45    0.82  14.76 10.250090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21502  Drain chest lesion                                A   7.55   5.91NA   5.91    1.85  15.31 15.310090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21510  Drainage of bone lesion                           A   6.20   5.95NA   5.95    1.53  13.68 13.680090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
21550  Biopsy of neck/chest                              A   2.11   5.62     2.28    0.31   8.04  4.700010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
21552  Exc neck les sc 3 cm/>                            A   6.49   5.56NA   5.56    1.51  13.56 13.560090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21554  Exc neck tum deep 5 cm/>                          A  11.13   8.58NA   8.58    2.39  22.10 22.100090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21555  Exc neck les sc < 3 cm                            A   3.96   8.35     4.57    0.81  13.12  9.340090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21556  Exc neck tum deep < 5 cm                          A   7.66   6.88NA   6.88    1.50  16.04 16.040090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21557  Resect neck thorax tumor<5cm                      A  14.75  10.96NA  10.96    3.17  28.88 28.880090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21558  Resect neck tumor 5 cm/>                          A  21.58  14.03NA  14.03    4.64  40.25 40.250090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21600  Partial removal of rib                            A   7.26   8.24NA   8.24    1.68  17.18 17.180090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21601  Exc chest wall tumor w/ribs                       A  17.78  12.21NA  12.21    4.47  34.46 34.460090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
21602  Exc ch wal tum w/o lymphadec                      A  22.19  18.31NA  18.31    5.39  45.89 45.890090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
21603  Exc ch wal tum w/lymphadec                        A  25.17  18.92NA  18.92    6.21  50.30 50.300090.10.71.1920210             33.2875 090 99      0.00   0.00   0.00
21610  Partial removal of rib                            A  15.91  14.34NA  14.34    6.62  36.87 36.870090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21615  Removal of rib                                    A  10.45   5.62NA   5.62    2.59  18.66 18.660090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
21616  Removal of rib and nerves                         A  12.69   5.47NA   5.47    3.16  21.32 21.320090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
21620  Partial removal of sternum                        A   7.28   6.16NA   6.16    1.72  15.16 15.160090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21627  Sternal debridement                               A   7.30   7.55NA   7.55    1.69  16.54 16.540090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21630  Extensive sternum surgery                         A  19.18  16.70NA  16.70    3.55  39.43 39.430090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21632  Extensive sternum surgery                         A  19.68  11.74NA  11.74    4.85  36.27 36.270090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21685  Hyoid myotomy & suspension                        A  15.26  12.11NA  12.11    2.23  29.60 29.600090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
21700  Revision of neck muscle                           A   6.31   2.75NA   2.75    1.57  10.63 10.630090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
21705  Revision of neck muscle/rib                       A   9.92   3.47NA   3.47    2.46  15.85 15.850090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
21720  Revision of neck muscle                           A   5.80   8.15NA   8.15    2.40  16.35 16.350090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21725  Revision of neck muscle                           A   7.19   7.86NA   7.86    1.49  16.54 16.540090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21740  Reconstruction of sternum                         A  17.57   8.68NA   8.68    4.34  30.59 30.590090.10.69.2120210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
21750  Repair of sternum separation                      A  11.40   6.08NA   6.08    2.71  20.19 20.190090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21811  Optx of rib fx w/fixj scope                       A  10.79   4.29NA   4.29    2.58  17.66 17.660000.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
21812  Treatment of rib fracture                         A  13.00   5.22NA   5.22    3.09  21.31 21.310000.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
21813  Treatment of rib fracture                         A  17.61   7.07NA   7.07    4.52  29.20 29.200000.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
21820  Treat sternum fracture                            A   1.36   3.02     2.96    0.29   4.67  4.610090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21825  Treat sternum fracture                            A   7.76   7.10NA   7.10    1.82  16.68 16.680090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
21899  Unlisted px neck/thorax                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
21920  Biopsy soft tissue of back                        A   2.11   5.30     2.23    0.33   7.74  4.670010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
21925  Biopsy soft tissue of back                        A   4.63   9.33     5.85    1.05  15.01 11.530090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21930  Exc back les sc < 3 cm                            A   4.94   9.21     5.08    1.08  15.23 11.100090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
21931  Exc back les sc 3 cm/>                            A   6.88   5.72NA   5.72    1.64  14.24 14.240090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21932  Exc back tum deep < 5 cm                          A   9.82   8.00NA   8.00    2.22  20.04 20.040090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21933  Exc back tum deep 5 cm/>                          A  11.13   8.54NA   8.54    2.62  22.29 22.290090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
21935  Resect back tum < 5 cm                            A  15.72  11.34NA  11.34    3.72  30.78 30.780090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
21936  Resect back tum 5 cm/>                            A  22.55  14.65NA  14.65    5.34  42.54 42.540090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22010  I&d p-spine c/t/cerv-thor                         A  12.75  12.82NA  12.82    3.98  29.55 29.550090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
22015  I&d abscess p-spine l/s/ls                        A  12.64  12.61NA  12.61    3.58  28.83 28.830090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
22100  Remove part of neck vertebra                      A  11.00  13.41NA  13.41    4.56  28.97 28.970090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22101  Remove part thorax vertebra                       A  11.08  12.24NA  12.24    3.40  26.72 26.720090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22102  Remove part lumbar vertebra                       A  11.08  10.06NA  10.06    2.22  23.36 23.360090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22103  Remove extra spine segment                        A   2.34   1.09NA   1.09    0.58   4.01  4.010ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
22110  Remove part of neck vertebra                      A  14.00  13.67NA  13.67    4.60  32.27 32.270090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22112  Remove part thorax vertebra                       A  14.07  14.89NA  14.89    5.85  34.81 34.810090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22114  Remove part lumbar vertebra                       A  14.07  14.89NA  14.89    5.85  34.81 34.810090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22116  Remove extra spine segment                        A   2.32   1.14NA   1.14    0.75   4.21  4.210ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
22206  Incis spine 3 column thorac                       A  37.18  25.07NA  25.07   11.81  74.06 74.060090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22207  Incis spine 3 column lumbar                       A  36.68  24.85NA  24.85   10.92  72.45 72.450090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22208  Incis spine 3 column adl seg                      A   9.66   4.77NA   4.77    3.20  17.63 17.630ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
22210  Incis 1 vertebral seg cerv                        A  25.38  20.89NA  20.89    7.98  54.25 54.250090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22212  Incis 1 vertebral seg thorac                      A  20.99  18.72NA  18.72    6.20  45.91 45.910090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22214  Incis 1 vertebral seg lumbar                      A  21.02  18.65NA  18.65    6.25  45.92 45.920090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22216  Incis addl spine segment                          A   6.03   3.02NA   3.02    1.76  10.81 10.810ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
22220  Osteot dsc ant 1 vrt sgm crv                      A  22.94  19.38NA  19.38    6.75  49.07 49.070090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22222  Osteot dsc ant 1vrt sgm thrc                      A  23.09  21.08NA  21.08    9.63  53.80 53.800090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22224  Osteot dsc ant 1vrt sgm lmbr                      A  23.09  19.14NA  19.14    5.61  47.84 47.840090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22226  Osteot dsc ant 1vrt sgm ea                        A   6.03   3.00NA   3.00    1.67  10.70 10.700ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
22310  Closed tx vert fx w/o manj                        A   3.45   5.31     4.88    0.77   9.53  9.100090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
22315  Closed tx vert fx w/manj                          A  10.11  14.80    11.14    2.45  27.36 23.700090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
22318  Treat odontoid fx w/o graft                       A  22.72  18.60NA  18.60    9.10  50.42 50.420090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22319  Treat odontoid fx w/graft                         A  25.33  20.00NA  20.00   10.57  55.90 55.900090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22325  Treat spine fracture                              A  19.87  18.27NA  18.27    6.81  44.95 44.950090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22326  Treat neck spine fracture                         A  20.84  17.68NA  17.68    7.47  45.99 45.990090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22327  Treat thorax spine fracture                       A  20.77  18.79NA  18.79    7.28  46.84 46.840090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22328  Treat each add spine fx                           A   4.60   2.26NA   2.26    1.56   8.42  8.420ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
22505  Manipulation of spine                             A   1.87   1.62NA   1.62    0.44   3.93  3.930010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
22510  Perq cervicothoracic inject                       A   7.90  44.36     3.78    1.15  53.41 12.830010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
22511  Perq lumbosacral injection                        A   7.33  44.94     3.68    1.07  53.34 12.080010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
22512  Vertebroplasty addl inject                        A   4.00  16.94     1.41    0.72  21.66  6.130ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
22513  Perq vertebral augmentation                       A   8.65 158.02     4.93    1.63 168.30 15.210010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
22514  Perq vertebral augmentation                       A   7.99 158.07     4.69    1.50 167.56 14.180010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
22515  Perq vertebral augmentation                       A   4.00  81.40     1.65    0.80  86.20  6.450ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
22526  Idet single level                                 N+  5.85  52.15     3.34    0.59  58.59  9.789010.10.80.1099999             33.2875 090 99      0.00   0.00   0.00
22527  Idet 1 or more levels                             N+  3.03  44.76     1.18    0.31  48.10  4.529ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
22532  Arthrd lat xtrcvtry tq thrc                       A  25.99  19.85NA  19.85    8.49  54.33 54.330090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22533  Arthrd lat xtrcvtry tq lmbr                       A  24.79  18.88NA  18.88    6.50  50.17 50.170090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22534  Arthrd lat xtrcvtry tq ea ad                      A   5.99   2.98NA   2.98    1.80  10.77 10.770ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22548  Arthrd ant toral/xoral c1-c2                      A  27.06  21.59NA  21.59   11.28  59.93 59.930090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22551  Arthrd ant ntrbdy cervical                        A  25.00  18.17NA  18.17    8.33  51.50 51.500090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22552  Arthrd ant ntrbd cervical ea                      A   6.50   3.22NA   3.22    2.13  11.85 11.850ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22554  Arthrd ant ntrbd min dsc crv                      A  17.69  14.78NA  14.78    5.87  38.34 38.340090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22556  Arthrd ant ntrbd min dsc thc                      A  24.70  18.52NA  18.52    7.83  51.05 51.050090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22558  Arthrd ant ntrbd min dsc lum                      A  23.53  16.00NA  16.00    6.52  46.05 46.050090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22585  Arthrd ant ntrbd min dsc ea                       A   5.52   2.55NA   2.55    1.62   9.69  9.690ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22586  Arthrd pre-sac ntrbdy l5-s1                       A  28.12  22.14NA  22.14   11.72  61.98 61.980090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22590  Arthrd pst tq craniocervical                      A  21.76  18.53NA  18.53    8.14  48.43 48.430090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22595  Arthrd pst tq atlas-axis                          A  20.64  17.97NA  17.97    7.69  46.30 46.300090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22600  Arthrd pst tq 1ntrspc crv                         A  17.40  16.18NA  16.18    6.12  39.70 39.700090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22610  Arthrd pst tq 1ntrspc thrc                        A  17.28  15.96NA  15.96    5.76  39.00 39.000090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22612  Arthrd pst tq 1ntrspc lumbar                      A  23.53  17.52NA  17.52    6.74  47.79 47.790090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22614  Arthrd pst tq 1ntrspc ea add                      A   6.43   3.19NA   3.19    2.08  11.70 11.700ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22630  Arthrd pst tq 1ntrspc lum                         A  22.09  17.39NA  17.39    7.91  47.39 47.390090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22632  Arthrd pst tq 1ntrspc lm ea                       A   5.22   2.56NA   2.56    1.84   9.62  9.620ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22633  Arthrd cmbn 1ntrspc lumbar                        A  26.80  19.44NA  19.44    8.45  54.69 54.690090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22634  Arthrd cmbn 1ntrspc ea addl                       A   7.96   3.95NA   3.95    2.58  14.49 14.490ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22800  Arthrd pst dfrm<6 vrt sgm                         A  19.50  16.33NA  16.33    5.57  41.40 41.400090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22802  Arthrd pst dfrm 7-12 vrt sgm                      A  32.11  22.67NA  22.67    9.14  63.92 63.920090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22804  Arthrd pst dfrm 13+ vrt sgm                       A  37.50  25.33NA  25.33   10.48  73.31 73.310090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22808  Arthrd ant dfrm 2-3 vrt sgm                       A  27.51  19.37NA  19.37    8.40  55.28 55.280090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22810  Arthrd ant dfrm 4-7 vrt sgm                       A  31.50  22.22NA  22.22    6.51  60.23 60.230090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22812  Arthrd ant dfrm 8+ vrt sgm                        A  34.25  24.68NA  24.68    7.08  66.01 66.010090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22818  Kyphectomy 1-2 segments                           A  34.33  22.98NA  22.98    7.10  64.41 64.410090.11.76.1320222             33.2875 090 99      0.00   0.00   0.00
22819  Kyphectomy 3 or more                              A  39.38  26.62NA  26.62    8.14  74.14 74.140090.11.76.1320222             33.2875 090 99      0.00   0.00   0.00
22830  Exploration of spinal fusion                      A  11.22  10.42NA  10.42    3.38  25.02 25.020090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22836  Ant thrc vrt body tethrg <7                       A  32.00  16.07NA  16.07    3.29  51.36 51.360090.10.69.2120021             33.2875 090 99      0.00   0.00   0.00
22837  Ant thrc vrt body tethrg 8+                       A  35.50  17.43NA  17.43    3.64  56.57 56.570090.10.69.2120021             33.2875 090 99      0.00   0.00   0.00
22838  Rev rplc/rmv thrc vrt tethrg                      A  36.00  17.62NA  17.62    3.70  57.32 57.320090.10.69.2120021             33.2875 090 99      0.00   0.00   0.00
22840  Insert spine fixation device                      A  12.52   6.23NA   6.23    3.85  22.60 22.600ZZZ.00.00.0000210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
22842  Insert spine fixation device                      A  12.56   6.24NA   6.24    4.01  22.81 22.810ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22843  Insert spine fixation device                      A  13.44   6.68NA   6.68    4.31  24.43 24.430ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22844  Insert spine fixation device                      A  16.42   8.24NA   8.24    4.69  29.35 29.350ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22845  Insert spine fixation device                      A  11.94   5.90NA   5.90    3.88  21.72 21.720ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22846  Insert spine fixation device                      A  12.40   6.14NA   6.14    4.07  22.61 22.610ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22847  Insert spine fixation device                      A  13.78   7.12NA   7.12    2.83  23.73 23.730ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22848  Insert pelv fixation device                       A   5.99   3.01NA   3.01    1.74  10.74 10.740ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22849  Reinsert spinal fixation                          A  19.17  14.58NA  14.58    5.78  39.53 39.530090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22850  Remove spine fixation device                      A   9.82   9.59NA   9.59    2.97  22.38 22.380090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22852  Remove spine fixation device                      A   9.37   9.37NA   9.37    2.84  21.58 21.580090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22853  Insj biomechanical device                         A   4.25   2.11NA   2.11    1.34   7.70  7.700ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22854  Insj biomechanical device                         A   5.50   2.70NA   2.70    1.83  10.03 10.030ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22855  Removal anterior instrmj                          A  15.86  12.80NA  12.80    4.96  33.62 33.620090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22856  Tot disc arthrp 1ntrspc crv                       A  24.05  17.55NA  17.55    7.52  49.12 49.120090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22857  Tot disc arthrp 1ntrspc lmbr                      A  27.13  19.68NA  19.68    5.61  52.42 52.420090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22858  Tot disc arthrp 2nd lvl crv                       A   8.40   4.17NA   4.17    2.54  15.11 15.110ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22859  Insj biomechanical device                         A   5.50   2.72NA   2.72    1.74   9.96  9.960ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22860  Tot disc arthrp 2ntrspc lmbr                      A   6.88   2.66NA   2.66    0.71  10.25 10.250ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22861  Rev rplcm arthrp 1ntrspc crv                      A  33.36  23.23NA  23.23   13.90  70.49 70.490090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22862  Rev rplcm rthrp 1ntrspc lmbr                      R  32.63  24.31NA  24.31   13.60  70.54 70.540090.10.71.1920222             33.2875 090 99      0.00   0.00   0.00
22864  Rmvl tot arthrp 1ntrspc crv                       A  29.40  21.33NA  21.33   12.25  62.98 62.980090.10.69.2120220             33.2875 090 99      0.00   0.00   0.00
22865  Rmvl tot arthrp 1ntrspc lmbr                      R  31.75  23.88NA  23.88   13.22  68.85 68.850090.10.71.1920222             33.2875 090 99      0.00   0.00   0.00
22867  Insj stablj dev w/dcmprn                          A  15.00  12.76NA  12.76    4.71  32.47 32.470090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
22868  Insj stablj dev w/dcmprn                          A   4.00   1.96NA   1.96    1.29   7.25  7.250ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22869  Insj stablj dev w/o dcmprn                        A   7.03   5.28NA   5.28    0.70  13.01 13.010090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
22870  Insj stablj dev w/o dcmprn                        A   2.34   0.92NA   0.92    0.23   3.49  3.490ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
22899  Unlisted procedure spine                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
22900  Exc abdl tum deep < 5 cm                          A   8.32   6.88NA   6.88    1.95  17.15 17.150090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22901  Exc abdl tum deep 5 cm/>                          A  10.11   7.63NA   7.63    2.41  20.15 20.150090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22902  Exc abd les sc < 3 cm                             A   4.42   8.80     4.68    1.06  14.28 10.160090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22903  Exc abd les sc 3 cm/>                             A   6.39   5.40NA   5.40    1.56  13.35 13.350090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
22904  Radical resect abd tumor<5cm                      A  16.69  11.04NA  11.04    3.82  31.55 31.550090.09.81.1020211             33.2875 090 99      0.00   0.00   0.00
22905  Rad resect abd tumor 5 cm/>                       A  21.58  13.32NA  13.32    5.06  39.96 39.960090.09.81.1020211             33.2875 090 99      0.00   0.00   0.00
22999  Unlisted px abdomen muscskel                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
23000  Removal of calcium deposits                       A   4.48  11.40     5.65    0.81  16.69 10.940090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23020  Release shoulder joint                            A   9.36   9.76NA   9.76    1.88  21.00 21.000090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23030  Drain shoulder lesion                             A   3.47   9.09     3.56    0.70  13.26  7.730010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
23031  Drain shoulder bursa                              A   2.79   9.68     3.41    0.57  13.04  6.770010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
23035  Drain shoulder bone lesion                        A   9.16   9.59NA   9.59    1.86  20.61 20.610090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23040  Exploratory shoulder surgery                      A   9.75  10.11NA  10.11    1.95  21.81 21.810090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23044  Exploratory shoulder surgery                      A   7.59   8.04NA   8.04    1.60  17.23 17.230090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23065  Biopsy shoulder tissues                           A   2.30   4.16     2.18    0.35   6.81  4.830010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
23066  Biopsy shoulder tissues                           A   4.30  12.13     6.07    0.91  17.34 11.280090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23071  Exc shoulder les sc 3 cm/>                        A   5.91   5.47NA   5.47    1.38  12.76 12.760090.10.80.1021200             33.2875 090 99      0.00   0.00   0.00
23073  Exc shoulder tum deep 5 cm/>                      A  10.13   8.70NA   8.70    2.27  21.10 21.100090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23075  Exc shoulder les sc < 3 cm                        A   4.21  10.45     4.92    0.91  15.57 10.040090.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
23076  Exc shoulder tum deep < 5 cm                      A   7.41   7.46NA   7.46    1.64  16.51 16.510090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23077  Resect shoulder tumor < 5 cm                      A  17.66  12.17NA  12.17    4.22  34.05 34.050090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23078  Resect shoulder tumor 5 cm/>                      A  22.55  15.61NA  15.61    5.00  43.16 43.160090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23100  Biopsy of shoulder joint                          A   6.20   8.05NA   8.05    1.28  15.53 15.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23101  Shoulder joint surgery                            A   5.72   7.13NA   7.13    1.20  14.05 14.050090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23105  Remove shoulder joint lining                      A   8.48   9.37NA   9.37    1.72  19.57 19.570090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23106  Incision of collarbone joint                      A   6.13   8.02NA   8.02    1.26  15.41 15.410090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23107  Explore treat shoulder joint                      A   8.87   9.60NA   9.60    1.80  20.27 20.270090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23120  Partial removal collar bone                       A   7.39   9.10NA   9.10    1.51  18.00 18.000090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23125  Removal of collar bone                            A   9.64   9.99NA   9.99    2.00  21.63 21.630090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23130  Remove shoulder bone part                         A   7.77   9.53NA   9.53    1.59  18.89 18.890090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23140  Removal of bone lesion                            A   7.12   8.40NA   8.40    1.48  17.00 17.000090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23145  Removal of bone lesion                            A   9.40   9.87NA   9.87    1.93  21.20 21.200090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23146  Removal of bone lesion                            A   8.08   9.32NA   9.32    1.67  19.07 19.070090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
23150  Removal of humerus lesion                         A   8.91   9.61NA   9.61    1.83  20.35 20.350090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23155  Removal of humerus lesion                         A  10.86  11.16NA  11.16    2.23  24.25 24.250090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23156  Removal of humerus lesion                         A   9.11   9.72NA   9.72    1.87  20.70 20.700090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23170  Remove collar bone lesion                         A   7.21   8.58NA   8.58    1.50  17.29 17.290090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23172  Remove shoulder blade lesion                      A   7.31   8.63NA   8.63    1.52  17.46 17.460090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23174  Remove humerus lesion                             A  10.05  11.18NA  11.18    2.07  23.30 23.300090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23180  Remove collar bone lesion                         A   8.99   9.24NA   9.24    1.89  20.12 20.120090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23182  Remove shoulder blade lesion                      A   8.61  10.13NA  10.13    1.77  20.51 20.510090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23184  Remove humerus lesion                             A   9.90  10.65NA  10.65    2.02  22.57 22.570090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23190  Partial removal of scapula                        A   7.47   8.58NA   8.58    1.54  17.59 17.590090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23195  Removal of head of humerus                        A  10.36  10.32NA  10.32    2.05  22.73 22.730090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23200  Resect clavicle tumor                             A  22.71  17.87NA  17.87    4.67  45.25 45.250090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23210  Resect scapula tumor                              A  27.21  20.20NA  20.20    5.62  53.03 53.030090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23220  Resect prox humerus tumor                         A  30.21  21.68NA  21.68    6.13  58.02 58.020090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23330  Remove shoulder foreign body                      A   1.90   6.81     2.82    0.39   9.10  5.110010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
23333  Remove shoulder fb deep                           A   6.00   7.26NA   7.26    1.23  14.49 14.490090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
23334  Shoulder prosthesis removal                       A  15.50  13.49NA  13.49    2.98  31.97 31.970090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23335  Shoulder prosthesis removal                       A  19.00  15.41NA  15.41    3.76  38.17 38.170090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23350  Injection for shoulder x-ray                      A   1.00   3.75     0.37    0.10   4.85  1.470000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
23395  Muscle transfer shoulder/arm                      A  18.54  16.50NA  16.50    3.72  38.76 38.760090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
23397  Muscle transfers                                  A  16.76  14.22NA  14.22    3.47  34.45 34.450090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
23400  Fixation of shoulder blade                        A  13.87  12.72NA  12.72    2.85  29.44 29.440090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23405  Incision of tendon & muscle                       A   8.54   8.62NA   8.62    1.55  18.71 18.710090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
23406  Incise tendon(s) & muscle(s)                      A  11.01   9.44NA   9.44    1.68  22.13 22.130090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
23410  Repair rotator cuff acute                         A  11.39  11.19NA  11.19    2.28  24.86 24.860090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23412  Repair rotator cuff chronic                       A  11.93  11.51NA  11.51    2.40  25.84 25.840090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23415  Release of shoulder ligament                      A   9.23  10.16NA  10.16    1.87  21.26 21.260090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23420  Repair of shoulder                                A  13.54  13.23NA  13.23    2.76  29.53 29.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23430  Repair biceps tendon                              A  10.17  10.45NA  10.45    2.01  22.63 22.630090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23440  Remove/transplant tendon                          A  10.64  10.19NA  10.19    2.18  23.01 23.010090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23450  Repair shoulder capsule                           A  13.70  12.10NA  12.10    2.81  28.61 28.610090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23455  Repair shoulder capsule                           A  14.67  12.24NA  12.24    2.89  29.80 29.800090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23460  Repair shoulder capsule                           A  15.82  13.86NA  13.86    3.27  32.95 32.950090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23462  Repair shoulder capsule                           A  15.72  13.27NA  13.27    3.25  32.24 32.240090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23465  Repair shoulder capsule                           A  16.30  14.11NA  14.11    3.37  33.78 33.780090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23466  Repair shoulder capsule                           A  15.80  14.96NA  14.96    3.21  33.97 33.970090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23470  Reconstruct shoulder joint                        A  17.89  14.66NA  14.66    3.55  36.10 36.100090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23472  Reconstruct shoulder joint                        A  22.13  16.92NA  16.92    4.38  43.43 43.430090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23473  Revis reconst shoulder joint                      A  25.00  18.37NA  18.37    4.92  48.29 48.290090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23474  Revis reconst shoulder joint                      A  27.21  19.53NA  19.53    5.38  52.12 52.120090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23480  Revision of collar bone                           A  11.54  10.98NA  10.98    2.37  24.89 24.890090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
23485  Revision of collar bone                           A  13.91  12.13NA  12.13    2.81  28.85 28.850090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23490  Reinforce clavicle                                A  12.16  11.44NA  11.44    2.50  26.10 26.100090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23491  Reinforce shoulder bones                          A  14.54  13.20NA  13.20    2.99  30.73 30.730090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23500  Cltx clavicular fx w/o mnpj                       A   2.21   4.37     4.53    0.44   7.02  7.180090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23505  Cltx clavicular fx w/mnpj                         A   3.83   6.64     5.83    0.77  11.24 10.430090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23515  Optx clavicular fx w/int fix                      A   9.69  10.31NA  10.31    1.93  21.93 21.930090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23520  Cltx strnclav dislc w/o mnpj                      A   2.29   4.80     4.74    0.47   7.56  7.500090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
23525  Cltx strnclav dislc w/mnpj                        A   3.79   7.84     6.76    0.78  12.41 11.330090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
23530  Optx strnclav dislc aqt/chrn                      A   7.48   8.58NA   8.58    1.54  17.60 17.600090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23532  Optx strclv dslc aq/chrn grf                      A   8.20   9.25NA   9.25    1.69  19.14 19.140090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
23540  Cltx acromclav dislc wo mnpj                      A   2.36   4.66     4.60    0.47   7.49  7.430090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23545  Cltx acromclav dislc w/mnpj                       A   3.43   7.13     5.96    0.74  11.30 10.130090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
23550  Optx acromclv dislc aqt/chrn                      A   7.59   8.37NA   8.37    1.51  17.47 17.470090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23552  Optx acrclv dslc aq/chrn grf                      A   8.82   9.26NA   9.26    1.71  19.79 19.790090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23570  Cltx scapular fx w/o mnpj                         A   2.36   4.54     4.79    0.47   7.37  7.620090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23575  Cltx scap fx w/mnpj +-tractj                      A   4.23   7.70     6.71    0.88  12.81 11.820090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
23585  Optx scapular fx w/int fixj                       A  14.23  12.47NA  12.47    2.80  29.50 29.500090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23600  Cltx prox humrl fx w/o mnpj                       A   3.00   6.86     6.32    0.59  10.45  9.910090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23605  Cltx prx hmrl fx mnpj+-tract                      A   5.06   8.51     7.15    1.05  14.62 13.260090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23615  Optx prox humrl fx w/int fix                      A  12.30  12.02NA  12.02    2.47  26.79 26.790090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23616  Optx prx hmrl fx fix rpr rpl                      A  18.37  15.18NA  15.18    3.74  37.29 37.290090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
23620  Cltx gr hmrl tbrs fx wo mnpj                      A   2.55   5.46     5.10    0.50   8.51  8.150090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23625  Cltx gr hmrl tbrs fx w/mnpj                       A   4.10   7.10     6.06    0.85  12.05 11.010090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23630  Optx gr hmrl tbrs fx int fix                      A  10.57  11.07NA  11.07    2.12  23.76 23.760090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23650  Cltx sho dslc w/mnpj wo anes                      A   3.53   6.16     5.14    0.73  10.42  9.400090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23655  Cltx sho dslc w/mnpj w/anes                       A   4.76   6.87NA   6.87    0.97  12.60 12.600090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23660  Optx acute shoulder dislc                         A   7.66   8.68NA   8.68    1.54  17.88 17.880090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23665  Cltx sho dslc fx gr hmrl tbr                      A   4.66   7.94     6.83    0.97  13.57 12.460090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23670  Optx sho dislc fx                                 A  12.28  11.70NA  11.70    2.49  26.47 26.470090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23675  Cltx sho dislc neck fx mnpj                       A   6.27   9.62     7.97    1.28  17.17 15.520090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23680  Optx sho dislc neck fx fixj                       A  13.15  12.19NA  12.19    2.56  27.90 27.900090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23700  Mnpj anes sho jt fixj aprats                      A   2.57   2.89NA   2.89    0.50   5.96  5.960010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
23800  Arthrodesis glenohumeral jt                       A  14.73  13.30NA  13.30    3.04  31.07 31.070090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23802  Arthrd glenohumeral jt w/grf                      A  18.42  16.53NA  16.53    3.80  38.75 38.750090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23900  Interthoracoscplr amputation                      A  20.72  16.69NA  16.69    4.28  41.69 41.690090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
23920  Disarticulation shoulder                          A  16.23  14.35NA  14.35    3.36  33.94 33.940090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
23921  Disarticulation sho sec clsr                      A   5.72   7.55NA   7.55    1.20  14.47 14.470090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
23929  Unlisted procedure shoulder                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
23930  I&d upr a/e dp absc/hmtma                         A   2.99   7.22     2.91    0.63  10.84  6.530010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
23931  I&d upr a/e bursa                                 A   1.84   6.97     2.73    0.35   9.16  4.920010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
23935  Inc dp opn b1 crtx hum/elbw                       A   6.38   8.09NA   8.09    1.27  15.74 15.740090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
24000  Arthrt elbw expl drg/rmvl fb                      A   6.08   7.37NA   7.37    1.22  14.67 14.670090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
24006  Arthrt elbw capsl exc rls                         A   9.74  10.10NA  10.10    1.90  21.74 21.740090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
24065  Biopsy arm/elbow soft tissue                      A   2.13   5.37     2.48    0.32   7.82  4.930010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
24066  Biopsy arm/elbow soft tissue                      A   5.35  12.48     6.41    1.15  18.98 12.910090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24071  Exc arm/elbow les sc 3 cm/>                       A   5.70   5.33NA   5.33    1.29  12.32 12.320090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24073  Ex arm/elbow tum deep 5 cm/>                      A  10.13   8.61NA   8.61    2.24  20.98 20.980090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24075  Exc arm/elbow les sc < 3 cm                       A   4.24  10.88     4.91    0.90  16.02 10.050090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24076  Ex arm/elbow tum deep < 5 cm                      A   7.41   7.68NA   7.68    1.55  16.64 16.640090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24077  Rad rescj tum tiss a/e <5cm                       A  15.72  11.71NA  11.71    3.55  30.98 30.980090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
24079  Rad rescj tum tiss a/e 5 cm+                      A  20.61  14.61NA  14.61    4.67  39.89 39.890090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24100  Arthrt elbw synovial bx only                      A   5.07   6.80NA   6.80    1.06  12.93 12.930090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24101  Arthrt elbw jt expl bx rmvl                       A   6.30   7.89NA   7.89    1.23  15.42 15.420090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24102  Arthrt elbow w/synovectomy                        A   8.26   8.98NA   8.98    1.60  18.84 18.840090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24105  Excision olecranon bursa                          A   3.78   6.59NA   6.59    0.75  11.12 11.120090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24110  Exc/curtg b1 cst/b9 tum hum                       A   7.58   8.93NA   8.93    1.56  18.07 18.070090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
24115  Exc/crtg b1 cst/tum hum agrf                      A  10.12  10.24NA  10.24    2.09  22.45 22.450090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24116  Exc/crtg b1 cst/tum hum algr                      A  12.23  11.33NA  11.33    2.53  26.09 26.090090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24120  Exc/crtg b1 cst/b9 tum rds                        A   6.82   8.14NA   8.14    1.35  16.31 16.310090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
24125  Exc/crtg b1 cst/tum rds agrf                      A   8.14   9.22NA   9.22    1.68  19.04 19.040090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24126  Exc/crtg b1 cst/tum rds algr                      A   8.62   9.47NA   9.47    1.77  19.86 19.860090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24130  Excision radial head                              A   6.42   8.00NA   8.00    1.23  15.65 15.650090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
24134  Sequestrectomy shft/dstl hum                      A  10.22  10.42NA  10.42    2.11  22.75 22.750090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24136  Sequestrectomy radial h/n                         A   8.40   9.19NA   9.19    1.72  19.31 19.310090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24138  Sequestrectomy olecrn proces                      A   8.50  10.78NA  10.78    1.74  21.02 21.020090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24140  Partial exc bone humerus                          A   9.55   9.96NA   9.96    1.89  21.40 21.400090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24145  Prtl exc bone radial h/n                          A   7.81   8.75NA   8.75    1.61  18.17 18.170090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
24147  Prtl exc bone olecrn process                      A   7.84   9.82NA   9.82    1.53  19.19 19.190090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
24149  Radical resection of elbow                        A  16.22  16.37NA  16.37    3.19  35.78 35.780090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24150  Rad rescj tum dstl/shft hum                       A  23.46  18.13NA  18.13    4.84  46.43 46.430090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24152  Rad resection tum radial h/n                      A  19.99  16.34NA  16.34    4.13  40.46 40.460090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24155  Resection of elbow joint                          A  12.09  11.25NA  11.25    2.49  25.83 25.830090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24160  Rmvl prosthhumrl&ulnar cmpnt                      A  18.63  15.41NA  15.41    3.84  37.88 37.880090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
24164  Removal prosth radial head                        A  10.00   9.99NA   9.99    2.06  22.05 22.050090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
24200  Rmvl fb upper arm/elbw subq                       A   1.81   4.51     2.16    0.33   6.65  4.300010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
24201  Rmvl fb upper arm/elbw deep                       A   4.70  13.00     6.60    0.97  18.67 12.270090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24220  Injection px for elbow arthg                      A   1.31   4.23     0.52    0.13   5.67  1.960000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
24300  Mnpj elbow under anes                             A   4.04   8.80NA   8.80    0.75  13.59 13.590090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24301  Musc/tdn transfer upr a/e 1                       A  10.38  10.34NA  10.34    2.10  22.82 22.820090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
24305  Tendon lngth upr a/e ea tdn                       A   7.62   8.65NA   8.65    1.45  17.72 17.720090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
24310  Tnot opn elbw to sho ea tdn                       A   6.12   7.22NA   7.22    1.19  14.53 14.530090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
24320  Tenoplasty elbow to sho 1                         A  10.86  10.62NA  10.62    2.23  23.71 23.710090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
24330  Flexor-plasty elbow                               A   9.79  10.06NA  10.06    2.02  21.87 21.870090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24331  Flexor-plasty elbw w/advmnt                       A  10.95  10.66NA  10.66    2.25  23.86 23.860090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24332  Tenolysis triceps                                 A   7.91   9.29NA   9.29    1.63  18.83 18.830090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24340  Tenodesis biceps tdn at elbw                      A   8.08   8.68NA   8.68    1.47  18.23 18.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24341  Rpr tdn/musc upr a/e each                         A   9.49  11.54NA  11.54    1.85  22.88 22.880090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24342  Repair of ruptured tendon                         A  10.86  10.53NA  10.53    2.12  23.51 23.510090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24343  Repr elbow lat ligmnt w/tiss                      A   9.16  10.86NA  10.86    1.79  21.81 21.810090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24344  Reconstruct elbow lat ligmnt                      A  15.21  15.13NA  15.13    3.15  33.49 33.490090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24345  Repr elbw med ligmnt w/tissu                      A   9.16  10.75NA  10.75    1.80  21.71 21.710090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24346  Reconstruct elbow med ligmnt                      A  15.21  15.13NA  15.13    3.15  33.49 33.490090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24357  Repair elbow perc                                 A   5.44   6.58NA   6.58    0.70  12.72 12.720090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
24358  Repair elbow w/deb open                           A   6.66   8.28NA   8.28    1.29  16.23 16.230090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
24359  Repair elbow deb/attch open                       A   8.98   9.51NA   9.51    1.75  20.24 20.240090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
24360  Reconstruct elbow joint                           A  12.67  12.09NA  12.09    2.62  27.38 27.380090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24361  Reconstruct elbow joint                           A  14.41  13.11NA  13.11    2.96  30.48 30.480090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24362  Reconstruct elbow joint                           A  15.32  13.58NA  13.58    3.17  32.07 32.070090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24363  Replace elbow joint                               A  22.00  17.26NA  17.26    4.35  43.61 43.610090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24365  Reconstruct head of radius                        A   8.62   9.16NA   9.16    1.77  19.55 19.550090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24366  Reconstruct head of radius                        A   9.36   9.53NA   9.53    1.81  20.70 20.700090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24370  Revise reconst elbow joint                        A  23.55  18.05NA  18.05    4.59  46.19 46.190090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24371  Revise reconst elbow joint                        A  27.50  20.13NA  20.13    5.44  53.07 53.070090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24400  Revision of humerus                               A  11.33  11.50NA  11.50    2.30  25.13 25.130090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24410  Revision of humerus                               A  15.11  13.78NA  13.78    3.12  32.01 32.010090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24420  Revision of humerus                               A  13.73  15.66NA  15.66    2.82  32.21 32.210090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24430  Repair of humerus                                 A  15.25  13.60NA  13.60    3.06  31.91 31.910090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24435  Repair humerus with graft                         A  14.99  14.71NA  14.71    3.04  32.74 32.740090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24470  Revision of elbow joint                           A   8.93   9.75NA   9.75    1.83  20.51 20.510090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24495  Decompression of forearm                          A   8.41  17.76NA  17.76    1.72  27.89 27.890090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
24498  Reinforce humerus                                 A  12.28  11.50NA  11.50    2.51  26.29 26.290090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24500  Treat humerus fracture                            A   3.41   7.28     6.38    0.69  11.38 10.480090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24505  Treat humerus fracture                            A   5.39   9.18     7.51    1.13  15.70 14.030090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24515  Treat humerus fracture                            A  12.12  12.16NA  12.16    2.44  26.72 26.720090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24516  Treat humerus fracture                            A  12.19  11.37NA  11.37    2.47  26.03 26.030090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
24530  Treat humerus fracture                            A   3.69   7.57     6.56    0.74  12.00 10.990090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24535  Treat humerus fracture                            A   7.11  10.71     9.11    1.46  19.28 17.680090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24538  Treat humerus fracture                            A   9.77  12.26NA  12.26    2.02  24.05 24.050090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24545  Treat humerus fracture                            A  13.15  12.34NA  12.34    2.65  28.14 28.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24546  Treat humerus fracture                            A  14.91  13.48NA  13.48    2.98  31.37 31.370090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
24560  Treat humerus fracture                            A   2.98   6.86     5.67    0.59  10.43  9.240090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24565  Treat humerus fracture                            A   5.78   9.83     8.35    1.21  16.82 15.340090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24566  Treat humerus fracture                            A   9.06  11.10NA  11.10    1.86  22.02 22.020090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24575  Treat humerus fracture                            A   9.71  10.70NA  10.70    1.93  22.34 22.340090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24576  Treat humerus fracture                            A   3.06   7.39     6.18    0.61  11.06  9.850090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24577  Treat humerus fracture                            A   6.01  10.02     8.47    1.24  17.27 15.720090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24579  Treat humerus fracture                            A  11.44  11.66NA  11.66    2.27  25.37 25.370090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24582  Treat humerus fracture                            A  10.14  12.70NA  12.70    2.09  24.93 24.930090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24586  Treat elbow fracture                              A  15.78  13.89NA  13.89    3.16  32.83 32.830090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24587  Treat elbow fracture                              A  15.79  13.84NA  13.84    3.27  32.90 32.900090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24600  Treat elbow dislocation                           A   4.37   6.50     5.38    0.91  11.78 10.660090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24605  Treat elbow dislocation                           A   5.64   7.94NA   7.94    1.16  14.74 14.740090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24615  Treat elbow dislocation                           A   9.83   9.92NA   9.92    1.96  21.71 21.710090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24620  Treat elbow fracture                              A   7.22   9.37NA   9.37    1.50  18.09 18.090090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
24635  Treat elbow fracture                              A   8.80  10.07NA  10.07    1.74  20.61 20.610090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24640  Treat elbow dislocation                           A   1.25   1.82     1.08    0.09   3.16  2.420010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
24650  Treat radius fracture                             A   2.31   5.55     4.98    0.45   8.31  7.740090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24655  Treat radius fracture                             A   4.62   8.49     7.09    0.95  14.06 12.660090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24665  Treat radius fracture                             A   8.36  10.08NA  10.08    1.64  20.08 20.080090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24666  Treat radius fracture                             A   9.86  10.47NA  10.47    1.96  22.29 22.290090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24670  Treat ulnar fracture                              A   2.69   5.97     5.18    0.53   9.19  8.400090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24675  Treat ulnar fracture                              A   4.91   8.43     7.07    0.99  14.33 12.970090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
24685  Treat ulnar fracture                              A   8.37   9.93NA   9.93    1.67  19.97 19.970090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24800  Fusion of elbow joint                             A  11.41  11.58NA  11.58    2.35  25.34 25.340090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24802  Fusion/graft of elbow joint                       A  14.32  13.07NA  13.07    2.94  30.33 30.330090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24900  Amputation of upper arm                           A  10.18  10.15NA  10.15    2.14  22.47 22.470090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24920  Amputation of upper arm                           A  10.13  10.07NA  10.07    2.09  22.29 22.290090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
24925  Amputation follow-up surgery                      A   7.30   8.61NA   8.61    1.51  17.42 17.420090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24930  Amputation follow-up surgery                      A  10.83  10.43NA  10.43    2.23  23.49 23.490090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24931  Amputate upper arm & implant                      A  13.44  11.95NA  11.95    2.77  28.16 28.160090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
24935  Revision of amputation                            A  16.45  17.08NA  17.08    3.40  36.93 36.930090.10.69.2121000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
24999  Unlisted px humerus/elbow                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
25000  Incision of tendon sheath                         A   3.55   6.45NA   6.45    0.68  10.68 10.680090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25001  Incise flexor carpi radialis                      A   3.79   6.22NA   6.22    0.72  10.73 10.730090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25020  Decompress forearm 1 space                        A   6.06  15.17NA  15.17    1.18  22.41 22.410090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25023  Decompress forearm 1 space                        A  13.83  22.92NA  22.92    2.81  39.56 39.560090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25024  Decompress forearm 2 spaces                       A  10.79  10.73NA  10.73    2.17  23.69 23.690090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25025  Decompress forearm 2 spaces                       A  17.94  15.40NA  15.40    3.70  37.04 37.040090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25028  Drainage of forearm lesion                        A   5.39  14.52NA  14.52    1.09  21.00 21.000090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25031  Drainage of forearm bursa                         A   4.26   6.21NA   6.21    0.88  11.35 11.350090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25035  Treat forearm bone lesion                         A   7.65   8.80NA   8.80    1.58  18.03 18.030090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25040  Explore/treat wrist joint                         A   7.50   8.10NA   8.10    1.46  17.06 17.060090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25065  Biopsy forearm soft tissues                       A   2.04   5.39     2.44    0.30   7.73  4.780010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
25066  Biopsy forearm soft tissues                       A   4.27   6.19NA   6.19    0.82  11.28 11.280090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25071  Exc forearm les sc 3 cm/>                         A   5.91   5.73NA   5.73    1.27  12.91 12.910090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25073  Exc forearm tum deep 3 cm/>                       A   7.13   7.73NA   7.73    1.47  16.33 16.330090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25075  Exc forearm les sc < 3 cm                         A   3.96  10.90     4.90    0.79  15.65  9.650090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25076  Exc forearm tum deep < 3 cm                       A   6.74   7.79NA   7.79    1.31  15.84 15.840090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25077  Resect forearm/wrist tum<3cm                      A  12.93   9.70NA   9.70    3.33  25.96 25.960090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25078  Resect forarm/wrist tum 3cm>                      A  17.69  13.50NA  13.50    3.97  35.16 35.160090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25085  Incision of wrist capsule                         A   5.64   7.07NA   7.07    1.07  13.78 13.780090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25100  Biopsy of wrist joint                             A   4.02   5.95NA   5.95    0.82  10.79 10.790090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25101  Explore/treat wrist joint                         A   4.83   6.72NA   6.72    0.95  12.50 12.500090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25105  Remove wrist joint lining                         A   6.02   7.77NA   7.77    1.16  14.95 14.950090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
25107  Remove wrist joint cartilage                      A   7.70   9.78NA   9.78    1.44  18.92 18.920090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25109  Excise tendon forearm/wrist                       A   6.94   8.17NA   8.17    1.30  16.41 16.410090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25110  Remove wrist tendon lesion                        A   4.04   5.85NA   5.85    0.77  10.66 10.660090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25111  Remove wrist tendon lesion                        A   3.53   5.83NA   5.83    0.68  10.04 10.040090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25112  Reremove wrist tendon lesion                      A   4.67   6.47NA   6.47    0.90  12.04 12.040090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25115  Remove wrist/forearm lesion                       A  10.09  11.07NA  11.07    1.90  23.06 23.060090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25116  Remove wrist/forearm lesion                       A   7.56   9.52NA   9.52    1.43  18.51 18.510090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
25118  Excise wrist tendon sheath                        A   4.51   6.44NA   6.44    0.85  11.80 11.800090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25119  Partial removal of ulna                           A   6.21   7.92NA   7.92    1.28  15.41 15.410090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25120  Removal of forearm lesion                         A   6.27   7.91NA   7.91    1.21  15.39 15.390090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
25125  Remove/graft forearm lesion                       A   7.67   8.98NA   8.98    1.58  18.23 18.230090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25126  Remove/graft forearm lesion                       A   7.74   9.02NA   9.02    1.60  18.36 18.360090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25130  Removal of wrist lesion                           A   5.43   7.42NA   7.42    1.02  13.87 13.870090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25135  Remove & graft wrist lesion                       A   7.08   8.66NA   8.66    1.47  17.21 17.210090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25136  Remove & graft wrist lesion                       A   6.14   7.88NA   7.88    1.26  15.28 15.280090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25145  Remove forearm bone lesion                        A   6.54   8.10NA   8.10    1.35  15.99 15.990090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25150  Partial removal of ulna                           A   7.38   8.50NA   8.50    1.45  17.33 17.330090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
25151  Partial removal of radius                         A   7.68   8.72NA   8.72    1.46  17.86 17.860090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25170  Resect radius/ulnar tumor                         A  22.21  17.35NA  17.35    4.58  44.14 44.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25210  Removal of wrist bone                             A   6.12   7.85NA   7.85    1.17  15.14 15.140090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
25215  Removal of wrist bones                            A   8.14   9.25NA   9.25    1.54  18.93 18.930090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25230  Partial removal of radius                         A   5.37   6.92NA   6.92    1.02  13.31 13.310090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
25240  Partial removal of ulna                           A   5.31   6.90NA   6.90    1.02  13.23 13.230090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
25246  Injection for wrist x-ray                         A   1.45   4.24     0.56    0.15   5.84  2.160000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
25248  Remove forearm foreign body                       A   5.31   6.57NA   6.57    1.14  13.02 13.020090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25250  Removal of wrist prosthesis                       A   6.77   8.20NA   8.20    1.39  16.36 16.360090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25251  Removal of wrist prosthesis                       A   9.82  10.07NA  10.07    2.03  21.92 21.920090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25259  Manipulate wrist w/anesthes                       A   4.04   8.58NA   8.58    0.74  13.36 13.360090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25260  Repair forearm tendon/muscle                      A   8.04   9.82NA   9.82    1.54  19.40 19.400090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
25263  Repair forearm tendon/muscle                      A   8.04   9.70NA   9.70    1.66  19.40 19.400090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
25265  Repair forearm tendon/muscle                      A  10.10  10.77NA  10.77    2.09  22.96 22.960090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
25270  Repair forearm tendon/muscle                      A   6.17   7.79NA   7.79    1.20  15.16 15.160090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
25272  Repair forearm tendon/muscle                      A   7.21   8.44NA   8.44    1.50  17.15 17.150090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
25274  Repair forearm tendon/muscle                      A   8.94   9.68NA   9.68    1.65  20.27 20.270090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
25275  Repair forearm tendon sheath                      A   8.96   9.84NA   9.84    1.71  20.51 20.510090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
25280  Revise wrist/forearm tendon                       A   7.39   8.53NA   8.53    1.40  17.32 17.320090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
25290  Incise wrist/forearm tendon                       A   5.43   6.94NA   6.94    1.03  13.40 13.400090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
25295  Release wrist/forearm tendon                      A   6.72   8.15NA   8.15    1.27  16.14 16.140090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
25300  Fusion of tendons at wrist                        A   9.02  10.20NA  10.20    1.85  21.07 21.070090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25301  Fusion of tendons at wrist                        A   8.59   9.43NA   9.43    1.63  19.65 19.650090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25310  Transplant forearm tendon                         A   8.08   9.39NA   9.39    1.52  18.99 18.990090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
25312  Transplant forearm tendon                         A   9.82  10.15NA  10.15    1.87  21.84 21.840090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
25315  Revise palsy hand tendon(s)                       A  10.68  10.52NA  10.52    2.21  23.41 23.410090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25316  Revise palsy hand tendon(s)                       A  12.90  12.22NA  12.22    2.67  27.79 27.790090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25320  Repair/revise wrist joint                         A  12.75  14.96NA  14.96    2.42  30.13 30.130090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25332  Revise wrist joint                                A  11.74  11.71NA  11.71    2.22  25.67 25.670090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25335  Realignment of hand                               A  13.39  12.46NA  12.46    2.76  28.61 28.610090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25337  Reconstruct ulna/radioulnar                       A  11.73  13.09NA  13.09    2.20  27.02 27.020090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25350  Revision of radius                                A   9.09   9.75NA   9.75    1.72  20.56 20.560090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25355  Revision of radius                                A  10.53  10.58NA  10.58    2.17  23.28 23.280090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25360  Revision of ulna                                  A   8.74   9.57NA   9.57    1.72  20.03 20.030090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25365  Revise radius & ulna                              A  12.91  12.23NA  12.23    2.67  27.81 27.810090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25370  Revise radius or ulna                             A  14.10  13.68NA  13.68    2.89  30.67 30.670090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25375  Revise radius & ulna                              A  13.55  12.55NA  12.55    2.79  28.89 28.890090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25390  Shorten radius or ulna                            A  10.70  10.63NA  10.63    2.03  23.36 23.360090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25391  Lengthen radius or ulna                           A  14.28  12.93NA  12.93    2.93  30.14 30.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25392  Shorten radius & ulna                             A  14.58  13.09NA  13.09    2.99  30.66 30.660090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25393  Lengthen radius & ulna                            A  16.56  14.11NA  14.11    3.43  34.10 34.100090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25394  Repair carpal bone shorten                        A  10.85  10.78NA  10.78    2.23  23.86 23.860090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25400  Repair radius or ulna                             A  11.28  10.89NA  10.89    2.18  24.35 24.350090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25405  Repair/graft radius or ulna                       A  15.01  13.44NA  13.44    2.89  31.34 31.340090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25415  Repair radius & ulna                              A  13.80  12.68NA  12.68    2.83  29.31 29.310090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25420  Repair/graft radius & ulna                        A  17.04  14.66NA  14.66    3.52  35.22 35.220090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25425  Repair/graft radius or ulna                       A  13.72  12.64NA  12.64    2.82  29.18 29.180090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25426  Repair/graft radius & ulna                        A  16.45  14.06NA  14.06    3.40  33.91 33.910090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25430  Vasc graft into carpal bone                       A   9.71  10.61NA  10.61    2.00  22.32 22.320090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25431  Repair nonunion carpal bone                       A  10.89  10.83NA  10.83    2.24  23.96 23.960090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25440  Repair/graft wrist bone                           A  10.68  10.65NA  10.65    2.04  23.37 23.370090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25441  Reconstruct wrist joint                           A  13.29  12.40NA  12.40    2.74  28.43 28.430090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25442  Reconstruct wrist joint                           A  11.12  11.35NA  11.35    2.11  24.58 24.580090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25443  Reconstruct wrist joint                           A  10.66  11.05NA  11.05    2.20  23.91 23.910090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25444  Reconstruct wrist joint                           A  11.42  11.39NA  11.39    2.17  24.98 24.980090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25445  Reconstruct wrist joint                           A   9.88  10.16NA  10.16    1.89  21.93 21.930090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
25446  Wrist replacement                                 A  17.30  14.81NA  14.81    3.28  35.39 35.390090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25447  Repair wrist joints                               A  11.14  12.07NA  12.07    2.11  25.32 25.320090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25449  Remove wrist joint implant                        A  14.94  13.49NA  13.49    2.80  31.23 31.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25450  Revision of wrist joint                           A   8.06   9.17NA   9.17    1.66  18.89 18.890090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25455  Revision of wrist joint                           A   9.71  10.56NA  10.56    2.00  22.27 22.270090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25490  Reinforce radius                                  A   9.73  10.17NA  10.17    2.01  21.91 21.910090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25491  Reinforce ulna                                    A  10.15  10.26NA  10.26    2.10  22.51 22.510090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25492  Reinforce radius and ulna                         A  12.66  12.23NA  12.23    2.62  27.51 27.510090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25500  Treat fracture of radius                          A   2.60   5.86     5.01    0.50   8.96  8.110090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25505  Treat fracture of radius                          A   5.45   9.26     7.75    1.13  15.84 14.330090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25515  Treat fracture of radius                          A   8.80   9.95NA   9.95    1.74  20.49 20.490090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25520  Treat fracture of radius                          A   6.50  10.03     9.00    1.34  17.87 16.840090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25525  Treat fracture of radius                          A  10.55  11.43NA  11.43    2.10  24.08 24.080090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
25526  Treat fracture of radius                          A  13.15  13.19NA  13.19    2.71  29.05 29.050090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
25530  Treat fracture of ulna                            A   2.24   5.67     4.98    0.43   8.34  7.650090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25535  Treat fracture of ulna                            A   5.36   8.97     7.77    1.07  15.40 14.200090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25545  Treat fracture of ulna                            A   7.94   9.62NA   9.62    1.56  19.12 19.120090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25560  Treat fracture radius & ulna                      A   2.59   6.03     5.05    0.51   9.13  8.150090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25565  Treat fracture radius & ulna                      A   5.85   9.08     7.35    1.21  16.14 14.410090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25574  Treat fracture radius & ulna                      A   8.80  10.06NA  10.06    1.76  20.62 20.620090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
25575  Treat fracture radius/ulna                        A  12.29  12.73NA  12.73    2.46  27.48 27.480090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25600  Treat fracture radius/ulna                        A   2.78   7.32     6.86    0.54  10.64 10.180090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25605  Treat fracture radius/ulna                        A   6.25   9.24     8.29    1.28  16.77 15.820090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25606  Treat fx distal radial                            A   8.31  10.49NA  10.49    1.68  20.48 20.480090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25607  Treat fx rad extra-articul                        A   9.56  11.17NA  11.17    1.87  22.60 22.600090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25608  Treat fx rad intra-articul                        A  11.07  11.98NA  11.98    2.18  25.23 25.230090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25609  Treat fx radial 3+ frag                           A  14.38  14.78NA  14.78    2.78  31.94 31.940090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25622  Treat wrist bone fracture                         A   2.79   6.35     5.60    0.53   9.67  8.920090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25624  Treat wrist bone fracture                         A   4.77   9.56     8.10    0.99  15.32 13.860090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25628  Treat wrist bone fracture                         A   9.67  10.43NA  10.43    1.81  21.91 21.910090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25630  Treat wrist bone fracture                         A   3.03   5.98     5.30    0.58   9.59  8.910090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25635  Treat wrist bone fracture                         A   4.61   8.97     7.61    0.96  14.54 13.180090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25645  Treat wrist bone fracture                         A   7.42   8.54NA   8.54    1.53  17.49 17.490090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25650  Treat wrist bone fracture                         A   3.23   6.48     5.72    0.63  10.34  9.580090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25651  Pin ulnar styloid fracture                        A   5.82   8.15NA   8.15    1.14  15.11 15.110090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25652  Treat fracture ulnar styloid                      A   8.06   9.41NA   9.41    1.59  19.06 19.060090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
25660  Treat wrist dislocation                           A   4.98   7.91NA   7.91    1.04  13.93 13.930090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25670  Treat wrist dislocation                           A   8.09   8.88NA   8.88    1.59  18.56 18.560090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25671  Pin radioulnar dislocation                        A   6.46   8.67NA   8.67    1.33  16.46 16.460090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25675  Treat wrist dislocation                           A   4.89   8.33     6.93    1.03  14.25 12.850090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25676  Treat wrist dislocation                           A   8.29   9.41NA   9.41    1.58  19.28 19.280090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25680  Treat wrist fracture                              A   6.23   8.86NA   8.86    1.28  16.37 16.370090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25685  Treat wrist fracture                              A  10.09  10.22NA  10.22    2.08  22.39 22.390090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25690  Treat wrist dislocation                           A   5.72   8.30NA   8.30    1.20  15.22 15.220090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25695  Treat wrist dislocation                           A   8.51   9.11NA   9.11    1.75  19.37 19.370090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25800  Fusion of wrist joint                             A  10.07  10.26NA  10.26    1.90  22.23 22.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25805  Fusion/graft of wrist joint                       A  11.73  11.61NA  11.61    2.41  25.75 25.750090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25810  Fusion/graft of wrist joint                       A  11.95  12.13NA  12.13    2.26  26.34 26.340090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25820  Fusion of hand bones                              A   7.64  10.67NA  10.67    1.48  19.79 19.790090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25825  Fuse hand bones with graft                        A   9.69  12.63NA  12.63    1.82  24.14 24.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25830  Fusion radioulnar jnt/ulna                        A  10.88  18.10NA  18.10    2.24  31.22 31.220090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
25900  Amputation of forearm                             A   9.61  10.32NA  10.32    1.90  21.83 21.830090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25905  Amputation of forearm                             A   9.59   9.80NA   9.80    1.99  21.38 21.380090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25907  Amputation follow-up surgery                      A   8.09   9.03NA   9.03    1.67  18.79 18.790090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25909  Amputation follow-up surgery                      A   9.31   9.65NA   9.65    1.91  20.87 20.870090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25915  Amputation of forearm                             A  17.52  14.06NA  14.06    3.61  35.19 35.190090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25920  Amputate hand at wrist                            A   9.03  11.33NA  11.33    1.85  22.21 22.210090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25922  Amputate hand at wrist                            A   7.65  10.48NA  10.48    1.58  19.71 19.710090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25924  Amputation follow-up surgery                      A   8.81  11.08NA  11.08    1.81  21.70 21.700090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25927  Amputation of hand                                A   9.09  15.22NA  15.22    1.87  26.18 26.180090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
25929  Amputation follow-up surgery                      A   7.82   8.88NA   8.88    1.61  18.31 18.310090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
25931  Amputation follow-up surgery                      A   8.04  14.55NA  14.55    1.66  24.25 24.250090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
25999  Unlisted px forearm/wrist                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
26010  Drainage of finger abscess                        A   1.59   8.50     2.44    0.27  10.36  4.300010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
26011  Drainage of finger abscess                        A   2.24  11.68     2.98    0.41  14.33  5.630010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
26020  Drain hand tendon sheath                          A   6.84   8.86NA   8.86    1.31  17.01 17.010090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26025  Drainage of palm bursa                            A   5.08   6.75NA   6.75    1.01  12.84 12.840090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26030  Drainage of palm bursas                           A   6.25   7.58NA   7.58    1.21  15.04 15.040090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26034  Treat hand bone lesion                            A   6.63   8.99NA   8.99    1.26  16.88 16.880090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26035  Decompress fingers/hand                           A  11.37  12.49NA  12.49    2.34  26.20 26.200090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26037  Decompress fingers/hand                           A   7.57   8.09NA   8.09    1.47  17.13 17.130090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26040  Release palm contracture                          A   3.46   5.66NA   5.66    0.64   9.76  9.760090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26045  Release palm contracture                          A   5.73   7.65NA   7.65    1.13  14.51 14.510090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26055  Incise finger tendon sheath                       A   3.11  14.11     5.28    0.59  17.81  8.980090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26060  Incision of finger tendon                         A   2.91   4.47NA   4.47    0.49   7.87  7.870090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26070  Explore/treat hand joint                          A   3.81   5.45NA   5.45    0.70   9.96  9.960090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26075  Explore/treat finger joint                        A   3.91   5.78NA   5.78    0.74  10.43 10.430090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26080  Explore/treat finger joint                        A   4.47   6.97NA   6.97    0.85  12.29 12.290090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26100  Biopsy hand joint lining                          A   3.79   5.92NA   5.92    0.78  10.49 10.490090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26105  Biopsy finger joint lining                        A   3.83   5.94NA   5.94    0.78  10.55 10.550090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26110  Biopsy finger joint lining                        A   3.65   5.69NA   5.69    0.70  10.04 10.040090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26111  Exc hand les sc 1.5 cm/>                          A   5.42   6.24NA   6.24    1.05  12.71 12.710090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26113  Exc hand tum deep 1.5 cm/>                        A   7.13   8.24NA   8.24    1.34  16.71 16.710090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26115  Exc hand les sc < 1.5 cm                          A   3.96  11.94     5.49    0.75  16.65 10.200090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26116  Exc hand tum deep < 1.5 cm                        A   6.74   8.05NA   8.05    1.26  16.05 16.050090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26117  Rad resect hand tumor < 3 cm                      A  10.13  10.55NA  10.55    1.93  22.61 22.610090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26118  Rad resect hand tumor 3 cm/>                      A  14.81  13.95NA  13.95    2.95  31.71 31.710090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26121  Release palm contracture                          A   7.73   9.12NA   9.12    1.48  18.33 18.330090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26123  Release palm contracture                          A  10.88  12.61NA  12.61    2.05  25.54 25.540090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26125  Release palm contracture                          A   4.60   2.53NA   2.53    0.87   8.00  8.000ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
26130  Remove wrist joint lining                         A   5.59   7.67NA   7.67    1.17  14.43 14.430090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26135  Revise finger joint each                          A   7.13   8.47NA   8.47    1.34  16.94 16.940090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26140  Revise finger joint each                          A   6.34   8.06NA   8.06    1.19  15.59 15.590090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26145  Tendon excision palm/finger                       A   6.49   8.10NA   8.10    1.23  15.82 15.820090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26160  Remove tendon sheath lesion                       A   3.57  14.35     5.49    0.68  18.60  9.740090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26170  Removal of palm tendon each                       A   4.91   6.73NA   6.73    0.92  12.56 12.560090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26180  Removal of finger tendon                          A   5.35   7.48NA   7.48    1.01  13.84 13.840090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26185  Remove finger bone                                A   6.52   9.27NA   9.27    1.34  17.13 17.130090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
26200  Remove hand bone lesion                           A   5.65   7.11NA   7.11    1.08  13.84 13.840090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26205  Remove/graft bone lesion                          A   7.93   8.93NA   8.93    1.63  18.49 18.490090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26210  Removal of finger lesion                          A   5.32   7.45NA   7.45    1.01  13.78 13.780090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26215  Remove/graft finger lesion                        A   7.27   8.59NA   8.59    1.51  17.37 17.370090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26230  Partial removal of hand bone                      A   6.47   7.61NA   7.61    1.23  15.31 15.310090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26235  Partial removal finger bone                       A   6.33   7.58NA   7.58    1.20  15.11 15.110090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26236  Partial removal finger bone                       A   5.46   7.05NA   7.05    1.06  13.57 13.570090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26250  Extensive hand surgery                            A  15.21  13.87NA  13.87    3.15  32.23 32.230090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26260  Resect prox finger tumor                          A  11.16  10.73NA  10.73    2.29  24.18 24.180090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26262  Resect distal finger tumor                        A   8.29   9.25NA   9.25    1.71  19.25 19.250090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26320  Removal of implant from hand                      A   4.10   5.88NA   5.88    0.76  10.74 10.740090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26340  Manipulate finger w/anesth                        A   2.80   7.73NA   7.73    0.52  11.05 11.050090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26341  Manipulat palm cord post inj                      A   0.91   2.48     1.30    0.17   3.56  2.380010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
26350  Repair finger/hand tendon                         A   6.21  15.31NA  15.31    1.20  22.72 22.720090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26352  Repair/graft hand tendon                          A   7.87  15.90NA  15.90    1.49  25.26 25.260090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26356  Repair finger/hand tendon                         A   9.56  12.90NA  12.90    1.79  24.25 24.250090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26357  Repair finger/hand tendon                         A  11.00  13.89NA  13.89    2.26  27.15 27.150090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26358  Repair/graft hand tendon                          A  12.60  14.71NA  14.71    2.60  29.91 29.910090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26370  Repair finger/hand tendon                         A   7.28  15.14NA  15.14    1.37  23.79 23.790090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26372  Repair/graft hand tendon                          A   9.01  16.91NA  16.91    1.85  27.77 27.770090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26373  Repair finger/hand tendon                         A   8.41  16.60NA  16.60    1.72  26.73 26.730090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26390  Revise hand/finger tendon                         A   9.43  15.26NA  15.26    1.95  26.64 26.640090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26392  Repair/graft hand tendon                          A  10.50  17.69NA  17.69    2.17  30.36 30.360090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26410  Repair hand tendon                                A   4.77  12.62NA  12.62    0.92  18.31 18.310090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26412  Repair/graft hand tendon                          A   6.48  14.04NA  14.04    1.24  21.76 21.760090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26415  Excision hand/finger tendon                       A   8.51  15.57NA  15.57    1.75  25.83 25.830090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26416  Graft hand or finger tendon                       A   9.56  16.41NA  16.41    1.98  27.95 27.950090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26418  Repair finger tendon                              A   4.47  13.71NA  13.71    0.86  19.04 19.040090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26420  Repair/graft finger tendon                        A   6.94  14.32NA  14.32    1.32  22.58 22.580090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26426  Repair finger/hand tendon                         A   6.32   7.92NA   7.92    1.21  15.45 15.450090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26428  Repair/graft finger tendon                        A   7.40  15.29NA  15.29    1.53  24.22 24.220090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26432  Repair finger tendon                              A   4.16  11.63NA  11.63    0.78  16.57 16.570090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26433  Repair finger tendon                              A   4.70  11.82NA  11.82    0.89  17.41 17.410090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26434  Repair/graft finger tendon                        A   6.26  13.63NA  13.63    1.29  21.18 21.180090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26437  Realignment of tendons                            A   5.99  13.17NA  13.17    1.14  20.30 20.300090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26440  Release palm/finger tendon                        A   5.16  13.65NA  13.65    0.97  19.78 19.780090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26442  Release palm & finger tendon                      A   9.75  18.49NA  18.49    1.83  30.07 30.070090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26445  Release hand/finger tendon                        A   4.45  13.10NA  13.10    0.83  18.38 18.380090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26449  Release forearm/hand tendon                       A   8.59  11.19NA  11.19    1.62  21.40 21.400090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26450  Incision of palm tendon                           A   3.79   9.66NA   9.66    0.72  14.17 14.170090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26455  Incision of finger tendon                         A   3.76   9.60NA   9.60    0.72  14.08 14.080090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26460  Incise hand/finger tendon                         A   3.58   9.54NA   9.54    0.67  13.79 13.790090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26471  Fusion of finger tendons                          A   5.90  13.07NA  13.07    1.13  20.10 20.100090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26474  Fusion of finger tendons                          A   5.49  13.23NA  13.23    1.15  19.87 19.870090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26476  Tendon lengthening                                A   5.35  13.16NA  13.16    1.12  19.63 19.630090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26477  Tendon shortening                                 A   5.32  12.84NA  12.84    1.01  19.17 19.170090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
26478  Lengthening of hand tendon                        A   5.97  12.93NA  12.93    1.13  20.03 20.030090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26479  Shortening of hand tendon                         A   5.91  13.45NA  13.45    1.23  20.59 20.590090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26480  Transplant hand tendon                            A   6.90  15.68NA  15.68    1.29  23.87 23.870090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26483  Transplant/graft hand tendon                      A   8.48  16.37NA  16.37    1.61  26.46 26.460090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26485  Transplant palm tendon                            A   7.89  16.01NA  16.01    1.50  25.40 25.400090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26489  Transplant/graft palm tendon                      A   9.86  17.35NA  17.35    2.04  29.25 29.250090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26490  Revise thumb tendon                               A   8.60  15.13NA  15.13    1.76  25.49 25.490090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26492  Tendon transfer with graft                        A   9.84  16.31NA  16.31    2.03  28.18 28.180090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26494  Hand tendon/muscle transfer                       A   8.66  15.16NA  15.16    1.78  25.60 25.600090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26496  Revise thumb tendon                               A   9.78  15.74NA  15.74    2.02  27.54 27.540090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26497  Finger tendon transfer                            A   9.76  15.73NA  15.73    2.01  27.50 27.500090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26498  Finger tendon transfer                            A  14.21  18.57NA  18.57    2.92  35.70 35.700090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26499  Revision of finger                                A   9.17  15.42NA  15.42    1.88  26.47 26.470090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26500  Hand tendon reconstruction                        A   6.13  13.56NA  13.56    1.26  20.95 20.950090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26502  Hand tendon reconstruction                        A   7.31  14.17NA  14.17    1.52  23.00 23.000090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26508  Release thumb contracture                         A   6.18  13.29NA  13.29    1.15  20.62 20.620090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26510  Thumb tendon transfer                             A   5.60  12.83NA  12.83    1.08  19.51 19.510090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26516  Fusion of knuckle joint                           A   7.32  13.90NA  13.90    1.39  22.61 22.610090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26517  Fusion of knuckle joints                          A   9.08  15.38NA  15.38    1.86  26.32 26.320090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
26518  Fusion of knuckle joints                          A   9.27  15.48NA  15.48    1.90  26.65 26.650090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
26520  Release knuckle contracture                       A   5.47  14.22NA  14.22    1.04  20.73 20.730090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26525  Release finger contracture                        A   5.50  14.29NA  14.29    1.06  20.85 20.850090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
26530  Revise knuckle joint                              A   6.88   8.44NA   8.44    1.29  16.61 16.610090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26531  Revise knuckle with implant                       A   8.13   9.64NA   9.64    1.53  19.30 19.300090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26535  Revise finger joint                               A   5.41   7.07NA   7.07    0.98  13.46 13.460090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26536  Revise/implant finger joint                       A   6.56  15.00NA  15.00    1.23  22.79 22.790090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26540  Repair hand joint                                 A   6.60  13.43NA  13.43    1.25  21.28 21.280090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
26541  Repair hand joint with graft                      A   8.81  14.91NA  14.91    1.67  25.39 25.390090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26542  Repair hand joint with graft                      A   6.95  13.73NA  13.73    1.29  21.97 21.970090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26545  Reconstruct finger joint                          A   7.11  13.92NA  13.92    1.33  22.36 22.360090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26546  Repair nonunion hand                              A  10.83  18.64NA  18.64    2.05  31.52 31.520090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
26548  Reconstruct finger joint                          A   8.22  14.53NA  14.53    1.56  24.31 24.310090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26550  Construct thumb replacement                       A  21.68  23.66NA  23.66    4.47  49.81 49.810090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
26551  Great toe-hand transfer                           A  48.48  40.30NA  40.30   10.05  98.83 98.830090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
26553  Single transfer toe-hand                          A  48.17  40.01NA  40.01    9.99  98.17 98.170090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
26554  Double transfer toe-hand                          A  57.01  45.41NA  45.41   11.81 114.23114.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
26555  Positional change of finger                       A  17.08  21.29NA  21.29    3.53  41.90 41.900090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26556  Toe joint transfer                                A  49.75  42.08NA  42.08   10.31 102.14102.140090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26560  Repair of web finger                              A   5.52  12.70NA  12.70    1.16  19.38 19.380090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26561  Repair of web finger                              A  11.10  16.43NA  16.43    2.28  29.81 29.810090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26562  Repair of web finger                              A  16.68  21.56NA  21.56    3.45  41.69 41.690090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26565  Correct metacarpal flaw                           A   6.91  13.41NA  13.41    1.30  21.62 21.620090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26567  Correct finger deformity                          A   6.99  13.57NA  13.57    1.32  21.88 21.880090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26568  Lengthen metacarpal/finger                        A   9.27  17.05NA  17.05    1.90  28.22 28.220090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26580  Repair hand deformity                             A  19.75  22.76NA  22.76    4.08  46.59 46.590090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
26587  Reconstruct extra finger                          A  14.50  14.16NA  14.16    2.98  31.64 31.640090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26590  Repair finger deformity                           A  18.67  20.74NA  20.74    3.85  43.26 43.260090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26591  Repair muscles of hand                            A   3.38  10.91NA  10.91    0.62  14.91 14.910090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26593  Release muscles of hand                           A   5.50  13.09NA  13.09    1.04  19.63 19.630090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26596  Excision constricting tissue                      A   9.14  13.85NA  13.85    1.88  24.87 24.870090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26600  Treat metacarpal fracture                         A   2.60   6.37     5.92    0.50   9.47  9.020090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26605  Treat metacarpal fracture                         A   3.03   6.72     5.69    0.59  10.34  9.310090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26607  Treat metacarpal fracture                         A   5.48   8.95NA   8.95    1.15  15.58 15.580090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26608  Treat metacarpal fracture                         A   5.55   8.20NA   8.20    1.09  14.84 14.840090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26615  Treat metacarpal fracture                         A   7.07   9.21NA   9.21    1.35  17.63 17.630090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26641  Treat thumb dislocation                           A   4.13   8.10     6.93    0.86  13.09 11.920090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26645  Treat thumb fracture                              A   4.58   7.98     6.76    0.95  13.51 12.290090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
26650  Treat thumb fracture                              A   5.35   8.44NA   8.44    1.04  14.83 14.830090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
26665  Treat thumb fracture                              A   7.94   9.86NA   9.86    1.36  19.16 19.160090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
26670  Treat hand dislocation                            A   3.83   6.38     5.20    0.77  10.98  9.800090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26675  Treat hand dislocation                            A   4.83   8.56     7.29    1.01  14.40 13.130090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26676  Pin hand dislocation                              A   5.74   8.86NA   8.86    1.11  15.71 15.710090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26685  Treat hand dislocation                            A   7.07   9.36NA   9.36    1.22  17.65 17.650090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
26686  Treat hand dislocation                            A   8.17   9.17NA   9.17    1.68  19.02 19.020090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
26700  Treat knuckle dislocation                         A   3.83   6.05     5.21    0.76  10.64  9.800090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26705  Treat knuckle dislocation                         A   4.38   8.36     7.06    0.91  13.65 12.350090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26706  Pin knuckle dislocation                           A   5.31   7.55NA   7.55    0.92  13.78 13.780090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26715  Treat knuckle dislocation                         A   7.03   9.19NA   9.19    1.35  17.57 17.570090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26720  Treat finger fracture each                        A   1.76   4.24     3.86    0.35   6.35  5.970090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26725  Treat finger fracture each                        A   3.48   6.54     5.36    0.69  10.71  9.530090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26727  Treat finger fracture each                        A   5.42   8.16NA   8.16    1.05  14.63 14.630090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26735  Treat finger fracture each                        A   7.42   9.37NA   9.37    1.43  18.22 18.220090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26740  Treat finger fracture each                        A   2.07   4.88     4.48    0.39   7.34  6.940090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26742  Treat finger fracture each                        A   3.99   6.88     5.67    0.78  11.65 10.440090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26746  Treat finger fracture each                        A   9.80  10.95NA  10.95    1.84  22.59 22.590090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26750  Treat finger fracture each                        A   1.80   3.78     3.85    0.35   5.93  6.000090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26755  Treat finger fracture each                        A   3.23   6.14     4.70    0.64  10.01  8.570090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26756  Pin finger fracture each                          A   4.58   7.64NA   7.64    0.88  13.10 13.100090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26765  Treat finger fracture each                        A   5.86   8.49NA   8.49    1.13  15.48 15.480090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26770  Treat finger dislocation                          A   3.15   5.31     4.48    0.62   9.08  8.250090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26775  Treat finger dislocation                          A   3.90   7.72     6.45    0.74  12.36 11.090090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26776  Pin finger dislocation                            A   4.99   7.92NA   7.92    0.96  13.87 13.870090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26785  Treat finger dislocation                          A   6.60   8.93NA   8.93    1.26  16.79 16.790090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26820  Thumb fusion with graft                           A   8.45  15.05NA  15.05    1.73  25.23 25.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
26841  Fusion of thumb                                   A   7.35  14.80NA  14.80    1.44  23.59 23.590090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
26842  Thumb fusion with graft                           A   8.49  15.07NA  15.07    1.74  25.30 25.300090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
26843  Fusion of hand joint                              A   7.78  14.42NA  14.42    1.60  23.80 23.800090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26844  Fusion/graft of hand joint                        A   8.98  15.33NA  15.33    1.84  26.15 26.150090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26850  Fusion of knuckle                                 A   7.14  13.86NA  13.86    1.34  22.34 22.340090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26852  Fusion of knuckle with graft                      A   8.71  15.00NA  15.00    1.64  25.35 25.350090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26860  Fusion of finger joint                            A   4.88  12.86NA  12.86    0.93  18.67 18.670090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26861  Fusion of finger jnt add-on                       A   1.74   0.96NA   0.96    0.33   3.03  3.030ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
26862  Fusion/graft of finger joint                      A   7.56  14.34NA  14.34    1.43  23.33 23.330090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
26863  Fuse/graft added joint                            A   3.89   2.13NA   2.13    0.74   6.76  6.760ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
26910  Amputate metacarpal bone                          A   7.79  13.84NA  13.84    1.52  23.15 23.150090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26951  Amputation of finger/thumb                        A   6.04  14.16NA  14.16    1.20  21.40 21.400090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26952  Amputation of finger/thumb                        A   6.48  13.09NA  13.09    1.23  20.80 20.800090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26989  Unlisted px hands/fingers                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             33.2875 090 99      0.00   0.00   0.00
26990  Drainage of pelvis lesion                         A   7.95  11.04NA  11.04    1.69  20.68 20.680090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
26991  Drainage of pelvis bursa                          A   7.06  12.89     7.50    1.50  21.45 16.060090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
26992  Drainage of bone lesion                           A  13.48  14.34NA  14.34    2.77  30.59 30.590090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
27000  Incision of hip tendon                            A   5.74   5.54NA   5.54    0.59  11.87 11.870090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27001  Incision of hip tendon                            A   7.14   7.86NA   7.86    1.47  16.47 16.470090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27003  Incision of hip tendon                            A   7.81   8.89NA   8.89    1.61  18.31 18.310090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27005  Incision of hip tendon                            A  10.07   9.81NA   9.81    2.00  21.88 21.880090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27006  Incision of hip tendons                           A  10.11  10.01NA  10.01    1.57  21.69 21.690090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27025  Incision of hip/thigh fascia                      A  12.89  12.60NA  12.60    2.63  28.12 28.120090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
27027  Buttock fasciotomy                                A  13.04  11.03NA  11.03    2.71  26.78 26.780090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27030  Drainage of hip joint                             A  13.65  11.86NA  11.86    2.79  28.30 28.300090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27033  Exploration of hip joint                          A  14.11  12.38NA  12.38    2.87  29.36 29.360090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27035  Denervation of hip joint                          A  17.37  15.59NA  15.59    0.93  33.89 33.890090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27036  Excision of hip joint/muscle                      A  14.38  13.50NA  13.50    2.94  30.82 30.820090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27040  Biopsy of soft tissues                            A   2.92   6.82     2.61    0.46  10.20  5.990010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
27041  Biopsy of soft tissues                            A  10.18   9.27NA   9.27    2.01  21.46 21.460090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27043  Exc hip pelvis les sc 3 cm/>                      A   6.88   5.70NA   5.70    1.65  14.23 14.230090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27045  Exc hip/pelv tum deep 5 cm/>                      A  11.13   8.65NA   8.65    2.38  22.16 22.160090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27047  Exc hip/pelvis les sc < 3 cm                      A   4.94   8.94     4.95    1.12  15.00 11.010090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27048  Exc hip/pelv tum deep < 5 cm                      A   8.85   7.72NA   7.72    2.00  18.57 18.570090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27049  Resect hip/pelv tum < 5 cm                        A  21.55  16.89NA  16.89    4.44  42.88 42.880090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27050  Biopsy of sacroiliac joint                        A   4.74   6.76NA   6.76    0.98  12.48 12.480090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
27052  Biopsy of hip joint                               A   7.42   8.76NA   8.76    1.53  17.71 17.710090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27054  Removal of hip joint lining                       A   9.21   9.87NA   9.87    1.88  20.96 20.960090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27057  Buttock fasciotomy w/dbrdmt                       A  14.91  12.44NA  12.44    3.07  30.42 30.420090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27059  Resect hip/pelv tum 5 cm/>                        A  29.35  18.65NA  18.65    6.36  54.36 54.360090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27060  Removal of ischial bursa                          A   5.87   7.20NA   7.20    1.22  14.29 14.290090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27062  Remove femur lesion/bursa                         A   5.75   6.99NA   6.99    1.16  13.90 13.900090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27065  Remove hip bone les super                         A   6.55   8.13NA   8.13    1.31  15.99 15.990090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27066  Remove hip bone les deep                          A  11.20  11.30NA  11.30    2.26  24.76 24.760090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27067  Remove/graft hip bone lesion                      A  14.72  13.59NA  13.59    3.03  31.34 31.340090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27070  Part remove hip bone super                        A  11.56  12.94NA  12.94    2.27  26.77 26.770090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27071  Part removal hip bone deep                        A  12.39  14.47NA  14.47    2.56  29.42 29.420090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27075  Resect hip tumor                                  A  32.71  22.91NA  22.91    6.76  62.38 62.380090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27076  Resect hip tum incl acetabul                      A  40.21  26.78NA  26.78    8.31  75.30 75.300090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27077  Resect hip tum w/innom bone                       A  45.21  29.36NA  29.36    9.37  83.94 83.940090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27078  Rsect hip tum incl femur                          A  32.21  22.65NA  22.65    6.66  61.52 61.520090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27080  Removal of tail bone                              A   6.89   6.92NA   6.92    1.67  15.48 15.480090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27086  Remove hip foreign body                           A   1.92   7.08     2.83    0.40   9.40  5.150010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
27087  Remove hip foreign body                           A   8.83   7.81NA   7.81    2.04  18.68 18.680090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27090  Removal of hip prosthesis                         A  11.69  11.07NA  11.07    2.37  25.13 25.130090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27091  Removal of hip prosthesis                         A  24.35  18.48NA  18.48    5.01  47.84 47.840090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27093  Injection for hip x-ray                           A   1.30   5.45     0.56    0.15   6.90  2.010000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
27095  Injection for hip x-ray                           A   1.50   7.44     0.71    0.22   9.16  2.430000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
27096  Inject sacroiliac joint                           A   1.48   3.31     0.85    0.14   4.93  2.470000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
27097  Revision of hip tendon                            A   9.27   9.63NA   9.63    1.90  20.80 20.800090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27098  Transfer tendon to pelvis                         A   9.32   9.95NA   9.95    1.91  21.18 21.180090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27100  Transfer of abdominal muscle                      A  11.35  11.54NA  11.54    2.33  25.22 25.220090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27105  Transfer of spinal muscle                         A  12.04  11.90NA  11.90    2.48  26.42 26.420090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27110  Transfer of iliopsoas muscle                      A  13.77  12.79NA  12.79    2.83  29.39 29.390090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27111  Transfer of iliopsoas muscle                      A  12.60  12.19NA  12.19    2.60  27.39 27.390090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27120  Reconstruction of hip socket                      A  19.25  15.91NA  15.91    3.97  39.13 39.130090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27122  Reconstruction of hip socket                      A  16.09  13.90NA  13.90    3.32  33.31 33.310090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27125  Partial hip replacement                           A  16.64  14.08NA  14.08    3.41  34.13 34.130090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27130  Total hip arthroplasty                            A  19.60  15.00NA  15.00    4.03  38.63 38.630090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27132  Total hip arthroplasty                            A  25.69  19.19NA  19.19    5.28  50.16 50.160090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27134  Revise hip joint replacement                      A  30.28  20.52NA  20.52    6.24  57.04 57.040090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27137  Revise hip joint replacement                      A  22.70  16.62NA  16.62    4.67  43.99 43.990090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27138  Revise hip joint replacement                      A  23.70  17.11NA  17.11    4.87  45.68 45.680090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27140  Transplant femur ridge                            A  12.78  11.74NA  11.74    2.64  27.16 27.160090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27146  Incision of hip bone                              A  18.92  15.73NA  15.73    3.90  38.55 38.550090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27147  Revision of hip bone                              A  22.07  17.37NA  17.37    4.56  44.00 44.000090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27151  Incision of hip bones                             A  24.12  18.42NA  18.42    4.97  47.51 47.510090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27156  Revision of hip bones                             A  26.23  19.51NA  19.51    5.42  51.16 51.160090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27158  Revision of pelvis                                A  21.04  16.72NA  16.72    4.34  42.10 42.100090.10.69.2122200             33.2875 090 99      0.00   0.00   0.00
27161  Incision of neck of femur                         A  17.89  15.21NA  15.21    3.70  36.80 36.800090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27165  Incision/fixation of femur                        A  20.29  16.90NA  16.90    4.13  41.32 41.320090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27170  Repair/graft femur head/neck                      A  17.61  13.96NA  13.96    3.66  35.23 35.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27175  Treat slipped epiphysis                           A   9.38   8.94NA   8.94    1.93  20.25 20.250090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27176  Treat slipped epiphysis                           A  12.92  12.35NA  12.35    2.67  27.94 27.940090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27177  Treat slipped epiphysis                           A  16.09  14.29NA  14.29    3.33  33.71 33.710090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27178  Treat slipped epiphysis                           A  12.92  12.35NA  12.35    2.67  27.94 27.940090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27179  Revise head/neck of femur                         A  13.97  12.76NA  12.76    2.87  29.60 29.600090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27181  Treat slipped epiphysis                           A  16.18  14.32NA  14.32    3.35  33.85 33.850090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27185  Revision of femur epiphysis                       A   9.79  10.06NA  10.06    2.02  21.87 21.870090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27187  Reinforce hip bones                               A  14.23  13.00NA  13.00    2.90  30.13 30.130090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27197  Clsd tx pelvic ring fx                            A   1.53   2.20NA   2.20    0.31   4.04  4.040000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
27198  Clsd tx pelvic ring fx                            A   4.75   3.87NA   3.87    0.88   9.50  9.500000.00.00.0020020             33.2875 090 99      0.00   0.00   0.00
27200  Treat tail bone fracture                          A   1.92   3.61     3.68    0.38   5.91  5.980090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
27202  Treat tail bone fracture                          A   7.31   7.24NA   7.24    1.52  16.07 16.070090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
27215  Treat pelvic fracture(s)                          I+ 10.45   6.63NA   6.63    1.09  18.17 18.179090.10.69.2199999             33.2875 090 99      0.00   0.00   0.00
27216  Treat pelvic ring fracture                        I+ 15.73   9.50NA   9.50    1.61  26.84 26.849090.10.69.2199999             33.2875 090 99      0.00   0.00   0.00
27217  Treat pelvic ring fracture                        I+ 14.65   9.08NA   9.08    1.51  25.24 25.249090.10.69.2199999             33.2875 090 99      0.00   0.00   0.00
27218  Treat pelvic ring fracture                        I+ 20.93  11.51NA  11.51    2.15  34.59 34.599090.10.69.2199999             33.2875 090 99      0.00   0.00   0.00
27220  Treat hip socket fracture                         A   5.50   6.16     5.99    1.14  12.80 12.630090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27222  Treat hip socket fracture                         A  14.11  12.66NA  12.66    2.87  29.64 29.640090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27226  Treat hip wall fracture                           A  15.57  13.16NA  13.16    3.21  31.94 31.940090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27227  Treat hip fracture(s)                             A  25.41  18.95NA  18.95    5.22  49.58 49.580090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27228  Treat hip fracture(s)                             A  29.33  20.92NA  20.92    6.06  56.31 56.310090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27230  Treat thigh fracture                              A   5.81   7.99     7.71    1.21  15.01 14.730090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27232  Treat thigh fracture                              A  11.72   7.85NA   7.85    2.39  21.96 21.960090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27235  Treat thigh fracture                              A  13.00  11.79NA  11.79    2.64  27.43 27.430090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27236  Treat thigh fracture                              A  17.61  14.78NA  14.78    3.60  35.99 35.990090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27238  Treat thigh fracture                              A   5.75   7.45NA   7.45    1.19  14.39 14.390090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27240  Treat thigh fracture                              A  13.81  12.20NA  12.20    2.81  28.82 28.820090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27244  Treat thigh fracture                              A  18.18  15.10NA  15.10    3.72  37.00 37.000090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27245  Treat thigh fracture                              A  18.18  15.07NA  15.07    3.70  36.95 36.950090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27246  Treat thigh fracture                              A   4.83   6.22     6.10    0.99  12.04 11.920090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27248  Treat thigh fracture                              A  10.78   9.55NA   9.55    2.21  22.54 22.540090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27250  Treat hip dislocation                             A   3.82   0.76NA   0.76    0.79   5.37  5.370000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
27252  Treat hip dislocation                             A  11.03   9.41NA   9.41    2.26  22.70 22.700090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27253  Treat hip dislocation                             A  13.58  12.03NA  12.03    2.79  28.40 28.400090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27254  Treat hip dislocation                             A  18.94  15.46NA  15.46    3.91  38.31 38.310090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27256  Treat hip dislocation                             A   4.28   4.42     2.07    0.92   9.62  7.270010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
27257  Treat hip dislocation                             A   5.38   4.41NA   4.41    1.13  10.92 10.920010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
27258  Treat hip dislocation                             A  16.18  14.04NA  14.04    3.35  33.57 33.570090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27259  Treat hip dislocation                             A  23.26  18.36NA  18.36    4.79  46.41 46.410090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27265  Treat hip dislocation                             A   5.24   6.55NA   6.55    1.11  12.90 12.900090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27266  Treat hip dislocation                             A   7.78   8.42NA   8.42    1.59  17.79 17.790090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27267  Cltx thigh fx                                     A   5.50   6.97NA   6.97    1.13  13.60 13.600090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27268  Cltx thigh fx w/mnpj                              A   7.12   8.06NA   8.06    1.48  16.66 16.660090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27269  Optx thigh fx                                     A  18.89  14.52NA  14.52    3.89  37.30 37.300090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27275  Manipulation of hip joint                         A   2.32   2.85NA   2.85    0.44   5.61  5.610010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
27278  Arthrd si jt prq wo tfxj dev                      A   7.86 355.87     5.37    0.80 364.53 14.030090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27279  Arthrd si jt perq/min nvas                        A  12.13   9.60NA   9.60    2.43  24.16 24.160090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27280  Arthr si jt opn b1grf instrm                      A  20.00  15.16NA  15.16    5.98  41.14 41.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27282  Arthrodesis symphysis pubis                       A  11.85  11.80NA  11.80    2.44  26.09 26.090090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27284  Arthrodesis hip joint                             A  25.06  17.86NA  17.86    5.19  48.11 48.110090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27286  Arthrd hip jt sbtrchc osteot                      A  25.17  18.96NA  18.96    5.20  49.33 49.330090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27290  Amputation of leg at hip                          A  24.55  19.20NA  19.20    5.07  48.82 48.820090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27295  Amputation of leg at hip                          A  19.66  14.16NA  14.16    4.12  37.94 37.940090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27299  Unlisted px pelvis/hip joint                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
27301  Drain thigh/knee lesion                           A   6.78  12.19     7.26    1.45  20.42 15.490090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27303  Drainage of bone lesion                           A   8.63   9.13NA   9.13    1.77  19.53 19.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27305  Incise thigh tendon & fascia                      A   6.18   7.36NA   7.36    1.24  14.78 14.780090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27306  Incision of thigh tendon                          A   4.74   5.25NA   5.25    0.49  10.48 10.480090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27307  Incision of thigh tendons                         A   6.06   5.73NA   5.73    0.64  12.43 12.430090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
27310  Exploration of knee joint                         A  10.00  10.25NA  10.25    2.04  22.29 22.290090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27323  Biopsy thigh soft tissues                         A   2.33   5.60     2.61    0.35   8.28  5.290010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
27324  Biopsy thigh soft tissues                         A   5.04   6.35NA   6.35    1.16  12.55 12.550090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27325  Neurectomy hamstring                              A   7.20   8.58NA   8.58    1.49  17.27 17.270090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27326  Neurectomy popliteal                              A   6.47   8.21NA   8.21    1.33  16.01 16.010090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27327  Exc thigh/knee les sc < 3 cm                      A   3.96  10.30     4.79    0.87  15.13  9.620090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27328  Exc thigh/knee tum deep <5cm                      A   8.85   8.11NA   8.11    1.98  18.94 18.940090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27329  Resect thigh/knee tum < 5 cm                      A  15.72  12.07NA  12.07    3.59  31.38 31.380090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27330  Biopsy knee joint lining                          A   5.11   6.82NA   6.82    1.07  13.00 13.000090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27331  Explore/treat knee joint                          A   6.02   7.36NA   7.36    1.23  14.61 14.610090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27332  Removal of knee cartilage                         A   8.46   9.52NA   9.52    1.73  19.71 19.710090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27333  Removal of knee cartilage                         A   7.55   8.92NA   8.92    1.56  18.03 18.030090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27334  Remove knee joint lining                          A   9.19   9.85NA   9.85    1.87  20.91 20.910090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27335  Remove knee joint lining                          A  10.55  10.58NA  10.58    2.17  23.30 23.300090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27337  Exc thigh/knee les sc 3 cm/>                      A   5.91   5.45NA   5.45    1.38  12.74 12.740090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27339  Exc thigh/knee tum dep 5cm/>                      A  11.13   9.23NA   9.23    2.51  22.87 22.870090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27340  Removal of kneecap bursa                          A   4.32   6.35NA   6.35    0.88  11.55 11.550090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27345  Removal of knee cyst                              A   6.09   7.59NA   7.59    1.22  14.90 14.900090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27347  Remove knee cyst                                  A   6.73   8.07NA   8.07    1.34  16.14 16.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27350  Removal of kneecap                                A   8.66   9.56NA   9.56    1.74  19.96 19.960090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27355  Remove femur lesion                               A   8.00   8.91NA   8.91    1.64  18.55 18.550090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27356  Remove femur lesion/graft                         A  10.09  10.36NA  10.36    2.08  22.53 22.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27357  Remove femur lesion/graft                         A  11.16  11.41NA  11.41    2.29  24.86 24.860090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27358  Remove femur lesion/fixation                      A   4.73   2.44NA   2.44    0.98   8.15  8.150ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
27360  Partial removal leg bone(s)                       A  11.46  13.59NA  13.59    2.33  27.38 27.380090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27364  Resect thigh/knee tum 5 cm/>                      A  24.49  17.05NA  17.05    5.43  46.97 46.970090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27365  Resect femur/knee tumor                           A  32.21  22.60NA  22.60    6.69  61.50 61.500090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27369  Njx cntrst kne arthg/ct/mri                       A   0.77   4.63     0.33    0.09   5.49  1.190000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
27372  Removal of foreign body                           A   5.21  11.41     5.87    1.11  17.73 12.190090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27380  Repair of kneecap tendon                          A   7.45  10.03NA  10.03    1.51  18.99 18.990090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27381  Repair/graft kneecap tendon                       A  10.76  11.98NA  11.98    2.17  24.91 24.910090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27385  Repair of thigh muscle                            A   6.93  10.22NA  10.22    1.38  18.53 18.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27386  Repair/graft of thigh muscle                      A  11.13  12.64NA  12.64    2.23  26.00 26.000090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27390  Incision of thigh tendon                          A   5.53   7.15NA   7.15    1.16  13.84 13.840090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27391  Incision of thigh tendons                         A   7.49   8.68NA   8.68    1.53  17.70 17.700090.10.69.2120010             33.2875 090 99      0.00   0.00   0.00
27392  Incision of thigh tendons                         A   9.63  10.11NA  10.11    2.00  21.74 21.740090.10.69.2122210             33.2875 090 99      0.00   0.00   0.00
27393  Lengthening of thigh tendon                       A   6.59   7.46NA   7.46    1.28  15.33 15.330090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27394  Lengthening of thigh tendons                      A   8.79   9.39NA   9.39    1.80  19.98 19.980090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
27395  Lengthening of thigh tendons                      A  12.24  12.01NA  12.01    2.53  26.78 26.780090.10.69.2122210             33.2875 090 99      0.00   0.00   0.00
27396  Transplant of thigh tendon                        A   8.15   9.05NA   9.05    1.68  18.88 18.880090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27397  Transplants of thigh tendons                      A  12.66  12.50NA  12.50    2.62  27.78 27.780090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27400  Revise thigh muscles/tendons                      A   9.33   9.95NA   9.95    1.92  21.20 21.200090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27403  Repair of knee cartilage                          A   8.62   9.30NA   9.30    1.76  19.68 19.680090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27405  Repair of knee ligament                           A   9.08   9.71NA   9.71    1.82  20.61 20.610090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27407  Repair of knee ligament                           A  10.85  11.15NA  11.15    2.23  24.23 24.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27409  Repair of knee ligaments                          A  13.71  12.76NA  12.76    2.81  29.28 29.280090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27412  Autochondrocyte implant knee                      A  24.74  19.72NA  19.72    5.11  49.57 49.570090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27415  Osteochondral knee allograft                      A  20.00  17.27NA  17.27    4.13  41.40 41.400090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27416  Osteochondral knee autograft                      A  14.16  12.58NA  12.58    2.91  29.65 29.650090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27418  Repair degenerated kneecap                        A  11.60  11.15NA  11.15    2.18  24.93 24.930090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27420  Revision of unstable kneecap                      A  10.26  10.44NA  10.44    2.12  22.82 22.820090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27422  Revision of unstable kneecap                      A  10.21  10.29NA  10.29    2.06  22.56 22.560090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27424  Revision/removal of kneecap                       A  10.24  10.43NA  10.43    2.11  22.78 22.780090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27425  Lat retinacular release open                      A   5.39   7.46NA   7.46    1.11  13.96 13.960090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27427  Reconstruction knee                               A   9.79   9.85NA   9.85    1.91  21.55 21.550090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27428  Reconstruction knee                               A  15.58  15.05NA  15.05    3.21  33.84 33.840090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27429  Reconstruction knee                               A  17.54  16.98NA  16.98    3.62  38.14 38.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27430  Revision of thigh muscles                         A  10.16  10.35NA  10.35    2.08  22.59 22.590090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27435  Incision of knee joint                            A  10.88  11.45NA  11.45    2.21  24.54 24.540090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27437  Revise kneecap                                    A   8.93   9.41NA   9.41    1.82  20.16 20.160090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27438  Revise kneecap with implant                       A  11.89  11.20NA  11.20    2.41  25.50 25.500090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27440  Revision of knee joint                            A  11.09  10.86NA  10.86    2.28  24.23 24.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27441  Revision of knee joint                            A  11.54  11.09NA  11.09    2.37  25.00 25.000090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27442  Revision of knee joint                            A  12.37  11.45NA  11.45    2.50  26.32 26.320090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27443  Revision of knee joint                            A  11.41  11.03NA  11.03    2.35  24.79 24.790090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27445  Revision of knee joint                            A  18.66  15.29NA  15.29    3.84  37.79 37.790090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27446  Revision of knee joint                            A  17.13  13.95NA  13.95    3.51  34.59 34.590090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27447  Total knee arthroplasty                           A  19.60  14.96NA  14.96    4.01  38.57 38.570090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27448  Incision of thigh                                 A  11.60  11.13NA  11.13    2.39  25.12 25.120090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27450  Incision of thigh                                 A  14.61  12.99NA  12.99    2.91  30.51 30.510090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27454  Realignment of thigh bone                         A  19.17  15.86NA  15.86    3.96  38.99 38.990090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27455  Realignment of knee                               A  13.36  12.97NA  12.97    2.75  29.08 29.080090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27457  Realignment of knee                               A  14.03  11.73NA  11.73    2.77  28.53 28.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27465  Shortening of thigh bone                          A  18.60  15.15NA  15.15    3.84  37.59 37.590090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27466  Lengthening of thigh bone                         A  17.28  14.91NA  14.91    3.57  35.76 35.760090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27468  Shorten/lengthen thighs                           A  19.97  16.29NA  16.29    4.12  40.38 40.380090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27470  Repair of thigh                                   A  17.14  14.99NA  14.99    3.53  35.66 35.660090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27472  Repair/graft of thigh                             A  18.72  15.56NA  15.56    3.85  38.13 38.130090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27475  Surgery to stop leg growth                        A   8.93   9.46NA   9.46    1.83  20.22 20.220090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27477  Surgery to stop leg growth                        A  10.14  10.08NA  10.08    2.09  22.31 22.310090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27479  Surgery to stop leg growth                        A  13.16  11.94NA  11.94    2.71  27.81 27.810090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27485  Surgery to stop leg growth                        A   9.13   9.46NA   9.46    1.87  20.46 20.460090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27486  Revise/replace knee joint                         A  21.12  16.79NA  16.79    4.33  42.24 42.240090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27487  Revise/replace knee joint                         A  27.11  19.92NA  19.92    5.58  52.61 52.610090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27488  Removal of knee prosthesis                        A  17.60  15.00NA  15.00    3.61  36.21 36.210090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27495  Reinforce thigh                                   A  16.54  14.16NA  14.16    3.40  34.10 34.100090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27496  Decompression of thigh/knee                       A   6.78   8.64NA   8.64    1.40  16.82 16.820090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27497  Decompression of thigh/knee                       A   7.79   8.32NA   8.32    1.61  17.72 17.720090.10.69.2121020             33.2875 090 99      0.00   0.00   0.00
27498  Decompression of thigh/knee                       A   8.66   9.61NA   9.61    1.78  20.05 20.050090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27499  Decompression of thigh/knee                       A   9.43  10.01NA  10.01    1.95  21.39 21.390090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27500  Treatment of thigh fracture                       A   6.30   8.48     7.15    1.29  16.07 14.740090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27501  Treatment of thigh fracture                       A   6.45   7.72     7.49    1.31  15.48 15.250090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27502  Treatment of thigh fracture                       A  11.36   9.15NA   9.15    2.34  22.85 22.850090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27503  Treatment of thigh fracture                       A  11.27  10.71NA  10.71    2.29  24.27 24.270090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27506  Treatment of thigh fracture                       A  19.65  16.67NA  16.67    4.02  40.34 40.340090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27507  Treatment of thigh fracture                       A  14.48  11.73NA  11.73    2.95  29.16 29.160090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27508  Treatment of thigh fracture                       A   6.20   8.75     7.88    1.25  16.20 15.330090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27509  Treatment of thigh fracture                       A   8.14  10.79NA  10.79    1.64  20.57 20.570090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27510  Treatment of thigh fracture                       A   9.80   8.94NA   8.94    2.02  20.76 20.760090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27511  Treatment of thigh fracture                       A  15.11  11.78NA  11.78    3.10  29.99 29.990090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27513  Treatment of thigh fracture                       A  19.25  13.90NA  13.90    3.94  37.09 37.090090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27514  Treatment of thigh fracture                       A  14.60  11.51NA  11.51    2.97  29.08 29.080090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27516  Treat thigh fx growth plate                       A   5.59   9.30     8.25    1.17  16.06 15.010090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27517  Treat thigh fx growth plate                       A   9.12  10.07NA  10.07    1.87  21.06 21.060090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27519  Treat thigh fx growth plate                       A  13.25  10.87NA  10.87    2.73  26.85 26.850090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27520  Treat kneecap fracture                            A   3.04   6.57     5.78    0.60  10.21  9.420090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27524  Treat kneecap fracture                            A  10.37  10.41NA  10.41    2.11  22.89 22.890090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27530  Treat knee fracture                               A   2.65   6.48     5.89    0.52   9.65  9.060090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27532  Treat knee fracture                               A   7.55   9.98     8.68    1.55  19.08 17.780090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27535  Treat knee fracture                               A  13.41  10.89NA  10.89    2.74  27.04 27.040090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27536  Treat knee fracture                               A  17.39  14.88NA  14.88    3.57  35.84 35.840090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27538  Treat knee fracture(s)                            A   5.09   8.86     7.80    1.04  14.99 13.930090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27540  Treat knee fracture                               A  11.30  11.09NA  11.09    2.30  24.69 24.690090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27550  Treat knee dislocation                            A   5.98   8.61     7.30    1.23  15.82 14.510090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27552  Treat knee dislocation                            A   8.18   9.56NA   9.56    1.67  19.41 19.410090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27556  Treat knee dislocation                            A  13.00  10.74NA  10.74    2.69  26.43 26.430090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27557  Treat knee dislocation                            A  15.90  12.24NA  12.24    3.29  31.43 31.430090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27558  Treat knee dislocation                            A  18.39  13.53NA  13.53    3.79  35.71 35.710090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27560  Treat kneecap dislocation                         A   3.99   6.86     5.83    0.82  11.67 10.640090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27562  Treat kneecap dislocation                         A   5.98   7.89NA   7.89    1.23  15.10 15.100090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27566  Treat kneecap dislocation                         A  12.71  11.72NA  11.72    2.63  27.06 27.060090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27570  Fixation of knee joint                            A   1.79   2.54NA   2.54    0.37   4.70  4.700010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
27580  Fusion of knee                                    A  21.10  19.04NA  19.04    4.36  44.50 44.500090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27590  Amputate leg at thigh                             A  13.47   6.70NA   6.70    3.27  23.44 23.440090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27591  Amputate leg at thigh                             A  13.94  12.34NA  12.34    2.86  29.14 29.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27592  Amputate leg at thigh                             A  10.98   6.47NA   6.47    2.62  20.07 20.070090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27594  Amputation follow-up surgery                      A   7.29   6.24NA   6.24    1.69  15.22 15.220090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27596  Amputation follow-up surgery                      A  11.29   7.39NA   7.39    2.65  21.33 21.330090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27598  Amputate lower leg at knee                        A  11.22   6.92NA   6.92    2.65  20.79 20.790090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27599  Unlisted px femur/knee                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
27600  Decompression of lower leg                        A   6.03   4.79NA   4.79    1.24  12.06 12.060090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27601  Decompression of lower leg                        A   6.05   6.16NA   6.16    1.20  13.41 13.410090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27602  Decompression of lower leg                        A   7.82   4.60NA   4.60    1.86  14.28 14.280090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27603  Drain lower leg lesion                            A   5.23   9.66     5.64    0.95  15.84 11.820090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27604  Drain lower leg bursa                             A   4.59   8.27     4.50    0.71  13.57  9.800090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27605  Incision of achilles tendon                       A   2.92   6.68     2.31    0.29   9.89  5.520010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
27606  Incision of achilles tendon                       A   4.18   3.33NA   3.33    0.63   8.14  8.140010.10.80.1021110             33.2875 090 99      0.00   0.00   0.00
27607  Treat lower leg bone lesion                       A   8.62   8.00NA   8.00    1.54  18.16 18.160090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27610  Explore/treat ankle joint                         A   9.13   8.82NA   8.82    1.63  19.58 19.580090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27612  Exploration of ankle joint                        A   8.15   7.97NA   7.97    1.25  17.37 17.370090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27613  Biopsy lower leg soft tissue                      A   2.22   5.12     2.35    0.32   7.66  4.890010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
27614  Biopsy lower leg soft tissue                      A   5.80  11.06     5.88    0.95  17.81 12.630090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27615  Resect leg/ankle tum < 5 cm                       A  15.72  11.44NA  11.44    3.38  30.54 30.540090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
27616  Resect leg/ankle tum 5 cm/>                       A  19.63  13.98NA  13.98    4.28  37.89 37.890090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
27618  Exc leg/ankle tum < 3 cm                          A   3.96   9.97     4.60    0.76  14.69  9.320090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27619  Exc leg/ankle tum deep <5 cm                      A   6.91   6.19NA   6.19    1.19  14.29 14.290090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27620  Explore/treat ankle joint                         A   6.15   6.55NA   6.55    0.94  13.64 13.640090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27625  Remove ankle joint lining                         A   8.49   7.64NA   7.64    1.25  17.38 17.380090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27626  Remove ankle joint lining                         A   9.10   8.23NA   8.23    1.46  18.79 18.790090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27630  Removal of tendon lesion                          A   4.94  10.61     5.23    0.71  16.26 10.880090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27632  Exc leg/ankle les sc 3 cm/>                       A   5.91   5.25NA   5.25    1.23  12.39 12.390090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27634  Exc leg/ankle tum dep 5 cm/>                      A  10.13   8.23NA   8.23    1.98  20.34 20.340090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27635  Remove lower leg bone lesion                      A   8.03   8.16NA   8.16    1.42  17.61 17.610090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27637  Remove/graft leg bone lesion                      A  10.31  10.42NA  10.42    1.95  22.68 22.680090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27638  Remove/graft leg bone lesion                      A  10.99   9.60NA   9.60    1.90  22.49 22.490090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27640  Partial removal of tibia                          A  12.24  10.70NA  10.70    2.22  25.16 25.160090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27641  Partial removal of fibula                         A   9.84   8.33NA   8.33    1.59  19.76 19.760090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27645  Resect tibia tumor                                A  27.21  20.20NA  20.20    5.62  53.03 53.030090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27646  Resect fibula tumor                               A  23.21  18.13NA  18.13    4.78  46.12 46.120090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27647  Resect talus/calcaneus tum                        A  20.26   7.92NA   7.92    1.60  29.78 29.780090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27648  Injection for ankle x-ray                         A   0.96   5.23     0.43    0.14   6.33  1.530000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
27650  Repair achilles tendon                            A   9.21   9.30NA   9.30    1.43  19.94 19.940090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27652  Repair/graft achilles tendon                      A  10.78   8.15NA   8.15    1.39  20.32 20.320090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27654  Repair of achilles tendon                         A  10.53   9.59NA   9.59    1.57  21.69 21.690090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27656  Repair leg fascia defect                          A   4.71  10.57     5.04    0.63  15.91 10.380090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27658  Repair of leg tendon each                         A   5.12   5.39NA   5.39    0.73  11.24 11.240090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27659  Repair of leg tendon each                         A   7.10   6.29NA   6.29    0.96  14.35 14.350090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27664  Repair of leg tendon each                         A   4.73   5.57NA   5.57    0.74  11.04 11.040090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
27665  Repair of leg tendon each                         A   5.57   6.45NA   6.45    0.90  12.92 12.920090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
27675  Repair lower leg tendons                          A   7.35   6.66NA   6.66    1.04  15.05 15.050090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27676  Repair lower leg tendons                          A   8.73   8.31NA   8.31    1.46  18.50 18.500090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27680  Release of lower leg tendon                       A   5.88   6.04NA   6.04    0.88  12.80 12.800090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
27681  Release of lower leg tendons                      A   7.05   7.23NA   7.23    1.16  15.44 15.440090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27685  Revision of lower leg tendon                      A   6.69  12.21     6.55    0.93  19.83 14.170090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27686  Revise lower leg tendons                          A   7.75   7.21NA   7.21    1.20  16.16 16.160090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27687  Revision of calf tendon                           A   6.41   6.45NA   6.45    0.95  13.81 13.810090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27690  Revise lower leg tendon                           A   9.17   8.85NA   8.85    1.32  19.34 19.340090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27691  Revise lower leg tendon                           A  10.49  10.28NA  10.28    1.75  22.52 22.520090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27692  Revise additional leg tendon                      A   1.87   0.83NA   0.83    0.33   3.03  3.030ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
27695  Repair of ankle ligament                          A   6.70   7.03NA   7.03    1.06  14.79 14.790090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27696  Repair of ankle ligaments                         A   8.58   6.92NA   6.92    1.11  16.61 16.610090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27698  Repair of ankle ligament                          A   9.61   8.21NA   8.21    1.49  19.31 19.310090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27700  Revision of ankle joint                           A   9.66   9.99NA   9.99    2.00  21.65 21.650090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27702  Reconstruct ankle joint                           A  14.42  11.98NA  11.98    2.64  29.04 29.040090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27703  Reconstruction ankle joint                        A  16.94  13.42NA  13.42    3.11  33.47 33.470090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27704  Removal of ankle implant                          A   7.81   8.05NA   8.05    1.36  17.22 17.220090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27705  Incision of tibia                                 A  10.86   9.86NA   9.86    1.98  22.70 22.700090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27707  Incision of fibula                                A   4.78   6.74NA   6.74    0.88  12.40 12.400090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27709  Incision of tibia & fibula                        A  17.48  13.71NA  13.71    3.34  34.53 34.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27712  Realignment of lower leg                          A  15.87  14.17NA  14.17    3.28  33.32 33.320090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27715  Revision of lower leg                             A  15.50  13.69NA  13.69    3.21  32.40 32.400090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27720  Repair of tibia                                   A  12.36  11.66NA  11.66    2.40  26.42 26.420090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27722  Repair/graft of tibia                             A  12.45  12.12NA  12.12    2.57  27.14 27.140090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27724  Repair/graft of tibia                             A  19.31  14.49NA  14.49    3.94  37.74 37.740090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27725  Repair of lower leg                               A  17.41  15.74NA  15.74    3.60  36.75 36.750090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27726  Repair fibula nonunion                            A  14.34  11.77NA  11.77    2.74  28.85 28.850090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27727  Repair of lower leg                               A  14.84  13.52NA  13.52    3.06  31.42 31.420090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27730  Repair of tibia epiphysis                         A   7.70   8.69NA   8.69    1.59  17.98 17.980090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27732  Repair of fibula epiphysis                        A   5.46   7.34NA   7.34    1.14  13.94 13.940090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27734  Repair lower leg epiphyses                        A   8.83   9.42NA   9.42    1.81  20.06 20.060090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27740  Repair of leg epiphyses                           A   9.61   9.97NA   9.97    1.99  21.57 21.570090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27742  Repair of leg epiphyses                           A  10.63  10.81NA  10.81    2.20  23.64 23.640090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27745  Reinforce tibia                                   A  10.49  10.10NA  10.10    2.02  22.61 22.610090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27750  Treatment of tibia fracture                       A   3.37   6.84     6.06    0.67  10.88 10.100090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27752  Treatment of tibia fracture                       A   6.27   8.99     7.54    1.29  16.55 15.100090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27756  Treatment of tibia fracture                       A   7.45   8.76NA   8.76    1.44  17.65 17.650090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27758  Treatment of tibia fracture                       A  12.54  12.07NA  12.07    2.56  27.17 27.170090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27759  Treatment of tibia fracture                       A  14.45  12.74NA  12.74    2.94  30.13 30.130090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27760  Cltx medial ankle fx                              A   3.21   6.65     5.84    0.57  10.43  9.620090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27762  Cltx med ankle fx w/mnpj                          A   5.47   8.57     7.06    1.13  15.17 13.660090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27766  Optx medial ankle fx                              A   7.89   9.04NA   9.04    1.49  18.42 18.420090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27767  Cltx post ankle fx                                A   2.64   5.95     5.94    0.48   9.07  9.060090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27768  Cltx post ankle fx w/mnpj                         A   5.14   7.66NA   7.66    1.08  13.88 13.880090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27769  Optx post ankle fx                                A  10.14   9.93NA   9.93    1.98  22.05 22.050090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27780  Treatment of fibula fracture                      A   2.83   6.32     5.55    0.54   9.69  8.920090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27781  Treatment of fibula fracture                      A   4.59   8.13     7.03    0.92  13.64 12.540090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27784  Treatment of fibula fracture                      A   9.67  10.20NA  10.20    1.89  21.76 21.760090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27786  Treatment of ankle fracture                       A   3.02   6.24     5.41    0.54   9.80  8.970090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27788  Treatment of ankle fracture                       A   4.64   7.68     6.40    0.91  13.23 11.950090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27792  Treatment of ankle fracture                       A   8.75   9.25NA   9.25    1.62  19.62 19.620090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27808  Treatment of ankle fracture                       A   3.03   6.92     5.97    0.57  10.52  9.570090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27810  Treatment of ankle fracture                       A   5.32   8.34     6.85    1.10  14.76 13.270090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27814  Treatment of ankle fracture                       A  10.62  10.53NA  10.53    2.04  23.19 23.190090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27816  Treatment of ankle fracture                       A   3.07   6.72     5.55    0.59  10.38  9.210090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27818  Treatment of ankle fracture                       A   5.69   8.45     6.77    1.17  15.31 13.630090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27822  Treatment of ankle fracture                       A  11.21  13.13NA  13.13    2.14  26.48 26.480090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27823  Treatment of ankle fracture                       A  13.16  14.11NA  14.11    2.54  29.81 29.810090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27824  Treat lower leg fracture                          A   3.31   5.93     5.59    0.61   9.85  9.510090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27825  Treat lower leg fracture                          A   6.69   8.81     7.12    1.32  16.82 15.130090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27826  Treat lower leg fracture                          A  11.10  12.78NA  12.78    2.00  25.88 25.880090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27827  Treat lower leg fracture                          A  14.79  16.20NA  16.20    2.90  33.89 33.890090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27828  Treat lower leg fracture                          A  18.43  18.00NA  18.00    3.62  40.05 40.050090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27829  Treat lower leg joint                             A   8.80  11.04NA  11.04    1.64  21.48 21.480090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
27830  Treat lower leg dislocation                       A   3.96   7.38     6.44    0.81  12.15 11.210090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27831  Treat lower leg dislocation                       A   4.73   6.94NA   6.94    0.98  12.65 12.650090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27832  Treat lower leg dislocation                       A  10.17  10.81NA  10.81    2.10  23.08 23.080090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27840  Treat ankle dislocation                           A   4.77   6.26NA   6.26    0.97  12.00 12.000090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27842  Treat ankle dislocation                           A   6.46   7.41NA   7.41    1.24  15.11 15.110090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27846  Treat ankle dislocation                           A  10.28   9.81NA   9.81    1.99  22.08 22.080090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27848  Treat ankle dislocation                           A  11.68  10.14NA  10.14    2.08  23.90 23.900090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27860  Fixation of ankle joint                           A   2.39   2.23NA   2.23    0.33   4.95  4.950010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
27870  Fusion of ankle joint open                        A  15.41  12.34NA  12.34    2.68  30.43 30.430090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27871  Fusion of tibiofibular joint                      A   9.54   9.61NA   9.61    1.83  20.98 20.980090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27880  Amputation of lower leg                           A  15.37   7.81NA   7.81    3.66  26.84 26.840090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27881  Amputation of lower leg                           A  13.47   8.63NA   8.63    3.11  25.21 25.210090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27882  Amputation of lower leg                           A   9.79   5.53NA   5.53    2.37  17.69 17.690090.10.69.2121010             33.2875 090 99      0.00   0.00   0.00
27884  Amputation follow-up surgery                      A   8.76   6.59NA   6.59    2.04  17.39 17.390090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
27886  Amputation follow-up surgery                      A  10.02   7.12NA   7.12    2.33  19.47 19.470090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27888  Amputation of foot at ankle                       A  10.37   4.17NA   4.17    2.58  17.12 17.120090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
27889  Amputation of foot at ankle                       A  10.86   6.00NA   6.00    2.32  19.18 19.180090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
27892  Decompression of leg                              A   7.94   6.67NA   6.67    1.60  16.21 16.210090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27893  Decompression of leg                              A   7.90   9.22NA   9.22    1.63  18.75 18.750090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
27894  Decompression of leg                              A  12.67   9.11NA   9.11    2.73  24.51 24.510090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
27899  Unlisted px leg/ankle                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
28001  Drainage of bursa of foot                         A   2.00   2.96     0.69    0.17   5.13  2.860000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
28002  Treatment of foot infection                       A   2.79   4.32     1.15    0.25   7.36  4.190000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
28003  Treatment of foot infection                       A   5.28   5.46     1.86    0.57  11.31  7.710000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
28005  Treat foot bone lesion                            A   9.44   6.88NA   6.88    0.91  17.23 17.230090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28008  Incision of foot fascia                           A   4.59   7.83     3.91    0.41  12.83  8.910090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28010  Incision of toe tendon                            A   2.97   3.87     3.10    0.25   7.09  6.320090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28011  Incision of toe tendons                           A   4.28   4.88     3.80    0.39   9.55  8.470090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28020  Exploration of foot joint                         A   5.15  10.47     5.26    0.67  16.29 11.080090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28022  Exploration of foot joint                         A   4.81   9.28     4.58    0.54  14.63  9.930090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28024  Exploration of toe joint                          A   4.52   8.90     4.37    0.46  13.88  9.350090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28035  Decompression of tibia nerve                      A   5.23  10.00     5.00    0.64  15.87 10.870090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28039  Exc foot/toe tum sc 1.5 cm/>                      A   5.42   8.30     4.20    0.61  14.33 10.230090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
28041  Exc foot/toe tum dep 1.5cm/>                      A   7.13   5.65NA   5.65    0.85  13.63 13.630090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28043  Exc foot/toe tum sc < 1.5 cm                      A   3.96   7.16     3.56    0.39  11.51  7.910090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28045  Exc foot/toe tum deep <1.5cm                      A   5.45   8.45     4.53    0.52  14.42 10.500090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28046  Resect foot/toe tumor < 3 cm                      A  12.38   7.35NA   7.35    1.31  21.04 21.040090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28047  Resect foot/toe tumor 3 cm/>                      A  17.45  10.99NA  10.99    2.68  31.12 31.120090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28050  Biopsy of foot joint lining                       A   4.39   7.74     3.71    0.35  12.48  8.450090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28052  Biopsy of foot joint lining                       A   4.06   7.31     3.37    0.32  11.69  7.750090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28054  Biopsy of toe joint lining                        A   3.57   7.15     3.25    0.27  10.99  7.090090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28055  Neurectomy foot                                   A   6.29   4.82NA   4.82    0.66  11.77 11.770090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28060  Partial removal foot fascia                       A   5.40   9.59     4.94    0.58  15.57 10.920090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28062  Removal of foot fascia                            A   6.69  10.03     4.92    0.61  17.33 12.220090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28070  Removal of foot joint lining                      A   5.24   9.45     4.60    0.54  15.23 10.380090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28072  Removal of foot joint lining                      A   4.72   9.49     4.61    0.54  14.75  9.870090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28080  Removal of foot lesion                            A   4.86  10.67     6.12    0.51  16.04 11.490090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28086  Excise foot tendon sheath                         A   4.92  10.19     5.06    0.64  15.75 10.620090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28088  Excise foot tendon sheath                         A   3.98   9.49     4.47    0.48  13.95  8.930090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28090  Removal of foot lesion                            A   4.55   8.98     4.34    0.47  14.00  9.360090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28092  Removal of toe lesions                            A   3.78   8.53     4.11    0.39  12.70  8.280090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28100  Removal of ankle/heel lesion                      A   5.83  11.75     6.02    0.82  18.40 12.670090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28102  Remove/graft foot lesion                          A   7.92   9.10NA   9.10    1.63  18.65 18.650090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
28103  Remove/graft foot lesion                          A   6.67   4.50NA   4.50    0.52  11.69 11.690090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
28104  Removal of foot lesion                            A   5.26   9.90     4.87    0.62  15.78 10.750090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
28106  Remove/graft foot lesion                          A   7.35   4.92NA   4.92    0.58  12.85 12.850090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
28107  Remove/graft foot lesion                          A   5.73   9.03     4.28    0.45  15.21 10.460090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
28108  Removal of toe lesions                            A   4.30   8.33     4.05    0.40  13.03  8.750090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28110  Part removal of metatarsal                        A   4.22   9.24     4.25    0.44  13.90  8.910090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28111  Part removal of metatarsal                        A   5.15   8.58     3.97    0.52  14.25  9.640090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28112  Part removal of metatarsal                        A   4.63   9.34     4.36    0.50  14.47  9.490090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28113  Part removal of metatarsal                        A   6.11  10.86     6.23    0.59  17.56 12.930090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28114  Removal of metatarsal heads                       A  12.00  18.43    11.68    1.63  32.06 25.310090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28116  Revision of foot                                  A   9.14  12.83     7.31    1.15  23.12 17.600090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28118  Removal of heel bone                              A   6.13  11.25     5.87    0.82  18.20 12.820090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28119  Removal of heel spur                              A   5.56   9.68     4.92    0.57  15.81 11.050090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28120  Part removal of ankle/heel                        A   7.31  11.88     6.74    0.96  20.15 15.010090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28122  Partial removal of foot bone                      A   6.76  10.31     5.81    0.73  17.80 13.300090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28124  Partial removal of toe                            A   5.00   8.89     4.69    0.45  14.34 10.140090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28126  Partial removal of toe                            A   3.64   7.71     3.56    0.41  11.76  7.610090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28130  Removal of ankle bone                             A   9.50   8.02NA   8.02    1.19  18.71 18.710090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28140  Removal of metatarsal                             A   7.14   8.99     4.77    0.93  17.06 12.840090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28150  Removal of toe                                    A   4.23   7.91     3.82    0.42  12.56  8.470090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28153  Partial removal of toe                            A   3.80   8.00     3.86    0.35  12.15  8.010090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28160  Partial removal of toe                            A   3.88   8.01     3.85    0.37  12.26  8.100090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28171  Resect tarsal tumor                               A  16.41  13.58NA  13.58    3.39  33.38 33.380090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
28173  Resect metatarsal tumor                           A  14.16   6.45NA   6.45    1.14  21.75 21.750090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28175  Resect phalanx of toe tumor                       A   8.29   5.19NA   5.19    0.66  14.14 14.140090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28190  Removal of foot foreign body                      A   2.01   5.01     1.79    0.20   7.22  4.000010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
28192  Removal of foot foreign body                      A   4.78   8.53     4.15    0.45  13.76  9.380090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28193  Removal of foot foreign body                      A   5.90   9.19     4.62    0.52  15.61 11.040090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28200  Repair of foot tendon                             A   4.74   9.56     4.63    0.54  14.84  9.910090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28202  Repair/graft of foot tendon                       A   7.07  10.16     5.18    0.69  17.92 12.940090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
28208  Repair of foot tendon                             A   4.51   9.52     4.70    0.54  14.57  9.750090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28210  Repair/graft of foot tendon                       A   6.52  10.55     5.56    0.76  17.83 12.840090.10.69.2120200             33.2875 090 99      0.00   0.00   0.00
28220  Release of foot tendon                            A   4.67   8.42     4.14    0.45  13.54  9.260090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28222  Release of foot tendons                           A   5.76   9.76     4.82    0.64  16.16 11.220090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28225  Release of foot tendon                            A   3.78   8.23     3.86    0.40  12.41  8.040090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28226  Release of foot tendons                           A   4.67  12.98     6.58    0.97  18.62 12.220090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28230  Incision of foot tendon(s)                        A   4.36   8.19     3.85    0.42  12.97  8.630090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28232  Incision of toe tendon                            A   3.51   7.49     3.49    0.32  11.32  7.320090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28234  Incision of foot tendon                           A   3.54   8.42     4.30    0.36  12.32  8.200090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28238  Revision of foot tendon                           A   7.96  11.30     5.92    0.91  20.17 14.790090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28240  Release of big toe                                A   4.48   8.38     3.98    0.44  13.30  8.900090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28250  Revision of foot fascia                           A   6.06  10.81     5.61    0.83  17.70 12.500090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28260  Release of midfoot joint                          A   8.19  12.59     7.01    1.17  21.95 16.370090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28261  Revision of foot tendon                           A  13.11  17.14    10.32    2.04  32.29 25.470090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28262  Revision of foot and ankle                        A  17.21  21.11    13.18    3.00  41.32 33.390090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28264  Release of midfoot joint                          A  10.65  14.07     8.13    1.46  26.18 20.240090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
28270  Release of foot contracture                       A   4.93   9.19     4.71    0.49  14.61 10.130090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28272  Release of toe joint each                         A   3.92   7.24     3.37    0.32  11.48  7.610090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28280  Fusion of toes                                    A   5.33   9.28     4.56    0.55  15.16 10.440090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28285  Repair of hammertoe                               A   5.62  10.02     5.52    0.59  16.23 11.730090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28286  Repair of hammertoe                               A   4.70   8.20     3.92    0.40  13.30  9.020090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28288  Partial removal of foot bone                      A   6.02  11.47     6.53    0.66  18.15 13.210090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28289  Corrj halux rigdus w/o implt                      A   6.90  12.98     6.28    0.80  20.68 13.980090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28291  Corrj halux rigdus w/implt                        A   8.01  11.92     5.77    0.74  20.67 14.520090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28292  Cor hlx vlgs rsc prx phlx bs                      A   7.44  12.84     6.54    0.74  21.02 14.720090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28295  Cor hlx vlgs prx mtar osteot                      A   8.57  21.64     8.43    1.23  31.44 18.230090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28296  Cor hlx vlgs dstl mtar osteo                      A   8.25  17.50     6.51    0.77  26.52 15.530090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28297  Cor hlx vlgs jt arthrd                            A   9.29  20.25     7.77    1.13  30.67 18.190090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28298  Cor hlx vlgs prx phlx osteot                      A   7.75  16.39     6.69    0.94  25.08 15.380090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28299  Cor hlx vlgs double osteot                        A   9.29  20.00     7.64    1.08  30.37 18.010090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28300  Incision of heel bone                             A   9.73   8.41NA   8.41    1.56  19.70 19.700090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28302  Incision of ankle bone                            A   9.74  10.03NA  10.03    2.01  21.78 21.780090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28304  Incision of midfoot bones                         A   9.41  14.12     7.79    1.38  24.91 18.580090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28305  Incise/graft midfoot bones                        A  10.77   8.15NA   8.15    1.48  20.40 20.400090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28306  Incision of metatarsal                            A   6.00  11.55     5.55    0.81  18.36 12.360090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28307  Incision of metatarsal                            A   6.50  15.82     7.95    1.34  23.66 15.790090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28308  Incision of metatarsal                            A   5.48  11.04     5.63    0.67  17.19 11.780090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28309  Incision of metatarsals                           A  14.16  10.97NA  10.97    2.21  27.34 27.340090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28310  Revision of big toe                               A   5.57  10.23     4.83    0.63  16.43 11.030090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28312  Revision of toe                                   A   4.69  11.06     5.17    0.62  16.37 10.480090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28313  Repair deformity of toe                           A   5.15  10.04     5.13    0.70  15.89 10.980090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28315  Removal of sesamoid bone                          A   5.00   8.84     4.36    0.51  14.35  9.870090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28320  Repair of foot bones                              A   9.37   7.88NA   7.88    1.43  18.68 18.680090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28322  Repair of metatarsals                             A   8.53  13.85     7.69    1.31  23.69 17.530090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
28340  Resect enlarged toe tissue                        A   7.15   9.31     4.61    0.56  17.02 12.320090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28341  Resect enlarged toe                               A   8.72  10.34     5.23    0.69  19.75 14.640090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28344  Repair extra toe(s)                               A   4.40   7.83     3.71    0.35  12.58  8.460090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28345  Repair webbed toe(s)                              A   6.09   8.82     4.37    0.48  15.39 10.940090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28360  Reconstruct cleft foot                            A  14.92  15.28NA  15.28    3.07  33.27 33.270090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
28400  Treatment of heel fracture                        A   2.31   5.03     4.48    0.36   7.70  7.150090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28405  Treatment of heel fracture                        A   4.74   8.28     6.84    0.98  14.00 12.560090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28406  Treatment of heel fracture                        A   6.56  10.16NA  10.16    1.35  18.07 18.070090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28415  Treat heel fracture                               A  16.19  15.00NA  15.00    2.68  33.87 33.870090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28420  Treat/graft heel fracture                         A  17.52  18.07NA  18.07    3.61  39.20 39.200090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28430  Treatment of ankle fracture                       A   2.22   4.88     3.97    0.36   7.46  6.550090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28435  Treatment of ankle fracture                       A   3.54   7.24     5.93    0.73  11.51 10.200090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28436  Treatment of ankle fracture                       A   4.90   9.31NA   9.31    1.03  15.24 15.240090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28445  Treat ankle fracture                              A  15.76  13.23NA  13.23    2.71  31.70 31.700090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28446  Osteochondral talus autogrft                      A  17.71  15.61NA  15.61    3.66  36.98 36.980090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28450  Treat midfoot fracture each                       A   2.03   4.26     3.64    0.27   6.56  5.940090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28455  Treat midfoot fracture each                       A   3.24   4.35     3.53    0.25   7.84  7.020090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28456  Treat midfoot fracture                            A   2.86   7.96NA   7.96    0.58  11.40 11.400090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28465  Treat midfoot fracture each                       A   8.80   9.38NA   9.38    1.30  19.48 19.480090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28470  Treat metatarsal fracture                         A   2.03   4.45     4.06    0.29   6.77  6.380090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28475  Treat metatarsal fracture                         A   3.01   4.66     3.70    0.37   8.04  7.080090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28476  Treat metatarsal fracture                         A   3.60   7.70NA   7.70    0.55  11.85 11.850090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28485  Treat metatarsal fracture                         A   7.44   8.72NA   8.72    0.98  17.14 17.140090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28490  Treat big toe fracture                            A   1.17   3.07     2.54    0.16   4.40  3.870090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28495  Treat big toe fracture                            A   1.68   3.69     2.75    0.19   5.56  4.620090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28496  Treat big toe fracture                            A   2.48  12.29     5.45    0.50  15.27  8.430090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28505  Treat big toe fracture                            A   7.44  11.27     6.69    0.92  19.63 15.050090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
28510  Treatment of toe fracture                         A   1.17   2.45     2.44    0.14   3.76  3.750090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28515  Treatment of toe fracture                         A   1.56   3.37     2.72    0.17   5.10  4.450090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28525  Treat toe fracture                                A   5.62  10.86     6.08    0.69  17.17 12.390090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28530  Treat sesamoid bone fracture                      A   1.11   2.39     1.93    0.12   3.62  3.160090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28531  Treat sesamoid bone fracture                      A   2.57   7.15     2.75    0.20   9.92  5.520090.10.69.2121120             33.2875 090 99      0.00   0.00   0.00
28540  Treat foot dislocation                            A   2.19   3.69     3.07    0.17   6.05  5.430090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28545  Treat foot dislocation                            A   2.60   6.50     5.31    0.53   9.63  8.440090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28546  Treat foot dislocation                            A   3.40  13.68     6.77    0.71  17.79 10.880090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28555  Repair foot dislocation                           A   9.65  14.83     8.89    1.55  26.03 20.090090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28570  Treat foot dislocation                            A   1.76   5.23     4.04    0.37   7.36  6.170090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28575  Treat foot dislocation                            A   3.49   7.55     6.33    0.72  11.76 10.540090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28576  Treat foot dislocation                            A   4.60   6.41NA   6.41    0.95  11.96 11.960090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28585  Repair foot dislocation                           A  11.13  14.59     8.92    1.36  27.08 21.410090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28600  Treat foot dislocation                            A   2.02   3.59     2.77    0.16   5.77  4.950090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28605  Treat foot dislocation                            A   2.89   7.17     6.02    0.59  10.65  9.500090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28606  Treat foot dislocation                            A   5.09   6.02NA   6.02    0.89  12.00 12.000090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28615  Repair foot dislocation                           A  10.70  12.67NA  12.67    1.77  25.14 25.140090.10.69.2120210             33.2875 090 99      0.00   0.00   0.00
28630  Treat toe dislocation                             A   1.75   2.71     1.35    0.27   4.73  3.370010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
28635  Treat toe dislocation                             A   1.96   3.04     1.80    0.21   5.21  3.970010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
28636  Treat toe dislocation                             A   2.77   7.40     3.47    0.56  10.73  6.800010.10.80.1020120             33.2875 090 99      0.00   0.00   0.00
28645  Repair toe dislocation                            A   7.44  11.34     6.47    0.86  19.64 14.770090.10.69.2120110             33.2875 090 99      0.00   0.00   0.00
28660  Treat toe dislocation                             A   1.28   2.34     1.36    0.24   3.86  2.880010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
28665  Treat toe dislocation                             A   1.97   2.45     1.68    0.19   4.61  3.840010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
28666  Treat toe dislocation                             A   2.66   2.43NA   2.43    0.21   5.30  5.300010.10.80.1020120             33.2875 090 99      0.00   0.00   0.00
28675  Repair of toe dislocation                         A   5.62  11.02     6.22    0.75  17.39 12.590090.10.69.2120100             33.2875 090 99      0.00   0.00   0.00
28705  Fusion of foot bones                              A  20.33  13.29NA  13.29    3.10  36.72 36.720090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28715  Fusion of foot bones                              A  13.42  12.67NA  12.67    2.30  28.39 28.390090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28725  Fusion of foot bones                              A  11.22  10.50NA  10.50    1.84  23.56 23.560090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28730  Fusion of foot bones                              A  10.70   9.63NA   9.63    1.60  21.93 21.930090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28735  Fusion of foot bones                              A  12.23   9.45NA   9.45    1.75  23.43 23.430090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28737  Revision of foot bones                            A  11.03   8.35NA   8.35    1.51  20.89 20.890090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28740  Fusion of foot bones                              A   9.29  14.28     8.09    1.27  24.84 18.650090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28750  Fusion of big toe joint                           A   8.57  13.71     7.70    1.16  23.44 17.430090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28755  Fusion of big toe joint                           A   4.88   9.71     4.70    0.57  15.16 10.150090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28760  Fusion of big toe joint                           A   9.14  13.00     7.12    1.05  23.19 17.310090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28800  Amputation of midfoot                             A   8.79   6.10NA   6.10    0.99  15.88 15.880090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
28805  Amputation thru metatarsal                        A  12.71   6.87NA   6.87    1.59  21.17 21.170090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
28810  Amputation toe & metatarsal                       A   6.64   5.11NA   5.11    0.99  12.74 12.740090.10.69.2120000             33.2875 090 99      0.00   0.00   0.00
28820  Amputation of toe                                 A   3.51   4.97     1.38    0.41   8.89  5.300000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
28825  Partial amputation of toe                         A   3.41   4.94     1.36    0.40   8.75  5.170000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
28890  Hi enrgy eswt plantar fascia                      A   3.45   5.66     3.01    0.30   9.41  6.760090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
28899  Unlisted px foot/toes                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
29000  Application of body cast                          A   2.25   7.89     2.86    0.94  11.08  6.050000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29010  Application of body cast                          A   2.06   6.04     2.36    0.42   8.52  4.840000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29015  Application of body cast                          A   2.41   6.22     2.54    0.49   9.12  5.440000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29035  Application of body cast                          A   1.77   5.89     2.21    0.37   8.03  4.350000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29040  Application of body cast                          A   2.22   6.46     2.56    0.45   9.13  5.230000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29044  Application of body cast                          A   2.12   6.41     2.50    0.43   8.96  5.050000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29046  Application of body cast                          A   2.41   6.89     2.77    0.49   9.79  5.670000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29049  Application of figure eight                       A   0.89   2.00     1.04    0.18   3.07  2.110000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29055  Application of shoulder cast                      A   1.78   4.79     2.01    0.37   6.94  4.160000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29058  Application of shoulder cast                      A   1.31   2.22     1.25    0.26   3.79  2.820000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29065  Application of long arm cast                      A   0.87   1.94     1.02    0.17   2.98  2.060000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29075  Application of forearm cast                       A   0.77   1.77     0.97    0.15   2.69  1.890000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29085  Apply hand/wrist cast                             A   0.87   1.92     1.01    0.16   2.95  2.040000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29086  Apply finger cast                                 A   0.62   1.67     0.80    0.07   2.36  1.490000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29105  Apply long arm splint                             A   0.80   1.58     0.29    0.16   2.54  1.250000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29125  Apply forearm splint                              A   0.50   1.46     0.63    0.09   2.05  1.220000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29126  Apply forearm splint                              A   0.68   1.62     0.71    0.10   2.40  1.490000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29130  Application of finger splint                      A   0.50   0.69     0.28    0.09   1.28  0.870000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29131  Application of finger splint                      A   0.55   1.01     0.40    0.09   1.65  1.040000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29200  Strapping of chest                                A   0.39   0.55     0.13    0.02   0.96  0.540000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
29240  Strapping of shoulder                             A   0.39   0.48     0.12    0.02   0.89  0.530000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29260  Strapping of elbow or wrist                       A   0.39   0.45     0.14    0.03   0.87  0.560000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29280  Strapping of hand or finger                       A   0.39   0.46     0.16    0.05   0.90  0.600000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29305  Application of hip cast                           A   2.03   5.23     2.34    0.41   7.67  4.780000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29325  Application of hip casts                          A   2.32   5.68     2.56    0.47   8.47  5.350000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
29345  Application of long leg cast                      A   1.40   2.47     1.32    0.26   4.13  2.980000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29355  Application of long leg cast                      A   1.53   2.50     1.37    0.30   4.33  3.200000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29358  Apply long leg cast brace                         A   1.43   3.25     1.38    0.30   4.98  3.110000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29365  Application of long leg cast                      A   1.18   2.40     1.23    0.24   3.82  2.650000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29405  Apply short leg cast                              A   0.80   1.53     0.84    0.13   2.46  1.770000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29425  Apply short leg cast                              A   0.80   1.40     0.73    0.10   2.30  1.630000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29435  Apply short leg cast                              A   1.18   2.38     1.19    0.24   3.80  2.610000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29440  Addition of walker to cast                        A   0.57   0.69     0.22    0.05   1.31  0.840000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29445  Apply rigid leg cast                              A   1.78   1.90     0.97    0.20   3.88  2.950000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29450  Application of leg cast                           A   2.08   2.10     1.06    0.23   4.41  3.370000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29505  Application long leg splint                       A   0.69   1.94     0.77    0.12   2.75  1.580000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29515  Application lower leg splint                      A   0.73   1.37     0.66    0.11   2.21  1.500000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29520  Strapping of hip                                  A   0.39   0.63     0.13    0.02   1.04  0.540000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
29530  Strapping of knee                                 A   0.39   0.47     0.12    0.02   0.88  0.530000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29540  Strapping of ankle and/or ft                      A   0.39   0.42     0.09    0.03   0.84  0.510000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29550  Strapping of toes                                 A   0.25   0.31     0.06    0.02   0.58  0.330000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29580  Application of paste boot                         A   0.55   1.30     0.16    0.07   1.92  0.780000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29581  Apply multlay comprs lwr leg                      A   0.60   2.03     0.18    0.01   2.64  0.790000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
29584  Appl multlay comprs arm/hand                      A   0.35   2.04     0.10    0.01   2.40  0.460000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
29700  Removal/revision of cast                          A   0.57   1.28     0.32    0.10   1.95  0.990000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
29705  Removal/revision of cast                          A   0.76   1.04     0.45    0.12   1.92  1.330000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
29710  Removal/revision of cast                          A   1.34   2.13     0.85    0.27   3.74  2.460000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
29720  Repair of body cast                               A   0.68   1.83     0.49    0.14   2.65  1.310000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
29730  Windowing of cast                                 A   0.75   1.10     0.46    0.13   1.98  1.340000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
29740  Wedging of cast                                   A   1.12   1.67     0.71    0.23   3.02  2.060000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
29750  Wedging of clubfoot cast                          A   1.26   1.74     0.79    0.25   3.25  2.300000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
29799  Unlisted px casting/strpg                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
29800  Jaw arthroscopy/surgery                           A   6.84   7.95NA   7.95    1.42  16.21 16.210090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29804  Jaw arthroscopy/surgery                           A   8.87   8.08NA   8.08    0.92  17.87 17.870090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29805  Sho arthrs dx +- synovial bx                      A   6.03   7.05NA   7.05    1.18  14.26 14.260090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
29806  Sho arthrs srg capsulorraphy                      A  15.14  13.86NA  13.86    3.02  32.02 32.020090.10.69.2131110       29805 33.2875 090 99      0.00   0.00   0.00
29807  Sho arthrs srg rpr slap les                       A  14.67  13.67NA  13.67    2.93  31.27 31.270090.10.69.2131110       29805 33.2875 090 99      0.00   0.00   0.00
29819  Sho arthrs srg rmvl loose/fb                      A   7.79   8.54NA   8.54    1.54  17.87 17.870090.10.69.2131110       29805 33.2875 090 99      0.00   0.00   0.00
29820  Sho arthrs srg prtl synvct                        A   7.21   7.63NA   7.63    1.39  16.23 16.230090.10.69.2131210       29805 33.2875 090 99      0.00   0.00   0.00
29821  Sho arthrs srg compl synvct                       A   7.89   8.58NA   8.58    1.56  18.03 18.030090.10.69.2131210       29805 33.2875 090 99      0.00   0.00   0.00
29822  Sho arthrs srg lmtd dbrdmt                        A   7.03   8.07NA   8.07    1.40  16.50 16.500090.10.69.2131200       29805 33.2875 090 99      0.00   0.00   0.00
29823  Sho arthrs srg xtnsv dbrdmt                       A   7.98   8.49NA   8.49    1.57  18.04 18.040090.10.69.2131210       29805 33.2875 090 99      0.00   0.00   0.00
29824  Sho arthrs srg dstl claviclc                      A   8.98   9.84NA   9.84    1.77  20.59 20.590090.10.69.2131210       29805 33.2875 090 99      0.00   0.00   0.00
29825  Sho arthrs srg lss&rescj ads                      A   7.79   8.52NA   8.52    1.52  17.83 17.830090.10.69.2131210       29805 33.2875 090 99      0.00   0.00   0.00
29826  Sho arthrs srg decompression                      A   3.00   1.52NA   1.52    0.58   5.10  5.100ZZZ.00.00.0001210             33.2875 090 99      0.00   0.00   0.00
29827  Sho arthrs srg rt8tr cuf rpr                      A  15.59  13.60NA  13.60    3.07  32.26 32.260090.10.69.2131210       29805 33.2875 090 99      0.00   0.00   0.00
29828  Sho arthrs srg bicp tenodsis                      A  13.16  11.96NA  11.96    2.59  27.71 27.710090.10.69.2131210       29805 33.2875 090 99      0.00   0.00   0.00
29830  Elbow arthroscopy                                 A   5.88   6.97NA   6.97    1.08  13.93 13.930090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
29834  Elbow arthroscopy/surgery                         A   6.42   7.32NA   7.32    1.25  14.99 14.990090.10.69.2131210       29830 33.2875 090 99      0.00   0.00   0.00
29835  Elbow arthroscopy/surgery                         A   6.62   7.58NA   7.58    1.36  15.56 15.560090.10.69.2131210       29830 33.2875 090 99      0.00   0.00   0.00
29836  Elbow arthroscopy/surgery                         A   7.72   8.53NA   8.53    1.55  17.80 17.800090.10.69.2131210       29830 33.2875 090 99      0.00   0.00   0.00
29837  Elbow arthroscopy/surgery                         A   7.01   7.62NA   7.62    1.37  16.00 16.000090.10.69.2131210       29830 33.2875 090 99      0.00   0.00   0.00
29838  Elbow arthroscopy/surgery                         A   7.88   8.70NA   8.70    1.55  18.13 18.130090.10.69.2131000       29830 33.2875 090 99      0.00   0.00   0.00
29840  Wrist arthroscopy                                 A   5.68   7.04NA   7.04    1.05  13.77 13.770090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29843  Wrist arthroscopy/surgery                         A   6.15   7.47NA   7.47    1.27  14.89 14.890090.10.69.2131210       29840 33.2875 090 99      0.00   0.00   0.00
29844  Wrist arthroscopy/surgery                         A   6.51   7.48NA   7.48    1.24  15.23 15.230090.10.69.2131200       29840 33.2875 090 99      0.00   0.00   0.00
29845  Wrist arthroscopy/surgery                         A   7.69   8.69NA   8.69    1.50  17.88 17.880090.10.69.2131210       29840 33.2875 090 99      0.00   0.00   0.00
29846  Wrist arthroscopy/surgery                         A   6.89   7.75NA   7.75    1.30  15.94 15.940090.10.69.2131000       29840 33.2875 090 99      0.00   0.00   0.00
29847  Wrist arthroscopy/surgery                         A   7.22   7.89NA   7.89    1.50  16.61 16.610090.10.69.2131200       29840 33.2875 090 99      0.00   0.00   0.00
29848  Wrist endoscopy/surgery                           A   6.39   8.06NA   8.06    1.23  15.68 15.680090.10.69.2121100             33.2875 090 99      0.00   0.00   0.00
29850  Knee arthroscopy/surgery                          A   8.27   9.05NA   9.05    1.71  19.03 19.030090.10.69.2121020             33.2875 090 99      0.00   0.00   0.00
29851  Knee arthroscopy/surgery                          A  13.26  12.15NA  12.15    2.73  28.14 28.140090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
29855  Tibial arthroscopy/surgery                        A  10.76  10.75NA  10.75    2.15  23.66 23.660090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
29856  Tibial arthroscopy/surgery                        A  14.28  12.80NA  12.80    2.93  30.01 30.010090.10.69.2121220             33.2875 090 99      0.00   0.00   0.00
29860  Hip arthroscopy dx                                A   9.00   9.17NA   9.17    1.75  19.92 19.920090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29861  Hip arthro w/fb removal                           A  10.10   9.56NA   9.56    2.00  21.66 21.660090.10.69.2131210       29860 33.2875 090 99      0.00   0.00   0.00
29862  Hip arthr0 w/debridement                          A  11.17  11.34NA  11.34    2.22  24.73 24.730090.10.69.2131210       29860 33.2875 090 99      0.00   0.00   0.00
29863  Hip arthr0 w/synovectomy                          A  11.17  11.33NA  11.33    2.21  24.71 24.710090.10.69.2131210       29860 33.2875 090 99      0.00   0.00   0.00
29866  Autgrft implnt knee w/scope                       A  14.67  14.18NA  14.18    3.02  31.87 31.870090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29867  Allgrft implnt knee w/scope                       A  18.39  16.44NA  16.44    3.79  38.62 38.620090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29868  Meniscal trnspl knee w/scpe                       A  25.10  19.91NA  19.91    5.19  50.20 50.200090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29870  Knee arthroscopy dx                               A   5.19  10.58     6.32    1.03  16.80 12.540090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
29871  Knee arthroscopy/drainage                         A   6.69   7.68NA   7.68    1.35  15.72 15.720090.10.69.2131100       29870 33.2875 090 99      0.00   0.00   0.00
29873  Knee arthroscopy/surgery                          A   6.24   8.94NA   8.94    1.26  16.44 16.440090.10.69.2131110       29870 33.2875 090 99      0.00   0.00   0.00
29874  Knee arthroscopy/surgery                          A   7.19   7.76NA   7.76    1.45  16.40 16.400090.10.69.2131000       29870 33.2875 090 99      0.00   0.00   0.00
29875  Knee arthroscopy/surgery                          A   6.45   7.40NA   7.40    1.30  15.15 15.150090.10.69.2131000       29870 33.2875 090 99      0.00   0.00   0.00
29876  Knee arthroscopy/surgery                          A   8.87   9.21NA   9.21    1.77  19.85 19.850090.10.69.2131100       29870 33.2875 090 99      0.00   0.00   0.00
29877  Knee arthroscopy/surgery                          A   8.30   8.93NA   8.93    1.66  18.89 18.890090.10.69.2131000       29870 33.2875 090 99      0.00   0.00   0.00
29879  Knee arthroscopy/surgery                          A   8.99   9.32NA   9.32    1.81  20.12 20.120090.10.69.2131000       29870 33.2875 090 99      0.00   0.00   0.00
29880  Knee arthroscopy/surgery                          A   7.39   8.25NA   8.25    1.48  17.12 17.120090.10.69.2131010       29870 33.2875 090 99      0.00   0.00   0.00
29881  Knee arthroscopy/surgery                          A   7.03   8.07NA   8.07    1.40  16.50 16.500090.10.69.2131000       29870 33.2875 090 99      0.00   0.00   0.00
29882  Knee arthroscopy/surgery                          A   9.60   9.44NA   9.44    1.86  20.90 20.900090.10.69.2131100       29870 33.2875 090 99      0.00   0.00   0.00
29883  Knee arthroscopy/surgery                          A  11.77  11.38NA  11.38    2.41  25.56 25.560090.10.69.2131000       29870 33.2875 090 99      0.00   0.00   0.00
29884  Knee arthroscopy/surgery                          A   8.28   8.92NA   8.92    1.66  18.86 18.860090.10.69.2131210       29870 33.2875 090 99      0.00   0.00   0.00
29885  Knee arthroscopy/surgery                          A  10.21  10.68NA  10.68    2.11  23.00 23.000090.10.69.2131210       29870 33.2875 090 99      0.00   0.00   0.00
29886  Knee arthroscopy/surgery                          A   8.49   9.17NA   9.17    1.74  19.40 19.400090.10.69.2131100       29870 33.2875 090 99      0.00   0.00   0.00
29887  Knee arthroscopy/surgery                          A  10.16  10.66NA  10.66    2.10  22.92 22.920090.10.69.2131210       29870 33.2875 090 99      0.00   0.00   0.00
29888  Knee arthroscopy/surgery                          A  14.30  12.35NA  12.35    2.77  29.42 29.420090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29889  Knee arthroscopy/surgery                          A  17.41  16.03NA  16.03    3.60  37.04 37.040090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29891  Ankle arthroscopy/surgery                         A   9.67   9.19NA   9.19    1.58  20.44 20.440090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
29892  Ankle arthroscopy/surgery                         A  10.27   7.89NA   7.89    1.25  19.41 19.410090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
29893  Scope plantar fasciotomy                          A   6.32  13.16     6.43    0.54  20.02 13.290090.10.69.2121110             33.2875 090 99      0.00   0.00   0.00
29894  Ankle arthroscopy/surgery                         A   7.35   6.75NA   6.75    1.20  15.30 15.300090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29895  Ankle arthroscopy/surgery                         A   7.13   5.88NA   5.88    1.02  14.03 14.030090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29897  Ankle arthroscopy/surgery                         A   7.32   6.53NA   6.53    1.17  15.02 15.020090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
29898  Ankle arthroscopy/surgery                         A   8.49   7.23NA   7.23    1.24  16.96 16.960090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29899  Ankle arthroscopy/surgery                         A  15.41  12.16NA  12.16    2.75  30.32 30.320090.10.69.2121210             33.2875 090 99      0.00   0.00   0.00
29900  Mcp joint arthroscopy dx                          A   5.88   8.37NA   8.37    1.22  15.47 15.470090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29901  Mcp joint arthroscopy surg                        A   6.59   8.61NA   8.61    1.36  16.56 16.560090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29902  Mcp joint arthroscopy surg                        A   7.16   8.90NA   8.90    1.49  17.55 17.550090.10.69.2121000             33.2875 090 99      0.00   0.00   0.00
29904  Subtalar arthro w/fb rmvl                         A   8.65   9.05NA   9.05    1.77  19.47 19.470090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
29905  Subtalar arthro w/exc                             A   9.18   5.61NA   5.61    0.73  15.52 15.520090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
29906  Subtalar arthro w/deb                             A   9.65   8.64NA   8.64    1.50  19.79 19.790090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
29907  Subtalar arthro w/fusion                          A  12.18  11.92NA  11.92    2.51  26.61 26.610090.10.69.2121200             33.2875 090 99      0.00   0.00   0.00
29914  Hip arthro w/femoroplasty                         A  14.67  12.49NA  12.49    2.82  29.98 29.980090.10.69.2131210       29860 33.2875 090 99      0.00   0.00   0.00
29915  Hip arthro acetabuloplasty                        A  15.00  12.80NA  12.80    2.93  30.73 30.730090.10.69.2131210       29860 33.2875 090 99      0.00   0.00   0.00
29916  Hip arthro w/labral repair                        A  15.00  12.70NA  12.70    2.90  30.60 30.600090.10.69.2131210       29860 33.2875 090 99      0.00   0.00   0.00
29999  Unlisted px arthroscopy                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
30000  Drainage of nose lesion                           A   1.48   6.29     1.97    0.22   7.99  3.670010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
30020  Drainage of nose lesion                           A   1.48   6.44     2.02    0.22   8.14  3.720010.10.80.1020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30100  Intranasal biopsy                                 A   0.94   3.17     0.99    0.13   4.24  2.060000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30110  Removal of nose polyp(s)                          A   1.68   5.60     2.11    0.24   7.52  4.030010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
30115  Removal of nose polyp(s)                          A   4.44   9.03NA   9.03    0.64  14.11 14.110090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
30117  Removal of intranasal lesion                      A   3.91  25.26     8.03    0.56  29.73 12.500090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
30118  Removal of intranasal lesion                      A   7.75  12.54NA  12.54    1.15  21.44 21.440090.10.76.1420110             33.2875 090 99      0.00   0.00   0.00
30120  Revision of nose                                  A   5.39   9.24     6.50    0.79  15.42 12.680090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
30124  Removal of nose lesion                            A   3.20   5.59NA   5.59    0.46   9.25  9.250090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
30125  Removal of nose lesion                            A   7.30  11.43NA  11.43    1.08  19.81 19.810090.10.76.1420200             33.2875 090 99      0.00   0.00   0.00
30130  Excise inferior turbinate                         A   3.47   8.64NA   8.64    0.49  12.60 12.600090.10.76.1421100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30140  Resect inferior turbinate                         A   3.00   5.48     1.90    0.43   8.91  5.330000.00.00.0021100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30150  Partial removal of nose                           A   9.55  13.10NA  13.10    1.51  24.16 24.160090.10.76.1420110             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30160  Removal of nose                                   A   9.99  13.19NA  13.19    1.46  24.64 24.640090.10.76.1420210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30200  Injection treatment of nose                       A   0.78   2.44     0.91    0.11   3.33  1.800000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
3021F  Lvef mod/sever deprs syst                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
30210  Nasal sinus therapy                               A   1.13   3.29     1.84    0.15   4.57  3.120010.10.80.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30220  Insert nasal septal button                        A   1.59   7.34     2.07    0.23   9.16  3.890010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
3023F  Spirom doc rev                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30300  Remove nasal foreign body                         A   1.09   5.09     2.47    0.16   6.34  3.720010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
30310  Remove nasal foreign body                         A   2.01   4.00NA   4.00    0.29   6.30  6.300010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
30320  Remove nasal foreign body                         A   4.64   9.47NA   9.47    0.68  14.79 14.790090.10.76.1420000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30400  Reconstruction of nose                            R  10.86  24.17NA  24.17    2.01  37.04 37.040090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
30410  Reconstruction of nose                            R  14.00  26.01NA  26.01    2.59  42.60 42.600090.10.76.1420200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30420  Reconstruction of nose                            R  16.90  24.40NA  24.40    2.50  43.80 43.800090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
30430  Revision of nose                                  R   8.24  22.64NA  22.64    1.52  32.40 32.400090.10.76.1420200             33.2875 090 99      0.00   0.00   0.00
30435  Revision of nose                                  R  12.73  25.27NA  25.27    2.34  40.34 40.340090.10.76.1420200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30450  Revision of nose                                  R  19.66  29.33NA  29.33    3.63  52.62 52.620090.10.76.1420200             33.2875 090 99      0.00   0.00   0.00
3046F  Hemoglobin a1c level >9.0%                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
30460  Revision of nose                                  A  10.32  12.73NA  12.73    1.90  24.95 24.950090.10.76.1420220             33.2875 090 99      0.00   0.00   0.00
30462  Revision of nose                                  A  20.28  23.88NA  23.88    3.75  47.91 47.910090.10.76.1420220             33.2875 090 99      0.00   0.00   0.00
30465  Repair nasal stenosis                             A  12.36  16.82NA  16.82    1.82  31.00 31.000090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
30468  Rpr nsl vlv collapse w/implt                      A   2.80  71.78     1.86    0.40  74.98  5.060000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
30469  Rpr nsl vlv collapse w/rmdlg                      A   2.44  70.49     1.71    0.36  73.29  4.510000.00.00.0022100             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
3051F  Hg a1c>equal 7.0%<8.0%                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
3052F  Hg a1c>equal 8.0%<equal 9.0%                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
30520  Repair of nasal septum                            A   7.01  12.38NA  12.38    1.04  20.43 20.430090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
30540  Rpr choanal atresia ntranasl                      A   7.92  13.27NA  13.27    1.17  22.36 22.360090.10.76.1420200             33.2875 090 99      0.00   0.00   0.00
30545  Rpr choanal atresia trsnpltn                      A  11.62  16.96NA  16.96    1.69  30.27 30.270090.10.76.1420200             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30560  Lysis intranasal synechia                         A   1.31   8.18     3.07    0.20   9.69  4.580010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
30580  Repair upper jaw fistula                          A   6.88  10.69     6.23    0.73  18.30 13.840090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
3060F  Pos microalbuminuria rev                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
30600  Repair mouth/nose fistula                         A   6.16   8.80     4.81    0.59  15.55 11.560090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
3061F  Neg microalbuminuria rev                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
3062F  Pos macroalbuminuria rev                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
30620  Intranasal reconstruction                         A   6.16  13.36NA  13.36    0.90  20.42 20.420090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
30630  Repair nasal septum defect                        A   7.29  11.86NA  11.86    1.09  20.24 20.240090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
3066F  Nephropathy doc tx                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30801  Ablate inf turbinate superf                       A   1.14   5.28     3.29    0.17   6.59  4.600010.10.80.1022100             33.2875 090 99      0.00   0.00   0.00
30802  Ablate inf turbinate submuc                       A   2.08   6.00     3.74    0.30   8.38  6.120010.10.80.1022100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30901  Control of nosebleed                              A   1.10   3.41     0.40    0.19   4.70  1.690000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
30903  Control of nosebleed                              A   1.54   5.52     0.50    0.26   7.32  2.300000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
30905  Control of nosebleed                              A   1.97   8.19     0.84    0.35  10.51  3.160000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
30906  Repeat control of nosebleed                       A   2.45   8.43     1.11    0.40  11.28  3.960000.00.00.0022100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30915  Ligation nasal sinus artery                       A   7.44   9.72NA   9.72    1.10  18.26 18.260090.10.76.1420100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30920  Ligation upper jaw artery                         A  11.14  13.58NA  13.58    1.62  26.34 26.340090.10.76.1420100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30930  Ther fx nasal inf turbinate                       A   1.31   2.09NA   2.09    0.19   3.59  3.590010.10.80.1022100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
30999  Unlisted procedure nose                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
3100F  Image test ref carot diam                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
31000  Irrigation maxillary sinus                        A   1.20   4.24     1.98    0.17   5.61  3.350010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
31002  Irrigation sphenoid sinus                         A   1.96   3.54NA   3.54    0.21   5.71  5.710010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
31020  Exploration maxillary sinus                       A   3.07   9.23     6.89    0.35  12.65 10.310090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31030  Exploration maxillary sinus                       A   6.01  12.61     8.78    0.71  19.33 15.500090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31032  Explore sinus remove polyps                       A   6.69  10.36NA  10.36    0.91  17.96 17.960090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31040  Exploration behind upper jaw                      A   9.77  13.11NA  13.11    1.47  24.35 24.350090.10.76.1421110             33.2875 090 99      0.00   0.00   0.00
31050  Exploration sphenoid sinus                        A   5.37   9.49NA   9.49    0.78  15.64 15.640090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31051  Sphenoid sinus surgery                            A   7.25  12.66NA  12.66    1.07  20.98 20.980090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31070  Exploration of frontal sinus                      A   4.40   9.37NA   9.37    0.63  14.40 14.400090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31075  Exploration of frontal sinus                      A   9.51  14.12NA  14.12    1.38  25.01 25.010090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31080  Removal of frontal sinus                          A  12.74  18.31NA  18.31    1.85  32.90 32.900090.10.76.1421200             33.2875 090 99      0.00   0.00   0.00
31081  Removal of frontal sinus                          A  14.19  18.99NA  18.99    2.07  35.25 35.250090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31084  Removal of frontal sinus                          A  14.95  19.35NA  19.35    2.18  36.48 36.480090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31085  Removal of frontal sinus                          A  15.64  19.67NA  19.67    2.27  37.58 37.580090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31086  Removal of frontal sinus                          A  14.36  19.07NA  19.07    2.09  35.52 35.520090.10.76.1421200             33.2875 090 99      0.00   0.00   0.00
31087  Removal of frontal sinus                          A  14.57  17.12NA  17.12    2.13  33.82 33.820090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31090  Exploration of sinuses                            A  11.17  20.66NA  20.66    1.63  33.46 33.460090.10.76.1421100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
31200  Removal of ethmoid sinus                          A   5.14  13.31NA  13.31    0.45  18.90 18.900090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31201  Removal of ethmoid sinus                          A   8.60  13.70NA  13.70    1.25  23.55 23.550090.10.76.1421100             33.2875 090 99      0.00   0.00   0.00
31205  Removal of ethmoid sinus                          A  10.58  16.78NA  16.78    0.97  28.33 28.330090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31225  Removal of upper jaw                              A  26.70  23.49NA  23.49    3.88  54.07 54.070090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31230  Removal of upper jaw                              A  30.82  25.01NA  25.01    4.49  60.32 60.320090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
31231  Nasal endoscopy dx                                A   1.10   4.37     0.67    0.16   5.63  1.930000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
31233  Nsl/sins ndsc dx max sinusc                       A   2.18   5.75     1.56    0.32   8.25  4.060000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31235  Nsl/sins ndsc dx sphn sinusc                      A   2.64   6.37     1.77    0.37   9.38  4.780000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31237  Nsl/sins ndsc surg bx polypc                      A   2.60   4.76     1.81    0.38   7.74  4.790000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31238  Nsl/sins ndsc srg nsl hemrrg                      A   2.74   4.39     1.87    0.40   7.53  5.010000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31239  Nsl/sinus endoscopy surg dcr                      A   9.04   8.13NA   8.13    1.01  18.18 18.180010.10.80.1031000       31231 33.2875 090 99      0.00   0.00   0.00
31240  Nsl/sns ndsc cnch bull rescj                      A   2.61   1.77NA   1.77    0.38   4.76  4.760000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31241  Nsl/sns ndsc lig sphnptn art                      A   8.00   4.07NA   4.07    1.20  13.27 13.270000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31242  Nsl/sinus ndsc rf abltj pnn                       A   2.70  71.97     1.62    0.40  75.07  4.720000.00.00.0032100       31231 33.2875 090 99      0.00   0.00   0.00
31243  Nsl/sinus ndsc cryoabltj pnn                      A   2.70  69.77     1.62    0.40  72.87  4.720000.00.00.0032100       31231 33.2875 090 99      0.00   0.00   0.00
31253  Nsl/sins ndsc total                               A   9.00   4.57NA   4.57    1.31  14.88 14.880000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31254  Nsl/sins ndsc w/prtl ethmdct                      A   4.27   8.25     2.37    0.61  13.13  7.250000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31255  Nsl/sins ndsc w/tot ethmdct                       A   5.75   3.05NA   3.05    0.83   9.63  9.630000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31256  Exploration maxillary sinus                       A   3.11   1.82NA   1.82    0.44   5.37  5.370000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31257  Nsl/sins ndsc tot w/sphendt                       A   8.00   4.10NA   4.10    1.18  13.28 13.280000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31259  Nsl/sins ndsc sphn tiss rmvl                      A   8.48   4.32NA   4.32    1.23  14.03 14.030000.00.00.0031100       31231 33.2875 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             33.2875 090 99      0.00   0.00   0.00
31267  Endoscopy maxillary sinus                         A   4.68   2.55NA   2.55    0.69   7.92  7.920000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31276  Nsl/sins ndsc frnt tiss rmvl                      A   6.75   3.53NA   3.53    0.99  11.27 11.270000.00.00.0031100       31231 33.2875 090 99      0.00   0.00   0.00
31287  Nasal/sinus endoscopy surg                        A   3.50   2.00NA   2.00    0.50   6.00  6.000000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31288  Nasal/sinus endoscopy surg                        A   4.10   2.28NA   2.28    0.60   6.98  6.980000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31290  Nasal/sinus endoscopy surg                        A  18.61  12.78NA  12.78    2.85  34.24 34.240010.10.80.1031000       31231 33.2875 090 99      0.00   0.00   0.00
31291  Nasal/sinus endoscopy surg                        A  19.56  13.51NA  13.51    3.66  36.73 36.730010.10.80.1031000       31231 33.2875 090 99      0.00   0.00   0.00
31292  Nsl/sins ndsc med/inf dcmprn                      A  15.90  11.48NA  11.48    2.29  29.67 29.670010.10.80.1031000       31231 33.2875 090 99      0.00   0.00   0.00
31293  Nsl/sins ndsc med&inf dcmprn                      A  17.47  12.20NA  12.20    2.55  32.22 32.220010.10.80.1031000       31231 33.2875 090 99      0.00   0.00   0.00
31294  Nsl/sins ndsc surg on dcmprn                      A  20.31  13.52NA  13.52    2.95  36.78 36.780010.10.80.1031000       31231 33.2875 090 99      0.00   0.00   0.00
31295  Nsl/sins ndsc surg max sins                       A   2.70  46.20     1.62    0.39  49.29  4.710000.00.00.0031200       31231 33.2875 090 99      0.00   0.00   0.00
31296  Nsl/sins ndsc surg frnt sins                      A   3.10  46.50     1.81    0.44  50.04  5.350000.00.00.0031200       31231 33.2875 090 99      0.00   0.00   0.00
31297  Nsl/sins ndsc surg sphn sins                      A   2.44  46.06     1.50    0.36  48.86  4.300000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31298  Nsl/sins ndsc surg frnt&sphn                      A   4.50  87.52     2.47    0.66  92.68  7.630000.00.00.0031000       31231 33.2875 090 99      0.00   0.00   0.00
31299  Unlisted px accessory sinus                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 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             33.2875 090 99      0.00   0.00   0.00
31300  Removal of larynx lesion                          A  15.91  19.40NA  19.40    2.31  37.62 37.620090.10.76.1420210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
31360  Removal of larynx                                 A  29.91  27.32NA  27.32    4.43  61.66 61.660090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31365  Removal of larynx                                 A  38.81  31.51NA  31.51    5.68  76.00 76.000090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31367  Partial removal of larynx                         A  30.57  30.15NA  30.15    4.45  65.17 65.170090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31368  Partial removal of larynx                         A  34.19  32.86NA  32.86    4.98  72.03 72.030090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31370  Partial removal of larynx                         A  27.57  29.58NA  29.58    4.02  61.17 61.170090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31375  Partial removal of larynx                         A  26.07  28.29NA  28.29    3.80  58.16 58.160090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31380  Partial removal of larynx                         A  25.57  28.06NA  28.06    3.73  57.36 57.360090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31382  Partial removal of larynx                         A  28.57  30.05NA  30.05    4.17  62.79 62.790090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31390  Removal of larynx & pharynx                       A  42.51  35.12NA  35.12    6.20  83.83 83.830090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31395  Reconstruct larynx & pharynx                      A  43.80  37.75NA  37.75    6.39  87.94 87.940090.10.76.1420210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
31400  Revision of larynx                                A  11.60  17.20NA  17.20    1.69  30.49 30.490090.10.76.1420200             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
31420  Removal of epiglottis                             A  11.43  11.99NA  11.99    1.67  25.09 25.090090.10.76.1420210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
31500  Insert emergency airway                           A   3.00   0.74NA   0.74    0.43   4.17  4.170000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
31502  Change of windpipe airway                         A   0.65   0.30NA   0.30    0.09   1.04  1.040000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31505  Diagnostic laryngoscopy                           A   0.61   2.01     0.80    0.08   2.70  1.490000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31510  Laryngoscopy with biopsy                          A   1.92   4.31     1.44    0.27   6.50  3.630000.00.00.0030000       31505 33.2875 090 99      0.00   0.00   0.00
31511  Remove foreign body larynx                        A   2.16   3.87     1.55    0.32   6.35  4.030000.00.00.0030100       31505 33.2875 090 99      0.00   0.00   0.00
31512  Removal of larynx lesion                          A   2.07   4.17     1.51    0.30   6.54  3.880000.00.00.0030000       31505 33.2875 090 99      0.00   0.00   0.00
31513  Injection into vocal cord                         A   2.10   1.52NA   1.52    0.31   3.93  3.930000.00.00.0030000       31505 33.2875 090 99      0.00   0.00   0.00
31515  Laryngoscopy for aspiration                       A   1.80   4.36     1.28    0.24   6.40  3.320000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31520  Dx laryngoscopy newborn                           A   2.56   1.74NA   1.74    0.38   4.68  4.680000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
31525  Dx laryngoscopy excl nb                           A   2.63   4.52     1.77    0.39   7.54  4.790000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31526  Dx laryngoscopy w/oper scope                      A   2.57   1.74NA   1.74    0.38   4.69  4.690000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31527  Laryngoscopy for treatment                        A   3.27   2.07NA   2.07    0.47   5.81  5.810000.00.00.0030000       31525 33.2875 090 99      0.00   0.00   0.00
31528  Laryngoscopy and dilation                         A   2.37   1.59NA   1.59    0.35   4.31  4.310000.00.00.0030000       31525 33.2875 090 99      0.00   0.00   0.00
31529  Laryngoscopy and dilation                         A   2.68   1.74NA   1.74    0.39   4.81  4.810000.00.00.0030000       31525 33.2875 090 99      0.00   0.00   0.00
31530  Laryngoscopy w/fb removal                         A   3.38   2.04NA   2.04    0.51   5.93  5.930000.00.00.0030100       31525 33.2875 090 99      0.00   0.00   0.00
31531  Laryngoscopy w/fb & op scope                      A   3.58   2.20NA   2.20    0.51   6.29  6.290000.00.00.0030000       31526 33.2875 090 99      0.00   0.00   0.00
31535  Laryngoscopy w/biopsy                             A   3.16   2.02NA   2.02    0.46   5.64  5.640000.00.00.0030100       31525 33.2875 090 99      0.00   0.00   0.00
31536  Laryngoscopy w/bx & op scope                      A   3.55   2.20NA   2.20    0.51   6.26  6.260000.00.00.0030100       31526 33.2875 090 99      0.00   0.00   0.00
31540  Laryngoscopy w/exc of tumor                       A   4.12   2.46NA   2.46    0.60   7.18  7.180000.00.00.0030100       31525 33.2875 090 99      0.00   0.00   0.00
31541  Larynscop w/tumr exc + scope                      A   4.52   2.65NA   2.65    0.66   7.83  7.830000.00.00.0030100       31526 33.2875 090 99      0.00   0.00   0.00
31545  Remove vc lesion w/scope                          A   6.30   3.54NA   3.54    0.92  10.76 10.760000.00.00.0031100       31526 33.2875 090 99      0.00   0.00   0.00
31546  Remove vc lesion scope/graft                      A   9.73   5.14NA   5.14    1.43  16.30 16.300000.00.00.0031100       31526 33.2875 090 99      0.00   0.00   0.00
3155F  Cytogen test marrow b/4 tx                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
31551  Laryngoplasty laryngeal sten                      A  21.50  21.78NA  21.78    3.14  46.42 46.420090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31552  Laryngoplasty laryngeal sten                      A  20.50  21.34NA  21.34    2.97  44.81 44.810090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31553  Laryngoplasty laryngeal sten                      A  22.00  25.34NA  25.34    3.21  50.55 50.550090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31554  Laryngoplasty laryngeal sten                      A  22.00  25.36NA  25.36    3.21  50.57 50.570090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31560  Laryngoscop w/arytenoidectom                      A   5.45   3.04NA   3.04    0.79   9.28  9.280000.00.00.0030000       31525 33.2875 090 99      0.00   0.00   0.00
31561  Larynscop remve cart + scop                       A   5.99   3.29NA   3.29    0.87  10.15 10.150000.00.00.0030000       31526 33.2875 090 99      0.00   0.00   0.00
31570  Laryngoscope w/vc inj                             A   3.86   5.87     2.36    0.61  10.34  6.830000.00.00.0030100       31525 33.2875 090 99      0.00   0.00   0.00
31571  Laryngoscop w/vc inj + scope                      A   4.26   2.53NA   2.53    0.62   7.41  7.410000.00.00.0030100       31526 33.2875 090 99      0.00   0.00   0.00
31572  Largsc w/laser dstrj les                          A   3.01  12.27     1.95    0.43  15.71  5.390000.00.00.0031000       31575 33.2875 090 99      0.00   0.00   0.00
31573  Largsc w/ther injection                           A   2.43   5.87     1.67    0.35   8.65  4.450000.00.00.0031000       31575 33.2875 090 99      0.00   0.00   0.00
31574  Largsc w/njx augmentation                         A   2.43  25.23     1.68    0.36  28.02  4.470000.00.00.0031000       31575 33.2875 090 99      0.00   0.00   0.00
31575  Diagnostic laryngoscopy                           A   0.94   2.80     0.98    0.14   3.88  2.060000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31576  Laryngoscopy with biopsy                          A   1.89   5.98     1.42    0.27   8.14  3.580000.00.00.0030100       31575 33.2875 090 99      0.00   0.00   0.00
31577  Largsc w/rmvl foreign bdy(s)                      A   2.19   5.71     1.47    0.33   8.23  3.990000.00.00.0030000       31575 33.2875 090 99      0.00   0.00   0.00
31578  Largsc w/removal lesion                           A   2.43   6.43     1.68    0.36   9.22  4.470000.00.00.0030000       31575 33.2875 090 99      0.00   0.00   0.00
31579  Laryngoscopy telescopic                           A   1.88   3.82     1.45    0.25   5.95  3.580000.00.00.0030100       31575 33.2875 090 99      0.00   0.00   0.00
31580  Laryngoplasty laryngeal web                       A  14.60  21.90NA  21.90    2.13  38.63 38.630090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31584  Laryngoplasty fx rdctj fixj                       A  17.58  22.30NA  22.30    2.57  42.45 42.450090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31587  Laryngoplasty cricoid split                       A  15.27  18.89NA  18.89    2.22  36.38 36.380090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31590  Reinnervate larynx                                A   7.85  18.90NA  18.90    1.16  27.91 27.910090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31591  Laryngoplasty medialization                       A  13.56  17.63NA  17.63    2.00  33.19 33.190090.10.76.1421010             33.2875 090 99      0.00   0.00   0.00
31592  Cricotracheal resection                           A  25.00  23.44NA  23.44    3.64  52.08 52.080090.10.76.1420010             33.2875 090 99      0.00   0.00   0.00
31599  Unlisted procedure larynx                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
3160F  Doc fe+ stores b/4 epo thx                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
31600  Incision of windpipe                              A   5.56   2.43NA   2.43    1.08   9.07  9.070000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31601  Incision of windpipe                              A   8.00   4.23NA   4.23    1.18  13.41 13.410000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
31603  Incision of windpipe                              A   6.00   2.39NA   2.39    1.12   9.51  9.510000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31605  Incision of windpipe                              A   6.45   2.08NA   2.08    1.26   9.79  9.790000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31610  Incision of windpipe                              A  12.00  14.97NA  14.97    1.84  28.81 28.810090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
31611  Surgery/speech prosthesis                         A   6.00   9.31NA   9.31    0.90  16.21 16.210090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31612  Puncture/clear windpipe                           A   0.91   1.75     0.38    0.14   2.80  1.430000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
31613  Repair windpipe opening                           A   4.71   7.32NA   7.32    0.77  12.80 12.800090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
31614  Repair windpipe opening                           A   8.63  11.53NA  11.53    1.32  21.48 21.480090.10.76.1420100             33.2875 090 99      0.00   0.00   0.00
31615  Visualization of windpipe                         A   1.84   3.09     1.37    0.25   5.18  3.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31622  Dx bronchoscope/wash                              A   2.53   4.64     1.06    0.31   7.48  3.900000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31623  Dx bronchoscope/brush                             A   2.63   5.35     1.01    0.23   8.21  3.870000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31624  Dx bronchoscope/lavage                            A   2.63   4.77     1.05    0.24   7.64  3.920000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31625  Bronchoscopy w/biopsy(s)                          A   3.11   7.02     1.17    0.30  10.43  4.580000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31626  Bronchoscopy w/markers                            A   3.91  19.07     1.41    0.46  23.44  5.780000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
31627  Navigational bronchoscopy                         A   2.00  29.60     0.61    0.21  31.81  2.820ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
31628  Bronchoscopy/lung bx each                         A   3.55   7.25     1.29    0.31  11.11  5.150000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31629  Bronchoscopy/needle bx each                       A   3.75   9.41     1.36    0.36  13.52  5.470000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31630  Bronchoscopy dilate/fx repr                       A   3.81   1.55NA   1.55    0.46   5.82  5.820000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31631  Bronchoscopy dilate w/stent                       A   4.36   1.75NA   1.75    0.52   6.63  6.630000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31632  Bronchoscopy/lung bx addl                         A   1.03   0.81     0.31    0.09   1.93  1.430ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
31633  Bronchoscopy/needle bx addl                       A   1.32   0.95     0.39    0.13   2.40  1.840ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
31634  Bronch w/balloon occlusion                        A   3.75  39.70     1.39    0.37  43.82  5.510000.00.00.0030200       31622 33.2875 090 99      0.00   0.00   0.00
31635  Bronchoscopy w/fb removal                         A   3.42   4.97     1.35    0.38   8.77  5.150000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31636  Bronchoscopy bronch stents                        A   4.30   1.58NA   1.58    0.46   6.34  6.340000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31637  Bronchoscopy stent add-on                         A   1.58   0.49NA   0.49    0.15   2.22  2.220ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
31638  Bronchoscopy revise stent                         A   4.88   1.82NA   1.82    0.50   7.20  7.200000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31640  Bronchoscopy w/tumor excise                       A   4.93   1.81NA   1.81    0.50   7.24  7.240000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31641  Bronchoscopy treat blockage                       A   5.02   1.89NA   1.89    0.53   7.44  7.440000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31643  Diag bronchoscope/catheter                        A   3.49   1.20NA   1.20    0.27   4.96  4.960000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31645  Brnchsc w/ther aspir 1st                          A   2.88   5.04     1.15    0.29   8.21  4.320000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31646  Brnchsc w/ther aspir sbsq                         A   2.78   1.12NA   1.12    0.27   4.17  4.170000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31647  Bronchial valve init insert                       A   4.15   1.48NA   1.48    0.38   6.01  6.010000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31648  Bronchial valve remov init                        A   3.95   1.47NA   1.47    0.38   5.80  5.800000.00.00.0030100       31622 33.2875 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             33.2875 090 99      0.00   0.00   0.00
31651  Bronchial valve addl insert                       A   1.58   0.49     0.49    0.15   2.22  2.220ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
31652  Bronch ebus samplng 1/2 node                      A   4.46  32.22     1.57    0.42  37.10  6.450000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31653  Bronch ebus samplng 3/> node                      A   4.96  33.07     1.71    0.48  38.51  7.150000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31654  Bronch ebus ivntj perph les                       A   1.40   2.07     0.43    0.13   3.60  1.960ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
31660  Bronch thermoplsty 1 lobe                         A   4.00   1.23NA   1.23    0.32   5.55  5.550000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
31661  Bronch thermoplsty 2/> lobes                      A   4.25   1.27NA   1.27    0.34   5.86  5.860000.00.00.0030100       31622 33.2875 090 99      0.00   0.00   0.00
3170F  Baselin flo cytometry b/4 tx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
31717  Bronchial brush biopsy                            A   2.12   6.26     0.83    0.17   8.55  3.120000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31720  Clearance of airways                              A   1.06   0.29NA   0.29    0.08   1.43  1.430000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31725  Clearance of airways                              A   1.71   0.47NA   0.47    0.14   2.32  2.320000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31730  Intro windpipe wire/tube                          A   2.85  27.98     0.96    0.58  31.41  4.390000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
31750  Repair of windpipe                                A  15.39  22.95NA  22.95    2.24  40.58 40.580090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31755  Repair of windpipe                                A  17.54  31.93NA  31.93    2.56  52.03 52.030090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31760  Repair of windpipe                                A  23.48  11.49NA  11.49    5.80  40.77 40.770090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31766  Reconstruction of windpipe                        A  31.67  12.93NA  12.93    7.83  52.43 52.430090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31770  Repair/graft of bronchus                          A  23.54   9.89NA   9.89    5.81  39.24 39.240090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31775  Reconstruct bronchus                              A  24.59  10.68NA  10.68    6.08  41.35 41.350090.10.76.1420200             33.2875 090 99      0.00   0.00   0.00
31780  Reconstruct windpipe                              A  19.84  13.26NA  13.26    2.88  35.98 35.980090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31781  Reconstruct windpipe                              A  24.85  14.61NA  14.61    3.62  43.08 43.080090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31785  Remove windpipe lesion                            A  18.35  11.19NA  11.19    2.68  32.22 32.220090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31786  Remove windpipe lesion                            A  25.42  10.91NA  10.91    6.28  42.61 42.610090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31800  Repair of windpipe injury                         A   8.18  11.90NA  11.90    1.21  21.29 21.290090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
31805  Repair of windpipe injury                         A  13.42   7.61NA   7.61    3.32  24.35 24.350090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
31820  Closure of windpipe lesion                        A   4.64   8.09     4.70    0.72  13.45 10.060090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
31825  Repair of windpipe defect                         A   7.07  10.46     6.57    1.06  18.59 14.700090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
31830  Revise windpipe scar                              A   4.62   9.70     5.85    0.68  15.00 11.150090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
31899  Unlisted px trachea bronchi                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32035  Thoracostomy w/rib resection                      A  11.29   7.85NA   7.85    2.78  21.92 21.920090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32036  Thoracostomy w/flap drainage                      A  12.30   8.35NA   8.35    2.96  23.61 23.610090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32096  Open wedge/bx lung infiltr                        A  13.75   6.64NA   6.64    3.33  23.72 23.720090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32097  Open wedge/bx lung nodule                         A  13.75   6.68NA   6.68    3.33  23.76 23.760090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32098  Open biopsy of lung pleura                        A  12.91   6.47NA   6.47    3.09  22.47 22.470090.10.76.1420210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32100  Exploration of chest                              A  13.75   7.05NA   7.05    3.27  24.07 24.070090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32110  Explore/repair chest                              A  25.28  12.49NA  12.49    6.04  43.81 43.810090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32120  Re-exploration of chest                           A  14.39   8.06NA   8.06    3.49  25.94 25.940090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32124  Explore chest free adhesions                      A  15.45   8.31NA   8.31    3.63  27.39 27.390090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32140  Removal of lung lesion(s)                         A  16.66   8.64NA   8.64    4.11  29.41 29.410090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32141  Remove/treat lung lesions                         A  27.18  11.21NA  11.21    6.53  44.92 44.920090.10.76.1420210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32150  Removal of lung lesion(s)                         A  16.82   9.34NA   9.34    4.06  30.22 30.220090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32151  Remove lung foreign body                          A  16.94   8.72NA   8.72    4.18  29.84 29.840090.10.76.1420210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32160  Open chest heart massage                          A  13.10   7.59NA   7.59    3.04  23.73 23.730090.10.76.1420210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32200  Drain open lung lesion                            A  18.68  10.61NA  10.61    4.60  33.89 33.890090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32215  Treat chest lining                                A  13.05   7.62NA   7.62    3.22  23.89 23.890090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32220  Release of lung                                   A  26.65  14.29NA  14.29    6.48  47.42 47.420090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32225  Partial release of lung                           A  16.75   8.73NA   8.73    4.04  29.52 29.520090.10.76.1421210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32310  Removal of chest lining                           A  15.28   8.24NA   8.24    3.77  27.29 27.290090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32320  Free/remove chest lining                          A  27.25  13.70NA  13.70    6.61  47.56 47.560090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32400  Needle biopsy chest lining                        A   1.76   3.10     0.52    0.18   5.04  2.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
32408  Core ndl bx lng/med perq                          A   3.18  21.68     0.96    0.32  25.18  4.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
32440  Remove lung pneumonectomy                         A  27.28  12.42NA  12.42    6.70  46.40 46.400090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32442  Sleeve pneumonectomy                              A  56.47  19.37NA  19.37   13.99  89.83 89.830090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32445  Removal of lung extrapleural                      A  63.84  24.37NA  24.37   15.81 104.02104.020090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32480  Partial removal of lung                           A  25.82  11.65NA  11.65    6.27  43.74 43.740090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32482  Bilobectomy                                       A  27.44  12.62NA  12.62    6.69  46.75 46.750090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32484  Segmentectomy                                     A  25.38  10.78NA  10.78    6.18  42.34 42.340090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32486  Sleeve lobectomy                                  A  42.88  15.42NA  15.42   10.64  68.94 68.940090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32488  Completion pneumonectomy                          A  42.99  16.88NA  16.88   10.65  70.52 70.520090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32491  Lung volume reduction                             R  25.24  12.16NA  12.16    6.23  43.63 43.630090.10.76.1421210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32501  Repair bronchus add-on                            A   4.68   1.29NA   1.29    1.17   7.14  7.140ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
32503  Resect apical lung tumor                          A  31.74  13.42NA  13.42    7.84  53.00 53.000090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32504  Resect apical lung tum/chest                      A  36.54  14.75NA  14.75    9.06  60.35 60.350090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32505  Wedge resect of lung initial                      A  15.75   8.03NA   8.03    3.83  27.61 27.610090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32506  Wedge resect of lung add-on                       A   3.00   0.85NA   0.85    0.73   4.58  4.580ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
32507  Wedge resect of lung diag                         A   3.00   0.84NA   0.84    0.73   4.57  4.570ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
32540  Removal of lung lesion                            A  30.35  13.21NA  13.21    7.52  51.08 51.080090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32550  Insert pleural cath                               A   3.92  18.58     1.54    0.54  23.04  6.000000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
32551  Insertion of chest tube                           A   3.04   1.02NA   1.02    0.53   4.59  4.590000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
32552  Remove lung catheter                              A   2.53   2.56     1.76    0.37   5.46  4.660010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
32553  Ins mark thor for rt perq                         A   3.55  11.13     1.22    0.36  15.04  5.130000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
32554  Aspirate pleura w/o imaging                       A   1.82   4.98     0.58    0.21   7.01  2.610000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
32555  Aspirate pleura w/ imaging                        A   2.27   6.86     0.71    0.22   9.35  3.200000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
32556  Insert cath pleura w/o image                      A   2.50  19.23     0.79    0.37  22.10  3.660000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
32557  Insert cath pleura w/ image                       A   3.12  16.17     0.94    0.31  19.60  4.370000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
32560  Treat pleurodesis w/agent                         A   1.54   5.78     0.46    0.24   7.56  2.240000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
32561  Lyse chest fibrin init day                        A   1.39   1.29     0.43    0.16   2.84  1.980000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
32562  Lyse chest fibrin subq day                        A   1.24   1.16     0.39    0.14   2.54  1.770000.00.00.0020200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32601  Thoracoscopy diagnostic                           A   5.50   2.27NA   2.27    1.32   9.09  9.090000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
32604  Thoracoscopy wbx sac                              A   8.77   3.17NA   3.17    2.17  14.11 14.110000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
32606  Thoracoscopy w/bx med space                       A   8.39   3.14NA   3.14    2.06  13.59 13.590000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
32607  Thoracoscopy w/bx infiltrate                      A   5.50   2.25NA   2.25    1.32   9.07  9.070000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
32608  Thoracoscopy w/bx nodule                          A   6.84   2.63NA   2.63    1.68  11.15 11.150000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
32609  Thoracoscopy w/bx pleura                          A   4.58   1.98NA   1.98    0.99   7.55  7.550000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32650  Thoracoscopy w/pleurodesis                        A  10.83   6.48NA   6.48    2.58  19.89 19.890090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32651  Thoracoscopy remove cortex                        A  18.78   9.08NA   9.08    4.57  32.43 32.430090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32652  Thoracoscopy rem totl cortex                      A  29.13  12.86NA  12.86    7.14  49.13 49.130090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32653  Thoracoscopy remov fb/fibrin                      A  18.17   8.93NA   8.93    4.24  31.34 31.340090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32654  Thoracoscopy contrl bleeding                      A  20.52   9.76NA   9.76    4.73  35.01 35.010090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32655  Thoracoscopy resect bullae                        A  16.17   8.25NA   8.25    3.95  28.37 28.370090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32656  Thoracoscopy w/pleurectomy                        A  13.26   7.37NA   7.37    3.23  23.86 23.860090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32658  Thoracoscopy w/sac fb remove                      A  11.71   6.66NA   6.66    2.88  21.25 21.250090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
32659  Thoracoscopy w/sac drainage                       A  11.94   7.00NA   7.00    2.90  21.84 21.840090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32661  Thoracoscopy w/pericard exc                       A  13.33   7.09NA   7.09    3.30  23.72 23.720090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
32662  Thoracoscopy w/mediast exc                        A  14.99   7.85NA   7.85    3.69  26.53 26.530090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
32663  Thoracoscopy w/lobectomy                          A  24.64  10.60NA  10.60    6.05  41.29 41.290090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
32664  Thoracoscopy w/ th nrv exc                        A  14.28   7.36NA   7.36    3.53  25.17 25.170090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
32665  Thoracoscop w/esoph musc exc                      A  21.53   9.56NA   9.56    5.31  36.40 36.400090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
32666  Thoracoscopy w/wedge resect                       A  14.50   7.76NA   7.76    3.56  25.82 25.820090.10.76.1421210             33.2875 090 99      0.00   0.00   0.00
32667  Thoracoscopy w/w resect addl                      A   3.00   0.85NA   0.85    0.74   4.59  4.590ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
32668  Thoracoscopy w/w resect diag                      A   3.00   0.85NA   0.85    0.74   4.59  4.590ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
32669  Thoracoscopy remove segment                       A  23.53  10.33NA  10.33    5.79  39.65 39.650090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32670  Thoracoscopy bilobectomy                          A  28.52  11.77NA  11.77    6.92  47.21 47.210090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32671  Thoracoscopy pneumonectomy                        A  31.92  12.44NA  12.44    7.89  52.25 52.250090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32672  Thoracoscopy for lvrs                             A  27.00  11.15NA  11.15    6.65  44.80 44.800090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32673  Thoracoscopy w/thymus resect                      A  21.13   9.62NA   9.62    5.19  35.94 35.940090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
32674  Thoracoscopy lymph node exc                       A   4.12   1.16NA   1.16    1.03   6.31  6.310ZZZ.00.00.0000210             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32701  Thorax stereo rad targetw/tx                      A   4.18   1.19NA   1.19    0.79   6.16  6.162XXX.00.00.0000010             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32800  Repair lung hernia                                A  15.71   8.38NA   8.38    3.88  27.97 27.970090.10.76.1420210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32810  Close chest after drainage                        A  14.95   8.15NA   8.15    3.70  26.80 26.800090.10.76.1420200             33.2875 090 99      0.00   0.00   0.00
32815  Close bronchial fistula                           A  50.03  20.32NA  20.32   12.28  82.63 82.630090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32820  Reconstruct injured chest                         A  22.51  11.45NA  11.45    5.56  39.52 39.520090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
3284F  Iop red >=15% pre-ntrv lvl                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
3285F  Iop down <15% of pre-svc lvl                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32851  Lung transplant single                            A  59.64  22.12NA  22.12   14.64  96.40 96.400090.10.76.1420212             33.2875 090 99      0.00   0.00   0.00
32852  Lung transplant with bypass                       A  65.50  23.06NA  23.06   15.17 103.73103.730090.10.76.1420212             33.2875 090 99      0.00   0.00   0.00
32853  Lung transplant double                            A  84.48  29.45NA  29.45   20.73 134.66134.660090.10.76.1422212             33.2875 090 99      0.00   0.00   0.00
32854  Lung transplant with bypass                       A  90.00  30.57NA  30.57   21.99 142.56142.560090.10.76.1422212             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
3288F  Fall risk assessment docd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32900  Removal of rib(s)                                 A  23.81  10.58NA  10.58    5.89  40.28 40.280090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32905  Revise & repair chest wall                        A  23.29  10.44NA  10.44    5.75  39.48 39.480090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32906  Revise & repair chest wall                        A  29.30  12.09NA  12.09    7.26  48.65 48.650090.10.76.1420210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
32940  Revision of lung                                  A  21.34   9.90NA   9.90    5.26  36.50 36.500090.10.76.1420210             33.2875 090 99      0.00   0.00   0.00
32960  Therapeutic pneumothorax                          A   1.84   1.80     0.68    0.15   3.79  2.670000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
32994  Ablate pulm tumor perq crybl                      A   9.03 132.36     2.77    0.97 142.36 12.770000.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
32997  Total lung lavage                                 A   7.31   2.00NA   2.00    0.57   9.88  9.880000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
32998  Ablate pulm tumor perq rf                         A   9.03  80.90     2.79    0.97  90.90 12.790000.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
32999  Unlisted px lungs & pleura                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33016  Pericardiocentesis w/imaging                      A   4.40   1.50NA   1.50    0.97   6.87  6.870000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33017  Prcrd drg 6yr+ w/o cgen car                       A   4.62   1.59NA   1.59    1.04   7.25  7.250000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33018  Prcrd drg 0-5yr or w/anomly                       A   5.40   1.83NA   1.83    1.24   8.47  8.470000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33019  Perq prcrd drg insj cath ct                       A   4.29   1.34NA   1.34    0.52   6.15  6.150000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33020  Incision of heart sac                             A  14.31   6.70NA   6.70    3.36  24.37 24.370090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33025  Incision of heart sac                             A  13.20   6.44NA   6.44    3.17  22.81 22.810090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33030  Partial removal of heart sac                      A  36.00  14.24NA  14.24    8.68  58.92 58.920090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33031  Partial removal of heart sac                      A  45.00  16.89NA  16.89   10.86  72.75 72.750090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33050  Resect heart sac lesion                           A  16.97   8.71NA   8.71    4.19  29.87 29.870090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33120  Removal of heart lesion                           A  38.45  13.79NA  13.79    9.22  61.46 61.460090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33130  Removal of heart lesion                           A  24.17  10.42NA  10.42    5.59  40.18 40.180090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33140  Heart revascularize (tmr)                         A  28.34  10.74NA  10.74    6.56  45.64 45.640090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33141  Heart tmr w/other procedure                       A   2.54   0.70NA   0.70    0.62   3.86  3.860ZZZ.00.00.0000210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33202  Insert epicard eltrd open                         A  13.20   6.44NA   6.44    3.17  22.81 22.810090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33203  Insert epicard eltrd endo                         A  13.97   6.54NA   6.54    3.46  23.97 23.970090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33206  Insert heart pm atrial                            A   7.14   4.66NA   4.66    1.61  13.41 13.410090.09.84.0720120             33.2875 090 99      0.00   0.00   0.00
33207  Insert heart pm ventricular                       A   7.80   4.52NA   4.52    1.77  14.09 14.090090.09.84.0720120             33.2875 090 99      0.00   0.00   0.00
33208  Insrt heart pm atrial & vent                      A   8.52   4.80NA   4.80    1.93  15.25 15.250090.09.84.0720120             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33210  Insert electrd/pm cath sngl                       A   3.05   1.04NA   1.04    0.63   4.72  4.720000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33211  Insert card electrodes dual                       A   3.14   1.13NA   1.13    0.67   4.94  4.940000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33212  Insert pulse gen sngl lead                        A   5.01   3.39NA   3.39    1.15   9.55  9.550090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33213  Insert pulse gen dual leads                       A   5.28   3.51NA   3.51    1.21  10.00 10.000090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33214  Upgrade of pacemaker system                       A   7.59   4.84NA   4.84    1.70  14.13 14.130090.09.84.0720020             33.2875 090 99      0.00   0.00   0.00
33215  Reposition pacing-defib lead                      A   4.92   3.12NA   3.12    1.13   9.17  9.170090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33216  Insert 1 electrode pm-defib                       A   5.62   4.09NA   4.09    1.27  10.98 10.980090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33217  Insert 2 electrode pm-defib                       A   5.59   4.04NA   4.04    1.27  10.90 10.900090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33218  Repair lead pace-defib one                        A   5.82   4.38NA   4.38    1.32  11.52 11.520090.09.84.0720100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33220  Repair lead pace-defib dual                       A   5.90   4.00NA   4.00    1.36  11.26 11.260090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33221  Insert pulse gen mult leads                       A   5.55   3.76NA   3.76    1.25  10.56 10.560090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33222  Relocation pocket pacemaker                       A   4.85   4.21NA   4.21    1.12  10.18 10.180090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33223  Relocate pocket for defib                         A   6.30   4.34NA   4.34    1.45  12.09 12.090090.09.84.0720000             33.2875 090 99      0.00   0.00   0.00
33224  Insert pacing lead & connect                      A   9.04   3.90NA   3.90    2.05  14.99 14.990000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33225  L ventric pacing lead add-on                      A   8.33   3.29NA   3.29    1.89  13.51 13.510ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
33226  Reposition l ventric lead                         A   8.68   3.67NA   3.67    2.00  14.35 14.350000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33227  Remove&replace pm gen singl                       A   5.25   3.57NA   3.57    1.21  10.03 10.030090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33228  Remv&replc pm gen dual lead                       A   5.52   3.69NA   3.69    1.26  10.47 10.470090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33229  Remv&replc pm gen mult leads                      A   5.79   3.90NA   3.90    1.32  11.01 11.010090.09.84.0720100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33230  Insrt pulse gen w/dual leads                      A   6.07   3.58NA   3.58    1.40  11.05 11.050090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33231  Insrt pulse gen w/mult leads                      A   6.34   4.07NA   4.07    1.43  11.84 11.840090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33233  Removal of pm generator                           A   3.14   3.06NA   3.06    0.72   6.92  6.920090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33234  Removal of pacemaker system                       A   7.66   4.89NA   4.89    1.73  14.28 14.280090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33235  Removal pacemaker electrode                       A   9.90   6.61NA   6.61    2.26  18.77 18.770090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33236  Remove electrode/thoracotomy                      A  12.73   7.55NA   7.55    2.92  23.20 23.200090.09.84.0720020             33.2875 090 99      0.00   0.00   0.00
33237  Remove electrode/thoracotomy                      A  13.84   7.85NA   7.85    3.20  24.89 24.890090.09.84.0720020             33.2875 090 99      0.00   0.00   0.00
33238  Remove electrode/thoracotomy                      A  15.40   9.15NA   9.15    3.61  28.16 28.160090.09.84.0720020             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33240  Insrt pulse gen w/singl lead                      A   5.80   3.75NA   3.75    1.33  10.88 10.880090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33241  Remove pulse generator                            A   3.04   2.63NA   2.63    0.70   6.37  6.370090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33243  Remove eltrd/thoracotomy                          A  23.57  11.41NA  11.41    5.67  40.65 40.650090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33244  Remove elctrd transvenously                       A  13.74   8.54NA   8.54    3.16  25.44 25.440090.09.84.0720110             33.2875 090 99      0.00   0.00   0.00
33249  Insj/rplcmt defib w/lead(s)                       A  14.92   8.53NA   8.53    3.40  26.85 26.850090.09.84.0720110             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33250  Ablate heart dysrhythm focus                      A  25.90  10.88NA  10.88    6.00  42.78 42.780090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33251  Ablate heart dysrhythm focus                      A  28.92  11.99NA  11.99    7.16  48.07 48.070090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33254  Ablate atria lmtd                                 A  23.71  10.78NA  10.78    5.72  40.21 40.210090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33255  Ablate atria w/o bypass ext                       A  29.04  11.98NA  11.98    6.71  47.73 47.730090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33256  Ablate atria w/bypass exten                       A  34.90  13.54NA  13.54    8.07  56.51 56.510090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33257  Ablate atria lmtd add-on                          A   9.63   5.32NA   5.32    2.30  17.25 17.250ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33258  Ablate atria x10sv add-on                         A  11.00   5.62NA   5.62    2.54  19.16 19.160ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33259  Ablate atria w/bypass add-on                      A  14.14   7.56NA   7.56    3.36  25.06 25.060ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33261  Ablate heart dysrhythm focus                      A  28.92  11.69NA  11.69    6.68  47.29 47.290090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33262  Rmvl& replc pulse gen 1 lead                      A   5.81   3.86NA   3.86    1.32  10.99 10.990090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33263  Rmvl & rplcmt dfb gen 2 lead                      A   6.08   3.95NA   3.95    1.39  11.42 11.420090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33264  Rmvl & rplcmt dfb gen mlt ld                      A   6.35   4.10NA   4.10    1.46  11.91 11.910090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33265  Ablate atria lmtd endo                            A  23.71  10.77NA  10.77    5.70  40.18 40.180090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33266  Ablate atria x10sv endo                           A  33.04  13.20NA  13.20    7.96  54.20 54.200090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33267  Excl laa open any method                          A  18.50   7.94NA   7.94    4.36  30.80 30.800090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33268  Excl laa opn oth px any meth                      A   2.50   0.70NA   0.70    0.59   3.79  3.790ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33269  Excl laa thrscp any method                        A  14.31   6.74NA   6.74    3.45  24.50 24.500090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
33270  Ins/rep subq defibrillator                        A   9.10   5.34NA   5.34    2.06  16.50 16.500090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33271  Insj subq impltbl dfb elctrd                      A   7.50   4.21NA   4.21    1.72  13.43 13.430090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33272  Rmvl of subq defibrillator                        A   5.42   3.60NA   3.60    1.24  10.26 10.260090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33273  Repos prev impltbl subq dfb                       A   6.50   3.88NA   3.88    1.51  11.89 11.890090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33274  Tcat insj/rpl perm ldls pm                        A   7.80   4.51NA   4.51    1.77  14.08 14.080090.09.84.0720120             33.2875 090 99      0.00   0.00   0.00
33275  Tcat rmvl perm ldls pm w/img                      A   8.59   4.30NA   4.30    1.99  14.88 14.880090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33276  Insj phrnc nrv stim sys                           A   9.50   5.39NA   5.39    2.16  17.05 17.050090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33277  Insj phrnc nrv stim transvns                      A   5.43   2.24NA   2.24    1.25   8.92  8.920ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
33278  Rmvl phrnc nrv stim sys                           A   9.55   5.21NA   5.21    2.21  16.97 16.970090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33279  Rmvl phrnc nrv stim transvns                      A   5.42   3.58NA   3.58    1.25  10.25 10.250090.09.84.0720100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33280  Rmvl phrnc nrv stim pg only                       A   3.04   2.82NA   2.82    0.31   6.17  6.170090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33281  Reposg phrnc nrv stim trnsvn                      A   6.00   3.71NA   3.71    1.38  11.09 11.090090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33285  Insj subq car rhythm mntr                         A   1.53 122.46     0.69    0.35 124.34  2.570000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33286  Rmvl subq car rhythm mntr                         A   1.50   2.03     0.68    0.34   3.87  2.520000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
33287  Rmv&rplcmt phrnc nrv stim pg                      A   6.05   4.00NA   4.00    1.39  11.44 11.440090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33288  Rmv&rplcmt phrnc nrv stim ld                      A   8.51   4.61NA   4.61    1.96  15.08 15.080090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33289  Tcat impl wrls p-art prs snr                      A   6.00   2.44NA   2.44    1.35   9.79  9.790000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33300  Repair of heart wound                             A  44.97  15.96NA  15.96   10.87  71.80 71.800090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33305  Repair of heart wound                             A  76.93  24.70NA  24.70   18.55 120.18120.180090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33310  Exploratory heart surgery                         A  20.34   9.40NA   9.40    4.68  34.42 34.420090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33315  Exploratory heart surgery                         A  35.00  12.99NA  12.99    8.41  56.40 56.400090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33320  Repair major blood vessel(s)                      A  18.54   8.52NA   8.52    4.57  31.63 31.630090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33321  Repair major vessel                               A  20.81   9.34NA   9.34    4.80  34.95 34.950090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33322  Repair major blood vessel(s)                      A  24.42  10.86NA  10.86    5.98  41.26 41.260090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33330  Insert major vessel graft                         A  25.29  10.72NA  10.72    5.85  41.86 41.860090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33335  Insert major vessel graft                         A  33.91  13.02NA  13.02    7.84  54.77 54.770090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33340  Perq clsr tcat l atr apndge                       A  14.00   5.65NA   5.65    3.19  22.84 22.840000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
33361  Replace aortic valve perq                         A  22.47   7.71NA   7.71    5.24  35.42 35.420000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
33362  Replace aortic valve open                         A  24.54   8.32NA   8.32    5.74  38.60 38.600000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
33363  Replace aortic valve open                         A  25.47   8.60NA   8.60    5.99  40.06 40.060000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
33364  Replace aortic valve open                         A  25.97   7.90NA   7.90    6.01  39.88 39.880000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
33365  Replace aortic valve open                         A  26.59   8.97NA   8.97    6.17  41.73 41.730000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
33366  Trcath replace aortic valve                       A  29.35   9.79NA   9.79    6.78  45.92 45.920000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
33367  Replace aortic valve w/byp                        A  11.88   3.17NA   3.17    2.74  17.79 17.790ZZZ.00.00.0000001             33.2875 090 99      0.00   0.00   0.00
33368  Replace aortic valve w/byp                        A  14.39   3.84NA   3.84    3.33  21.56 21.560ZZZ.00.00.0000001             33.2875 090 99      0.00   0.00   0.00
33369  Replace aortic valve w/byp                        A  19.00   5.07NA   5.07    4.39  28.46 28.460ZZZ.00.00.0000001             33.2875 090 99      0.00   0.00   0.00
33370  Tcat plmt&rmvl cepd perq                          A   2.50   0.83NA   0.83    0.57   3.90  3.900ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
33390  Valvuloplasty aortic valve                        A  35.00  13.24NA  13.24    8.24  56.48 56.480090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33391  Valvuloplasty aortic valve                        A  41.50  15.60NA  15.60    9.84  66.94 66.940090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
3340F  Mammo assess inc xray docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
33404  Prepare heart-aorta conduit                       A  31.37  12.69NA  12.69    7.27  51.33 51.330090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33405  Replacement aortic valve opn                      A  41.32  15.52NA  15.52    9.92  66.76 66.760090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33406  Replacement aortic valve opn                      A  52.68  19.08NA  19.08   13.05  84.81 84.810090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
3341F  Mammo assess negative docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
33410  Replacement aortic valve opn                      A  46.41  17.04NA  17.04   11.23  74.68 74.680090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33411  Replacement of aortic valve                       A  62.07  21.50NA  21.50   14.83  98.40 98.400090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33412  Replacement of aortic valve                       A  59.00  19.27NA  19.27   13.67  91.94 91.940090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33413  Replacement of aortic valve                       A  59.87  20.49NA  20.49   13.88  94.24 94.240090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33414  Repair of aortic valve                            A  39.37  14.08NA  14.08    9.76  63.21 63.210090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33415  Revision subvalvular tissue                       A  37.27  13.52NA  13.52    8.83  59.62 59.620090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33416  Revise ventricle muscle                           A  36.56  14.24NA  14.24    8.75  59.55 59.550090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33417  Repair of aortic valve                            A  29.33  12.73NA  12.73    7.27  49.33 49.330090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33418  Repair tcat mitral valve                          A  32.25  13.17NA  13.17    7.42  52.84 52.840090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33419  Repair tcat mitral valve                          A   7.93   2.64NA   2.64    1.81  12.38 12.380ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
3342F  Mammo assess bengn docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
33420  Revision of mitral valve                          A  25.79  10.86NA  10.86    5.98  42.63 42.630090.09.84.0720110             33.2875 090 99      0.00   0.00   0.00
33422  Revision of mitral valve                          A  29.73  12.26NA  12.26    6.86  48.85 48.850090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33425  Repair of mitral valve                            A  49.96  18.28NA  18.28   11.99  80.23 80.230090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33426  Repair of mitral valve                            A  43.28  16.39NA  16.39   10.41  70.08 70.080090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33427  Repair of mitral valve                            A  44.83  16.37NA  16.37   10.46  71.66 71.660090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
3343F  Mammo probably bengn docd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
33430  Replacement of mitral valve                       A  50.93  19.24NA  19.24   12.20  82.37 82.370090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
3344F  Mammo assess susp docd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
33440  Rplcmt a-valve tlcj autol pv                      A  64.00  20.60NA  20.60   14.81  99.41 99.410090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
3345F  Mammo assess hghlymalig doc                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
33460  Revision of tricuspid valve                       A  44.70  15.10NA  15.10   10.37  70.17 70.170090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33463  Valvuloplasty tricuspid                           A  57.08  20.06NA  20.06   13.15  90.29 90.290090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33464  Valvuloplasty tricuspid                           A  44.62  16.59NA  16.59   10.42  71.63 71.630090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33465  Replace tricuspid valve                           A  50.72  18.09NA  18.09   12.08  80.89 80.890090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33468  Revision of tricuspid valve                       A  45.13  15.75NA  15.75   11.19  72.07 72.070090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33471  Vlvt pv clsd hrt via p-art                        A  22.96  10.58NA  10.58    5.68  39.22 39.220090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33474  Revision of pulmonary valve                       A  39.40  15.06NA  15.06    9.76  64.22 64.220090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33475  Replacement pulmonary valve                       A  42.40  15.96NA  15.96    9.85  68.21 68.210090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33476  Revision of heart chamber                         A  26.57  11.95NA  11.95    6.57  45.09 45.090090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33477  Implant tcat pulm vlv perq                        A  25.00   9.04NA   9.04    4.33  38.37 38.370000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33478  Revision of heart chamber                         A  27.54  12.22NA  12.22    6.79  46.55 46.550090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33496  Repair prosth valve clot                          A  29.84  12.14NA  12.14    6.89  48.87 48.870090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
3350F  Mammo bx proven malig docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
33500  Repair heart vessel fistula                       A  27.94  11.42NA  11.42    6.47  45.83 45.830090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33501  Repair heart vessel fistula                       A  19.51   8.83NA   8.83    4.50  32.84 32.840090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
33502  Coronary artery correction                        A  21.85  10.65NA  10.65    5.40  37.90 37.900090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33503  Coronary artery graft                             A  22.51  11.33NA  11.33    5.56  39.40 39.400090.09.84.0720010             33.2875 090 99      0.00   0.00   0.00
33504  Coronary artery graft                             A  25.46  11.67NA  11.67    6.29  43.42 43.420090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33505  Repair artery w/tunnel                            A  38.40  12.59NA  12.59    9.52  60.51 60.510090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33506  Repair artery translocation                       A  37.85  13.12NA  13.12    9.38  60.35 60.350090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33507  Repair art intramural                             A  31.40  11.50NA  11.50    7.76  50.66 50.660090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33508  Endoscopic vein harvest                           A   0.31   0.09NA   0.09    0.07   0.47  0.470ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
33509  Ndsc hrv uxtr art 1 sgm cab                       A   3.34   0.92NA   0.92    0.79   5.05  5.050ZZZ.00.00.0000210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33510  Cabg vein single                                  A  34.98  13.56NA  13.56    8.34  56.88 56.880090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33511  Cabg vein two                                     A  38.45  14.82NA  14.82    9.19  62.46 62.460090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33512  Cabg vein three                                   A  43.98  16.60NA  16.60   10.57  71.15 71.150090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33513  Cabg vein four                                    A  45.37  16.42NA  16.42   10.86  72.65 72.650090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33514  Cabg vein five                                    A  48.08  17.15NA  17.15   11.15  76.38 76.380090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33516  Cabg vein six or more                             A  49.76  17.75NA  17.75   11.54  79.05 79.050090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33517  Cabg artery-vein single                           A   3.61   1.00NA   1.00    0.87   5.48  5.480ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33518  Cabg artery-vein two                              A   7.93   2.18NA   2.18    1.89  12.00 12.000ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33519  Cabg artery-vein three                            A  10.49   2.88NA   2.88    2.51  15.88 15.880ZZZ.00.00.0000200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33521  Cabg artery-vein four                             A  12.59   3.44NA   3.44    3.00  19.03 19.030ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33522  Cabg artery-vein five                             A  14.14   3.86NA   3.86    3.39  21.39 21.390ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33523  Cabg art-vein six or more                         A  16.08   4.28NA   4.28    3.71  24.07 24.070ZZZ.00.00.0000200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33530  Coronary artery bypass/reop                       A  10.13   2.78NA   2.78    2.41  15.32 15.320ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33533  Cabg arterial single                              A  33.75  13.24NA  13.24    8.10  55.09 55.090090.09.82.0920200             33.2875 090 99      0.00   0.00   0.00
33534  Cabg arterial two                                 A  39.88  15.24NA  15.24    9.57  64.69 64.690090.09.82.0920200             33.2875 090 99      0.00   0.00   0.00
33535  Cabg arterial three                               A  44.75  16.48NA  16.48   10.64  71.87 71.870090.09.82.0920200             33.2875 090 99      0.00   0.00   0.00
33536  Cabg arterial four or more                        A  48.43  17.52NA  17.52   11.49  77.44 77.440090.09.82.0920200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33542  Removal of heart lesion                           A  48.21  17.26NA  17.26   11.57  77.04 77.040090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33545  Repair of heart damage                            A  57.06  19.40NA  19.40   13.22  89.68 89.680090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33548  Restore/remodel ventricle                         A  54.14  19.67NA  19.67   12.55  86.36 86.360090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33572  Open coronary endarterectomy                      A   4.44   1.23NA   1.23    1.08   6.75  6.750ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33600  Closure of valve                                  A  30.31  13.00NA  13.00    7.51  50.82 50.820090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33602  Closure of valve                                  A  29.34  12.73NA  12.73    7.27  49.34 49.340090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33606  Anastomosis/artery-aorta                          A  31.53  13.20NA  13.20    7.79  52.52 52.520090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33608  Repair anomaly w/conduit                          A  31.88  13.43NA  13.43    7.88  53.19 53.190090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33610  Repair by enlargement                             A  31.40  13.30NA  13.30    7.76  52.46 52.460090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33611  Repair double ventricle                           A  35.57  13.03NA  13.03    8.80  57.40 57.400090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33612  Repair double ventricle                           A  36.57  13.31NA  13.31    9.06  58.94 58.940090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33615  Repair modified fontan                            A  35.89  14.14NA  14.14    8.88  58.91 58.910090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33617  Repair single ventricle                           A  39.09  15.02NA  15.02    9.68  63.79 63.790090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33619  Repair single ventricle                           A  48.76  20.18NA  20.18   12.08  81.02 81.020090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33620  Apply r&l pulm art bands                          A  30.00  11.11NA  11.11    7.43  48.54 48.540090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33621  Transthor cath for stent                          A  16.18   7.31NA   7.31    3.99  27.48 27.480090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33622  Redo compl cardiac anomaly                        A  64.00  20.85NA  20.85   15.85 100.70100.700090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33641  Repair heart septum defect                        A  29.58  11.39NA  11.39    7.33  48.30 48.300090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33645  Revision of heart veins                           A  31.30  11.96NA  11.96    7.74  51.00 51.000090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33647  Repair heart septum defects                       A  33.00  12.32NA  12.32    8.16  53.48 53.480090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33660  Repair of heart defects                           A  31.83  12.01NA  12.01    7.87  51.71 51.710090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33665  Repair of heart defects                           A  34.85  12.83NA  12.83    8.63  56.31 56.310090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33670  Repair of heart chambers                          A  36.63  12.21NA  12.21    9.08  57.92 57.920090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33675  Close mult vsd                                    A  35.95  13.15NA  13.15    8.90  58.00 58.000090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33676  Close mult vsd w/resection                        A  36.95  13.43NA  13.43    9.16  59.54 59.540090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33677  Cl mult vsd w/rem pul band                        A  38.45  13.84NA  13.84    9.53  61.82 61.820090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33681  Repair heart septum defect                        A  32.34  14.17NA  14.17    7.99  54.50 54.500090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33684  Repair heart septum defect                        A  34.37  12.70NA  12.70    8.50  55.57 55.570090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33688  Repair heart septum defect                        A  34.75  11.98NA  11.98    8.60  55.33 55.330090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33690  Reinforce pulmonary artery                        A  20.36  10.27NA  10.27    5.03  35.66 35.660090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33692  Repair of heart defects                           A  36.15  12.36NA  12.36    8.95  57.46 57.460090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33694  Repair of heart defects                           A  35.57  13.03NA  13.03    8.80  57.40 57.400090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33697  Repair of heart defects                           A  37.57  13.58NA  13.58    9.31  60.46 60.460090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33702  Repair of heart defects                           A  27.24  11.76NA  11.76    6.73  45.73 45.730090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33710  Repair of heart defects                           A  37.50  13.56NA  13.56    9.27  60.33 60.330090.09.84.0720200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33720  Repair of heart defect                            A  27.26  11.77NA  11.77    6.73  45.76 45.760090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33724  Repair venous anomaly                             A  27.63  10.87NA  10.87    6.81  45.31 45.310090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33726  Repair pul venous stenosis                        A  37.12  13.47NA  13.47    9.19  59.78 59.780090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33730  Repair heart-vein defect(s)                       A  36.14  14.06NA  14.06    8.95  59.15 59.150090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33732  Repair heart-vein defect                          A  28.96  12.63NA  12.63    7.17  48.76 48.760090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33735  Revision of heart chamber                         A  22.20  10.77NA  10.77    5.49  38.46 38.460090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33736  Revision of heart chamber                         A  24.32  11.36NA  11.36    6.01  41.69 41.690090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33737  Revision of heart chamber                         A  22.47  10.45NA  10.45    5.55  38.47 38.470090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33741  Tas congenital car anomal                         A  14.00   4.76NA   4.76    3.23  21.99 21.990000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33745  Tis cgen car anomal 1st shnt                      A  20.00   6.81NA   6.81    4.61  31.42 31.420000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33746  Tis cgen car anomal ea addl                       A   8.00   2.72NA   2.72    1.84  12.56 12.560ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
33750  Major vessel shunt                                A  22.22   9.59NA   9.59    5.49  37.30 37.300090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33755  Major vessel shunt                                A  22.60  10.88NA  10.88    5.59  39.07 39.070090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33762  Major vessel shunt                                A  22.60   9.70NA   9.70    5.59  37.89 37.890090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33764  Major vessel shunt & graft                        A  22.60  10.88NA  10.88    5.59  39.07 39.070090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33766  Major vessel shunt                                A  23.57   9.96NA   9.96    5.82  39.35 39.350090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33767  Major vessel shunt                                A  25.30  10.44NA  10.44    6.25  41.99 41.990090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33768  Cavopulmonary shunting                            A   8.00   2.20NA   2.20    1.98  12.18 12.180ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
33770  Repair great vessels defect                       A  39.07  13.45NA  13.45    9.67  62.19 62.190090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33771  Repair great vessels defect                       A  40.63  13.20NA  13.20   10.08  63.91 63.910090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33774  Repair great vessels defect                       A  31.73  13.63NA  13.63    7.84  53.20 53.200090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33775  Repair great vessels defect                       A  32.99  13.60NA  13.60    8.14  54.73 54.730090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33776  Repair great vessels defect                       A  34.75  14.56NA  14.56    8.60  57.91 57.910090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33777  Repair great vessels defect                       A  34.17  13.12NA  13.12    8.45  55.74 55.740090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33778  Repair great vessels defect                       A  42.75  15.88NA  15.88   10.61  69.24 69.240090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33779  Repair great vessels defect                       A  43.23  14.31NA  14.31   10.70  68.24 68.240090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33780  Repair great vessels defect                       A  43.90  14.79NA  14.79   10.86  69.55 69.550090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33781  Repair great vessels defect                       A  43.21  13.92NA  13.92   10.70  67.83 67.830090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33782  Nikaidoh proc                                     A  60.08  19.78NA  19.78   14.85  94.71 94.710090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33783  Nikaidoh proc w/ostia implt                       A  65.08  21.15NA  21.15   16.12 102.35102.350090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33786  Repair arterial trunk                             A  41.87  14.71NA  14.71   10.38  66.96 66.960090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33788  Revision of pulmonary artery                      A  27.42  11.03NA  11.03    6.77  45.22 45.220090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33800  Aortic suspension                                 A  17.28   7.61NA   7.61    4.27  29.16 29.160090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
33802  Repair vessel defect                              A  18.37   9.33NA   9.33    4.54  32.24 32.240090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33803  Repair vessel defect                              A  20.31   8.69NA   8.69    5.01  34.01 34.010090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33813  Repair septal defect                              A  21.36  10.14NA  10.14    5.27  36.77 36.770090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33814  Repair septal defect                              A  26.57  11.98NA  11.98    6.57  45.12 45.120090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33820  Revise major vessel                               A  16.69   7.85NA   7.85    4.12  28.66 28.660090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33822  Revise major vessel                               A  17.71   8.13NA   8.13    4.37  30.21 30.210090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33824  Revise major vessel                               A  20.23   9.81NA   9.81    4.99  35.03 35.030090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33840  Remove aorta constriction                         A  21.34  10.13NA  10.13    5.26  36.73 36.730090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33845  Remove aorta constriction                         A  22.93  10.97NA  10.97    5.67  39.57 39.570090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33851  Remove aorta constriction                         A  21.98  10.31NA  10.31    5.43  37.72 37.720090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33852  Repair septal defect                              A  24.41  10.98NA  10.98    6.04  41.43 41.430090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
33853  Repair septal defect                              A  32.51  13.61NA  13.61    8.04  54.16 54.160090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33858  As-aort grf f/aortic dsj                          A  63.40  20.84NA  20.84   15.21  99.45 99.450090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33859  As-aort grf f/ds oth/thn dsj                      A  45.13  15.56NA  15.56   10.80  71.49 71.490090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33863  Ascending aortic graft                            A  58.79  19.32NA  19.32   14.07  92.18 92.180090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33864  Ascending aortic graft                            A  60.08  19.58NA  19.58   14.48  94.14 94.140090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33866  Aortic hemiarch graft                             A  17.75   4.88NA   4.88    4.25  26.88 26.880ZZZ.00.00.0000001             33.2875 090 99      0.00   0.00   0.00
33871  Transvrs a-arch grf hypthrm                       A  60.88  19.92NA  19.92   14.62  95.42 95.420090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33875  Thoracic aortic graft                             A  50.72  17.57NA  17.57   12.25  80.54 80.540090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
33877  Thoracoabdominal graft                            A  69.03  19.79NA  19.79   16.81 105.63105.630090.09.84.0720220             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33880  Endovasc taa repr incl subcl                      A  34.58   9.34NA   9.34    8.34  52.26 52.260090.09.84.0722220             33.2875 090 99      0.00   0.00   0.00
33881  Endovasc taa repr w/o subcl                       A  29.58   8.16NA   8.16    7.15  44.89 44.890090.09.84.0722220             33.2875 090 99      0.00   0.00   0.00
33883  Insert endovasc prosth taa                        A  21.09   6.44NA   6.44    5.05  32.58 32.580090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
33884  Endovasc prosth taa add-on                        A   8.20   1.28NA   1.28    2.04  11.52 11.520ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
33886  Endovasc prosth delayed                           A  18.09   5.65NA   5.65    4.39  28.13 28.130090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
33889  Artery transpose/endovas taa                      A  15.92   3.37NA   3.37    3.93  23.22 23.220000.00.00.0021220             33.2875 090 99      0.00   0.00   0.00
33891  Car-car bp grft/endovas taa                       A  20.00   3.11NA   3.11    4.97  28.08 28.080000.00.00.0021220             33.2875 090 99      0.00   0.00   0.00
33894  Evasc st rpr thrc/aa acrs br                      A  18.27   6.22NA   6.22    4.22  28.71 28.710000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33895  Evasc st rpr thrc/aa x crsg                       A  14.54   4.95NA   4.95    3.36  22.85 22.850000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33897  Perq trluml angp nt/recr coa                      A  10.81   3.68NA   3.68    2.49  16.98 16.980000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33900  Perq p-art revsc 1 nm nt uni                      A  11.03   3.87NA   3.87    2.06  16.96 16.960000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33901  Perq p-art revsc 1 nm nt bi                       A  14.50   5.08NA   5.08    2.71  22.29 22.290000.00.00.0022000             33.2875 090 99      0.00   0.00   0.00
33902  Perq p-art revsc 1 abnor uni                      A  14.00   4.91NA   4.91    2.61  21.52 21.520000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33903  Perq p-art revsc 1 abnor bi                       A  16.50   5.79NA   5.79    3.07  25.36 25.360000.00.00.0022000             33.2875 090 99      0.00   0.00   0.00
33904  Perq p-art revsc each addl                        A   5.53   1.94NA   1.94    1.05   8.52  8.520ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
33910  Remove lung artery emboli                         A  48.21  17.14NA  17.14   11.18  76.53 76.530090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33915  Remove lung artery emboli                         A  24.95   9.63NA   9.63    5.76  40.34 40.340090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33916  Surgery of great vessel                           A  78.00  25.69NA  25.69   18.45 122.14122.140090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33917  Repair pulmonary artery                           A  25.30  11.63NA  11.63    6.25  43.18 43.180090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33920  Repair pulmonary atresia                          A  32.74  12.48NA  12.48    8.09  53.31 53.310090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33922  Transect pulmonary artery                         A  24.22  10.93NA  10.93    6.00  41.15 41.150090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33924  Remove pulmonary shunt                            A   5.49   1.50NA   1.50    1.35   8.34  8.340ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
33925  Rpr pul art unifocal w/o cpb                      A  31.30  11.47NA  11.47    7.74  50.51 50.510090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33926  Repr pul art unifocal w/cpb                       A  44.73  15.15NA  15.15   11.10  70.98 70.980090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
33927  Impltj tot rplcmt hrt sys                         A  49.00  13.46NA  13.46   12.14  74.60 74.600XXX.00.00.0020200             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33935  Transplantation heart/lung                        R  91.78  31.07NA  31.07   21.24 144.09144.090090.09.84.0720212             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33945  Transplantation of heart                          R  89.50  31.71NA  31.71   21.52 142.73142.730090.09.84.0720212             33.2875 090 99      0.00   0.00   0.00
33946  Ecmo/ecls initiation venous                       A   6.00   1.78NA   1.78    1.29   9.07  9.070XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
33947  Ecmo/ecls initiation artery                       A   6.63   1.97NA   1.97    1.44  10.04 10.040XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
33948  Ecmo/ecls daily mgmt-venous                       A   4.73   1.44NA   1.44    0.80   6.97  6.970XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
33949  Ecmo/ecls daily mgmt artery                       A   4.60   1.40NA   1.40    0.81   6.81  6.810XXX.00.00.0000100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
33951  Ecmo/ecls insj prph cannula                       A   8.15   2.29NA   2.29    1.87  12.31 12.310000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33952  Ecmo/ecls insj prph cannula                       A   8.15   2.51NA   2.51    1.84  12.50 12.500000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33953  Ecmo/ecls insj prph cannula                       A   9.11   2.54NA   2.54    2.10  13.75 13.750000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33954  Ecmo/ecls insj prph cannula                       A   9.11   2.64NA   2.64    2.17  13.92 13.920000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33955  Ecmo/ecls insj ctr cannula                        A  16.00   4.38NA   4.38    3.70  24.08 24.080000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33956  Ecmo/ecls insj ctr cannula                        A  16.00   4.59NA   4.59    3.87  24.46 24.460000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33957  Ecmo/ecls repos perph cnula                       A   3.51   1.05NA   1.05    0.80   5.36  5.360000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33958  Ecmo/ecls repos perph cnula                       A   3.51   1.05NA   1.05    0.80   5.36  5.360000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33959  Ecmo/ecls repos perph cnula                       A   4.47   1.31NA   1.31    1.05   6.83  6.830000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33962  Ecmo/ecls repos perph cnula                       A   4.47   1.31NA   1.31    1.05   6.83  6.830000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33963  Ecmo/ecls repos perph cnula                       A   9.00   2.51NA   2.51    2.08  13.59 13.590000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33964  Ecmo/ecls repos perph cnula                       A   9.50   2.65NA   2.65    2.20  14.35 14.350000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33965  Ecmo/ecls rmvl perph cannula                      A   3.51   1.05NA   1.05    0.80   5.36  5.360000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33966  Ecmo/ecls rmvl prph cannula                       A   4.50   1.40NA   1.40    1.04   6.94  6.940000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33967  Insert i-aort percut device                       A   4.84   1.62NA   1.62    1.11   7.57  7.570000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33968  Remove aortic assist device                       A   0.64   0.21NA   0.21    0.14   0.99  0.990000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
33969  Ecmo/ecls rmvl perph cannula                      A   5.22   1.50NA   1.50    1.21   7.93  7.930000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33970  Aortic circulation assist                         A   6.74   2.05NA   2.05    1.53  10.32 10.320000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
33971  Aortic circulation assist                         A  11.99   6.16NA   6.16    2.79  20.94 20.940090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33973  Insert balloon device                             A   9.75   2.60NA   2.60    2.24  14.59 14.590000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
33974  Remove intra-aortic balloon                       A  15.03   7.80NA   7.80    3.48  26.31 26.310090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
33975  Implant ventricular device                        A  25.00   7.14NA   7.14    6.02  38.16 38.160XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33976  Implant ventricular device                        A  30.75   8.20NA   8.20    7.12  46.07 46.070XXX.00.00.0022200             33.2875 090 99      0.00   0.00   0.00
33977  Remove ventricular device                         A  20.86   7.18NA   7.18    4.88  32.92 32.920XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33978  Remove ventricular device                         A  25.00   8.03NA   8.03    5.77  38.80 38.800XXX.00.00.0022200             33.2875 090 99      0.00   0.00   0.00
33979  Insert intracorporeal device                      A  37.50  10.36NA  10.36    9.00  56.86 56.860XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33980  Remove intracorporeal device                      A  33.50  10.66NA  10.66    8.08  52.24 52.240XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33981  Replace vad pump ext                              A  16.11   4.29NA   4.29    3.72  24.12 24.120XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33982  Replace vad intra w/o bp                          A  37.86  10.09NA  10.09    8.77  56.72 56.720XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33983  Replace vad intra w/bp                            A  44.54  11.88NA  11.88   10.33  66.75 66.750XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33984  Ecmo/ecls rmvl prph cannula                       A   5.46   1.53NA   1.53    1.31   8.30  8.300000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
33985  Ecmo/ecls rmvl ctr cannula                        A   9.89   2.75NA   2.75    2.28  14.92 14.920000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33986  Ecmo/ecls rmvl ctr cannula                        A  10.00   2.92NA   2.92    2.40  15.32 15.320000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33987  Artery expos/graft artery                         A   4.04   1.08NA   1.08    0.94   6.06  6.060ZZZ.00.00.0000011             33.2875 090 99      0.00   0.00   0.00
33988  Insertion of left heart vent                      A  15.00   4.11NA   4.11    3.47  22.58 22.580000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33989  Removal of left heart vent                        A   9.50   2.65NA   2.65    2.20  14.35 14.350000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
33990  Insj perq vad l hrt arterial                      A   6.75   2.26NA   2.26    1.54  10.55 10.550000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33991  Insj perq vad l hrt artl&ven                      A   8.84   2.36NA   2.36    2.04  13.24 13.240000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33992  Rmvl perq left heart vad                          A   3.55   1.14NA   1.14    0.81   5.50  5.500000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33993  Reposg perq r/l hrt vad                           A   3.10   1.10NA   1.10    0.66   4.86  4.860000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33995  Insj perq vad r hrt venous                        A   6.75   2.16NA   2.16    1.47  10.38 10.380000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33997  Rmvl perq right heart vad                         A   3.00   1.02NA   1.02    0.70   4.72  4.720000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
33999  Unlisted px cardiac surgery                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
34001  Removal of artery clot                            A  17.88   4.51NA   4.51    4.44  26.83 26.830090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34051  Removal of artery clot                            A  16.99   8.39NA   8.39    3.92  29.30 29.300090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34101  Removal of artery clot                            A  10.93   3.86NA   3.86    2.71  17.50 17.500090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34111  Removal of arm artery clot                        A  10.93   3.84NA   3.84    2.71  17.48 17.480090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34151  Removal of artery clot                            A  26.52   7.71NA   7.71    6.54  40.77 40.770090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34201  Removal of artery clot                            A  19.48   5.62NA   5.62    4.83  29.93 29.930090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34203  Removal of leg artery clot                        A  17.86   5.53NA   5.53    4.42  27.81 27.810090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34401  Removal of vein clot                              A  26.52  11.65NA  11.65    5.87  44.04 44.040090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34421  Removal of vein clot                              A  13.37   3.72NA   3.72    3.33  20.42 20.420090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34451  Removal of vein clot                              A  28.52   6.45NA   6.45    7.11  42.08 42.080090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34471  Removal of vein clot                              A  21.11   5.30NA   5.30    5.25  31.66 31.660090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
34490  Removal of vein clot                              A  10.91   3.30NA   3.30    2.71  16.92 16.920090.09.84.0721100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
34501  Repair valve femoral vein                         A  16.85   5.29NA   5.29    4.19  26.33 26.330090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34502  Reconstruct vena cava                             A  28.07  11.00NA  11.00    6.51  45.58 45.580090.09.84.0720200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
34510  Transposition of vein valve                       A  19.91   5.11NA   5.11    4.95  29.97 29.970090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
34520  Cross-over vein graft                             A  19.18   5.10NA   5.10    4.75  29.03 29.030090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
34530  Leg vein fusion                                   A  17.93   5.28NA   5.28    4.45  27.66 27.660090.09.84.0721210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
34701  Evasc rpr a-ao ndgft                              A  23.71   6.68NA   6.68    5.72  36.11 36.110090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34702  Evasc rpr a-ao ndgft rpt                          A  36.00   9.08NA   9.08    8.85  53.93 53.930090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34703  Evasc rpr a-unilac ndgft                          A  26.52   7.16NA   7.16    6.43  40.11 40.110090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34704  Evasc rpr a-unilac ndgft rpt                      A  45.00  10.97NA  10.97   10.89  66.86 66.860090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34705  Evac rpr a-biiliac ndgft                          A  29.58   7.85NA   7.85    7.17  44.60 44.600090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34706  Evasc rpr a-biiliac rpt                           A  45.00  10.51NA  10.51   10.96  66.47 66.470090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34707  Evasc rpr ilio-iliac ndgft                        A  22.28   6.23NA   6.23    5.41  33.92 33.920090.09.84.0721220             33.2875 090 99      0.00   0.00   0.00
34708  Evasc rpr ilio-iliac rpt                          A  36.50   7.56NA   7.56    9.11  53.17 53.170090.09.84.0721220             33.2875 090 99      0.00   0.00   0.00
34709  Plmt xtn prosth evasc rpr                         A   6.50   1.32NA   1.32    1.57   9.39  9.390ZZZ.00.00.0000220             33.2875 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             33.2875 090 99      0.00   0.00   0.00
34710  Dlyd plmt xtn prosth 1st vsl                      A  15.00   4.67NA   4.67    3.63  23.30 23.300090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34711  Dlyd plmt xtn prosth ea addl                      A   6.00   1.11NA   1.11    1.47   8.58  8.580ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
34712  Tcat dlvr enhncd fixj dev                         A  12.00   4.34NA   4.34    2.86  19.20 19.200090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34713  Perq access & clsr fem art                        A   2.50   0.49NA   0.49    0.60   3.59  3.590ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
34714  Opn fem art expos cndt crtj                       A   5.25   1.35NA   1.35    1.27   7.87  7.870ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
34715  Opn ax/subcla art expos                           A   6.00   1.22NA   1.22    1.49   8.71  8.710ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
34716  Opn ax/subcla art expos cndt                      A   7.19   1.96NA   1.96    1.72  10.87 10.870ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
34717  Evasc rpr a-iliac ndgft                           A   9.00   1.71NA   1.71    2.20  12.91 12.910ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
34718  Evasc rpr n/a a-iliac ndgft                       A  24.00   6.31NA   6.31    5.87  36.18 36.180090.09.84.0720220             33.2875 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             33.2875 090 99      0.00   0.00   0.00
3475F  Disease progn ra poor docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
3476F  Disease progn ra good docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
34808  Endovas iliac a device addon                      A   4.12   0.76NA   0.76    1.03   5.91  5.910ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
34812  Opn fem art expos                                 A   4.13   0.85NA   0.85    1.03   6.01  6.010ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
34813  Femoral endovas graft add-on                      A   4.79   0.87NA   0.87    1.19   6.85  6.850ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
34820  Opn iliac art expos                               A   7.00   1.09NA   1.09    1.73   9.82  9.820ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
34830  Open aortic tube prosth repr                      A  35.23   7.58NA   7.58    8.79  51.60 51.600090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34831  Open aortoiliac prosth repr                       A  37.98   8.97NA   8.97    9.48  56.43 56.430090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34832  Open aortofemor prosth repr                       A  37.98   8.01NA   8.01    9.48  55.47 55.470090.09.84.0720220             33.2875 090 99      0.00   0.00   0.00
34833  Opn ilac art expos cndt crtj                      A   8.16   1.27NA   1.27    2.03  11.46 11.460ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
34834  Opn brach art expos                               A   2.65   0.46NA   0.46    0.66   3.77  3.770ZZZ.00.00.0001220             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35001  Repair defect of artery                           A  20.81   6.88NA   6.88    5.24  32.93 32.930090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35002  Repair artery rupture neck                        A  22.23   5.62NA   5.62    5.54  33.39 33.390090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35005  Repair defect of artery                           A  19.29   5.16NA   5.16    4.79  29.24 29.240090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35011  Repair defect of artery                           A  18.58   6.45NA   6.45    4.65  29.68 29.680090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35013  Repair artery rupture arm                         A  23.23   8.20NA   8.20    5.82  37.25 37.250090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35021  Repair defect of artery                           A  22.17   9.76NA   9.76    5.13  37.06 37.060090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35022  Repair artery rupture chest                       A  25.70  10.71NA  10.71    5.96  42.37 42.370090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35045  Repair defect of arm artery                       A  18.01   6.11NA   6.11    4.37  28.49 28.490090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35081  Repair defect of artery                           A  33.53   8.81NA   8.81    8.33  50.67 50.670090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35082  Repair artery rupture aorta                       A  42.09  10.72NA  10.72   10.44  63.25 63.250090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35091  Repair defect of artery                           A  35.35   7.92NA   7.92    8.77  52.04 52.040090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35092  Repair artery rupture aorta                       A  50.97  12.28NA  12.28   12.68  75.93 75.930090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35102  Repair defect of artery                           A  36.53   9.48NA   9.48    9.08  55.09 55.090090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35103  Repair artery rupture aorta                       A  43.62  10.33NA  10.33   10.90  64.85 64.850090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35111  Repair defect of artery                           A  26.28   6.11NA   6.11    6.55  38.94 38.940090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35112  Repair artery rupture spleen                      A  32.57   7.17NA   7.17    8.11  47.85 47.850090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35121  Repair defect of artery                           A  31.52   6.91NA   6.91    7.85  46.28 46.280090.09.84.0721200             33.2875 090 99      0.00   0.00   0.00
35122  Repair artery rupture belly                       A  37.89   8.00NA   8.00    9.46  55.35 55.350090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35131  Repair defect of artery                           A  26.40   7.52NA   7.52    6.56  40.48 40.480090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35132  Repair artery rupture groin                       A  32.57   7.17NA   7.17    8.11  47.85 47.850090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35141  Repair defect of artery                           A  20.91   5.90NA   5.90    5.19  32.00 32.000090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35142  Repair artery rupture thigh                       A  25.16   7.23NA   7.23    6.26  38.65 38.650090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35151  Repair defect of artery                           A  23.72   6.74NA   6.74    5.92  36.38 36.380090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35152  Repair ruptd popliteal art                        A  27.66   6.41NA   6.41    6.87  40.94 40.940090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35180  Repair blood vessel lesion                        A  15.10   4.21NA   4.21    3.75  23.06 23.060090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35182  Repair blood vessel lesion                        A  31.71  13.36NA  13.36    7.84  52.91 52.910090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35184  Repair blood vessel lesion                        A  18.82   4.81NA   4.81    4.67  28.30 28.300090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35188  Repair blood vessel lesion                        A  18.00  13.62NA  13.62    7.50  39.12 39.120090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35189  Repair blood vessel lesion                        A  29.98   6.77NA   6.77    7.48  44.23 44.230090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35190  Repair blood vessel lesion                        A  13.42   5.54NA   5.54    3.33  22.29 22.290090.09.84.0720210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35201  Repair blood vessel lesion                        A  16.93   6.59NA   6.59    4.00  27.52 27.520090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35206  Repair blood vessel lesion                        A  13.84   6.32NA   6.32    3.22  23.38 23.380090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35207  Repair blood vessel lesion                        A  10.94   9.73NA   9.73    2.08  22.75 22.750090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
35211  Repair blood vessel lesion                        A  24.58  10.59NA  10.59    5.92  41.09 41.090090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35216  Repair blood vessel lesion                        A  36.61  16.89NA  16.89    8.65  62.15 62.150090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35221  Repair blood vessel lesion                        A  26.62  10.37NA  10.37    6.52  43.51 43.510090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35226  Repair blood vessel lesion                        A  15.30   5.33NA   5.33    3.72  24.35 24.350090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35231  Repair blood vessel lesion                        A  21.16  12.00NA  12.00    3.88  37.04 37.040090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35236  Repair blood vessel lesion                        A  18.02   7.17NA   7.17    4.25  29.44 29.440090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35241  Repair blood vessel lesion                        A  25.58  10.68NA  10.68    5.93  42.19 42.190090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35246  Repair blood vessel lesion                        A  28.23  11.11NA  11.11    6.53  45.87 45.870090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35251  Repair blood vessel lesion                        A  31.91  11.49NA  11.49    7.85  51.25 51.250090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35256  Repair blood vessel lesion                        A  19.06   6.02NA   6.02    4.61  29.69 29.690090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35261  Repair blood vessel lesion                        A  18.96   5.13NA   5.13    4.70  28.79 28.790090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35266  Repair blood vessel lesion                        A  15.83   5.79NA   5.79    3.84  25.46 25.460090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35271  Repair blood vessel lesion                        A  24.58  10.43NA  10.43    5.86  40.87 40.870090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35276  Repair blood vessel lesion                        A  25.83  11.05NA  11.05    5.99  42.87 42.870090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35281  Repair blood vessel lesion                        A  30.06  10.01NA  10.01    7.54  47.61 47.610090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35286  Repair blood vessel lesion                        A  17.19   5.76NA   5.76    4.25  27.20 27.200090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35301  Rechanneling of artery                            A  21.16   6.59NA   6.59    5.35  33.10 33.100090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35302  Rechanneling of artery                            A  21.35   6.10NA   6.10    5.28  32.73 32.730090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35303  Rechanneling of artery                            A  23.60   6.42NA   6.42    5.86  35.88 35.880090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35304  Rechanneling of artery                            A  24.60   6.62NA   6.62    6.13  37.35 37.350090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35305  Rechanneling of artery                            A  23.60   6.45NA   6.45    5.88  35.93 35.930090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35306  Rechanneling of artery                            A   9.25   1.43NA   1.43    2.29  12.97 12.970ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35311  Rechanneling of artery                            A  28.60  10.32NA  10.32    6.62  45.54 45.540090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35321  Rechanneling of artery                            A  16.59   5.67NA   5.67    4.12  26.38 26.380090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35331  Rechanneling of artery                            A  27.72   7.97NA   7.97    6.91  42.60 42.600090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35341  Rechanneling of artery                            A  26.21   7.93NA   7.93    6.49  40.63 40.630090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35351  Rechanneling of artery                            A  24.61   6.91NA   6.91    6.12  37.64 37.640090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35355  Rechanneling of artery                            A  19.86   5.34NA   5.34    4.91  30.11 30.110090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35361  Rechanneling of artery                            A  30.24   6.81NA   6.81    7.55  44.60 44.600090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35363  Rechanneling of artery                            A  32.35   7.13NA   7.13    8.06  47.54 47.540090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35371  Rechanneling of artery                            A  15.31   4.77NA   4.77    3.79  23.87 23.870090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35372  Rechanneling of artery                            A  18.58   5.42NA   5.42    4.60  28.60 28.600090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35390  Reoperation carotid add-on                        A   3.19   0.66NA   0.66    0.78   4.63  4.630ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35400  Angioscopy                                        A   3.00   0.57NA   0.57    0.74   4.31  4.310ZZZ.00.00.0000010             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35500  Harvest vein for bypass                           A   6.44   1.26NA   1.26    1.58   9.28  9.280ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35501  Art byp grft ipsilat carotid                      A  29.09   6.37NA   6.37    7.26  42.72 42.720090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35506  Art byp grft subclav-carotid                      A  25.33   5.67NA   5.67    6.30  37.30 37.300090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35508  Art byp grft carotid-vertbrl                      A  26.09   6.36NA   6.36    6.50  38.95 38.950090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35509  Art byp grft contral carotid                      A  28.09   6.24NA   6.24    6.98  41.31 41.310090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35510  Art byp grft carotid-brchial                      A  24.39   5.55NA   5.55    6.08  36.02 36.020090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35511  Art byp grft subclav-subclav                      A  22.20   5.09NA   5.09    5.53  32.82 32.820090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35512  Art byp grft subclav-brchial                      A  23.89   5.47NA   5.47    5.96  35.32 35.320090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35515  Art byp grft subclav-vertbrl                      A  26.09   6.36NA   6.36    6.50  38.95 38.950090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35516  Art byp grft subclav-axilary                      A  24.21   5.50NA   5.50    6.03  35.74 35.740090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35518  Art byp grft axillary-axilry                      A  22.65   5.16NA   5.16    5.64  33.45 33.450090.09.84.0721210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35521  Art byp grft axill-femoral                        A  24.13   5.86NA   5.86    6.01  36.00 36.000090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35522  Art byp grft axill-brachial                       A  23.15   5.35NA   5.35    5.76  34.26 34.260090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35523  Art byp grft brchl-ulnr-rdl                       A  24.13   5.91NA   5.91    6.01  36.05 36.050090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35525  Art byp grft brachial-brchl                       A  21.69   6.12NA   6.12    5.37  33.18 33.180090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35526  Art byp grft aor/carot/innom                      A  31.55  11.86NA  11.86    7.31  50.72 50.720090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35531  Art byp grft aorcel/aormesen                      A  39.11   8.19NA   8.19    9.77  57.07 57.070090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35533  Art byp grft axill/fem/fem                        A  29.92   6.76NA   6.76    7.47  44.15 44.150090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35535  Art byp grft hepatorenal                          A  38.13   8.05NA   8.05    9.52  55.70 55.700090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35536  Art byp grft splenorenal                          A  33.73   7.35NA   7.35    8.39  49.47 49.470090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35537  Art byp grft aortoiliac                           A  41.88   8.65NA   8.65   10.47  61.00 61.000090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35538  Art byp grft aortobi-iliac                        A  47.03   9.55NA   9.55   11.73  68.31 68.310090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35539  Art byp grft aortofemoral                         A  44.11   9.00NA   9.00   11.01  64.12 64.120090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35540  Art byp grft aortbifemoral                        A  49.33   9.80NA   9.80   12.31  71.44 71.440090.09.84.0721110             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35556  Art byp grft fem-popliteal                        A  26.75   7.38NA   7.38    6.63  40.76 40.760090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35558  Art byp grft fem-femoral                          A  23.13   7.44NA   7.44    5.73  36.30 36.300090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35560  Art byp grft aortorenal                           A  34.03   7.40NA   7.40    8.48  49.91 49.910090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35563  Art byp grft ilioiliac                            A  26.12   6.17NA   6.17    6.51  38.80 38.800090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35565  Art byp grft iliofemoral                          A  25.13   7.10NA   7.10    6.19  38.42 38.420090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35566  Art byp fem-ant-post tib/prl                      A  32.35   8.21NA   8.21    8.04  48.60 48.600090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35570  Art byp tibial-tib/peroneal                       A  29.15   6.75NA   6.75    7.28  43.18 43.180090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35571  Art byp pop-tibl-prl-other                        A  25.52   6.87NA   6.87    6.34  38.73 38.730090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35572  Harvest femoropopliteal vein                      A   6.81   1.53NA   1.53    1.67  10.01 10.010ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
35583  Vein byp grft fem-popliteal                       A  27.75   7.52NA   7.52    6.91  42.18 42.180090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35585  Vein byp fem-tibial peroneal                      A  32.35   8.43NA   8.43    8.06  48.84 48.840090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35587  Vein byp pop-tibl peroneal                        A  26.21   6.31NA   6.31    6.53  39.05 39.050090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35600  Open hrv uxtr art 1 sgm cab                       A   3.59   0.99NA   0.99    0.86   5.44  5.440ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35601  Art byp common ipsi carotid                       A  27.09   7.16NA   7.16    6.75  41.00 41.000090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35606  Art byp carotid-subclavian                        A  22.46   6.42NA   6.42    5.57  34.45 34.450090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35612  Art byp subclav-subclavian                        A  20.35   5.26NA   5.26    5.07  30.68 30.680090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35616  Art byp subclav-axillary                          A  21.82   5.03NA   5.03    5.43  32.28 32.280090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35621  Art byp axillary-femoral                          A  21.03   5.87NA   5.87    5.20  32.10 32.100090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35623  Art byp axillary-pop-tibial                       A  25.92   6.14NA   6.14    6.45  38.51 38.510090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35626  Art byp aorsubcl/carot/innom                      A  29.14  10.30NA  10.30    7.09  46.53 46.530090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35631  Art byp aor-celiac-msn-renal                      A  36.03   9.31NA   9.31    8.88  54.22 54.220090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35632  Art byp ilio-celiac                               A  36.13   7.74NA   7.74    9.01  52.88 52.880090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35633  Art byp ilio-mesenteric                           A  39.11   9.14NA   9.14    9.75  58.00 58.000090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35634  Art byp iliorenal                                 A  35.33   7.61NA   7.61    8.81  51.75 51.750090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35636  Art byp spenorenal                                A  31.75   7.04NA   7.04    7.91  46.70 46.700090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35637  Art byp aortoiliac                                A  33.05   7.27NA   7.27    8.23  48.55 48.550090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35638  Art byp aortobi-iliac                             A  33.60   8.82NA   8.82    8.33  50.75 50.750090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35642  Art byp carotid-vertebral                         A  18.94   5.39NA   5.39    4.69  29.02 29.020090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35645  Art byp subclav-vertebrl                          A  18.43   4.79NA   4.79    4.58  27.80 27.800090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35646  Art byp aortobifemoral                            A  32.98   8.73NA   8.73    8.17  49.88 49.880090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35647  Art byp aortofemoral                              A  29.73   8.25NA   8.25    7.39  45.37 45.370090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35650  Art byp axillary-axillary                         A  20.16   4.77NA   4.77    5.01  29.94 29.940090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35654  Art byp axill-fem-femoral                         A  26.28   7.11NA   7.11    6.52  39.91 39.910090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35656  Art byp femoral-popliteal                         A  20.47   5.85NA   5.85    5.08  31.40 31.400090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35661  Art byp femoral-femoral                           A  20.35   6.32NA   6.32    5.04  31.71 31.710090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35663  Art byp ilioiliac                                 A  23.93   5.83NA   5.83    5.97  35.73 35.730090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35665  Art byp iliofemoral                               A  22.35   6.55NA   6.55    5.48  34.38 34.380090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35666  Art byp fem-ant-post tib/prl                      A  23.66   8.17NA   8.17    5.88  37.71 37.710090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35671  Art byp pop-tibl-prl-other                        A  20.77   7.28NA   7.28    5.15  33.20 33.200090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35681  Composite byp grft pros&vein                      A   1.60   0.33NA   0.33    0.40   2.33  2.330ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35682  Composite byp grft 2 veins                        A   7.19   1.32NA   1.32    1.78  10.29 10.290ZZZ.00.00.0000010             33.2875 090 99      0.00   0.00   0.00
35683  Composite byp grft 3/> segmt                      A   8.49   1.32NA   1.32    2.11  11.92 11.920ZZZ.00.00.0000010             33.2875 090 99      0.00   0.00   0.00
35685  Bypass graft patency/patch                        A   4.04   0.71NA   0.71    1.02   5.77  5.770ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35686  Bypass graft/av fist patency                      A   3.34   0.52NA   0.52    0.82   4.68  4.680ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35691  Art trnsposj vertbrl carotid                      A  18.41   4.78NA   4.78    4.57  27.76 27.760090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35693  Art trnsposj subclavian                           A  15.73   4.98NA   4.98    3.91  24.62 24.620090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35694  Art trnsposj subclav carotid                      A  19.28   4.92NA   4.92    4.79  28.99 28.990090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35695  Art trnsposj carotid subclav                      A  20.06   5.04NA   5.04    4.98  30.08 30.080090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35697  Reimplant artery each                             A   3.00   0.53NA   0.53    0.74   4.27  4.270ZZZ.00.00.0000220             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35700  Reoperation bypass graft                          A   3.08   0.58NA   0.58    0.76   4.42  4.420ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
35701  Expl n/flwd surg neck art                         A   7.50   4.22NA   4.22    1.29  13.01 13.010090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35702  Expl n/flwd surg uxtr art                         A   7.12   3.31NA   3.31    1.67  12.10 12.100090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35703  Expl n/flwd surg lxtr art                         A   7.50   2.95NA   2.95    1.79  12.24 12.240090.09.84.0721210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
35800  Explore neck vessels                              A  12.00   7.52NA   7.52    2.34  21.86 21.860090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35820  Explore chest vessels                             A  36.89  13.51NA  13.51    8.81  59.21 59.210090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35840  Explore abdominal vessels                         A  20.75  10.41NA  10.41    5.04  36.20 36.200090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35860  Explore limb vessels                              A  15.25   5.83NA   5.83    3.72  24.80 24.800090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35870  Repair vessel graft defect                        A  24.50   5.98NA   5.98    6.10  36.58 36.580090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35875  Removal of clot in graft                          A  10.72   4.00NA   4.00    2.65  17.37 17.370090.09.84.0720110             33.2875 090 99      0.00   0.00   0.00
35876  Removal of clot in graft                          A  17.82   5.41NA   5.41    4.38  27.61 27.610090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35879  Revise graft w/vein                               A  17.41   5.24NA   5.24    4.34  26.99 26.990090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35881  Revise graft w/vein                               A  19.35   6.03NA   6.03    4.79  30.17 30.170090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35883  Revj fem anast nonautog grf                       A  23.15   6.11NA   6.11    5.74  35.00 35.000090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35884  Revj fem anast autog vn grf                       A  24.65   5.50NA   5.50    6.14  36.29 36.290090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
35901  Excision graft neck                               A   8.38   3.61NA   3.61    2.08  14.07 14.070090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35903  Excision graft extremity                          A   9.53   4.75NA   4.75    2.36  16.64 16.640090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35905  Excision graft thorax                             A  33.52   7.32NA   7.32    8.35  49.19 49.190090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
35907  Excision graft abdomen                            A  37.27   9.32NA   9.32    9.29  55.88 55.880090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36000  Place needle in vein                              B+  0.18   0.73     0.07    0.02   0.93  0.279XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
36002  Pseudoaneurysm injection trt                      A   1.96   2.32     0.79    0.31   4.59  3.060000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36005  Injection ext venography                          A   0.95   6.37     0.28    0.16   7.48  1.390000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
36010  Place catheter in vein                            A   2.18  13.32     0.59    0.40  15.90  3.170XXX.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36011  Place catheter in vein                            A   3.14  19.86     0.89    0.52  23.52  4.550XXX.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36012  Place catheter in vein                            A   3.51  20.48     0.99    0.57  24.56  5.070XXX.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36013  Place catheter in artery                          A   2.52  20.12     0.80    0.35  22.99  3.670XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36014  Place catheter in artery                          A   3.02  19.60     0.91    0.48  23.10  4.410XXX.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36015  Place catheter in artery                          A   3.51  20.86     1.04    0.44  24.81  4.990XXX.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36100  Establish access to artery                        A   3.02  12.06     0.70    0.73  15.81  4.450XXX.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36140  Intro ndl icath upr/lxtr art                      A   1.76  12.97     0.48    0.36  15.09  2.600XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36160  Establish access to aorta                         A   2.52  13.41     0.72    0.35  16.28  3.590XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36200  Place catheter in aorta                           A   2.77  14.09     0.69    0.61  17.47  4.070000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36215  Place catheter in artery                          A   4.17  25.75     1.44    0.60  30.52  6.210000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36216  Place catheter in artery                          A   5.27  25.10     1.61    1.09  31.46  7.970000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36217  Place catheter in artery                          A   6.29  45.72     2.03    1.46  53.47  9.780000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36218  Place catheter in artery                          A   1.01   5.00     0.32    0.21   6.22  1.540ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36221  Place cath thoracic aorta                         A   3.92  24.32     1.05    0.88  29.12  5.850000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
36222  Place cath carotid/inom art                       A   5.28  29.93     1.84    1.30  36.51  8.420000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36223  Place cath carotid/inom art                       A   5.75  42.24     2.34    1.64  49.63  9.730000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36224  Place cath carotd art                             A   6.25  53.12     2.77    1.91  61.28 10.930000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36225  Place cath subclavian art                         A   5.75  39.76     2.27    1.63  47.14  9.650000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36226  Place cath vertebral art                          A   6.25  51.58     2.73    1.88  59.71 10.860000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36227  Place cath xtrnl carotid                          A   2.09   4.56     0.86    0.63   7.28  3.580ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
36228  Place cath intracranial art                       A   4.25  32.90     1.77    1.36  38.51  7.380ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
36245  Ins cath abd/l-ext art 1st                        A   4.65  31.02     1.40    0.83  36.50  6.880XXX.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36246  Ins cath abd/l-ext art 2nd                        A   5.02  18.52     1.32    1.04  24.58  7.380000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36247  Ins cath abd/l-ext art 3rd                        A   6.04  34.69     1.62    1.03  41.76  8.690000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36248  Ins cath abd/l-ext art addl                       A   1.01   2.30     0.27    0.12   3.43  1.400ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36251  Ins cath ren art 1st unilat                       A   5.10  31.81     1.44    0.92  37.83  7.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36252  Ins cath ren art 1st bilat                        A   6.74  32.81     2.20    1.49  41.04 10.430000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
36253  Ins cath ren art 2nd+ unilat                      A   7.30  50.84     2.11    0.88  59.02 10.290000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36254  Ins cath ren art 2nd+ bilat                       A   7.90  48.55     2.54    1.72  58.17 12.160000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
36260  Insertion of infusion pump                        A   9.91   7.33NA   7.33    2.55  19.79 19.790090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
36261  Revision of infusion pump                         A   5.63   5.38NA   5.38    1.46  12.47 12.470090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
36262  Removal of infusion pump                          A   4.11   4.36NA   4.36    1.07   9.54  9.540090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
36299  Unlisted px vascular njx                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
36400  Bl draw < 3 yrs fem/jugular                       A   0.38   0.41     0.14    0.03   0.82  0.550XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36405  Bl draw <3 yrs scalp vein                         A   0.31   0.39     0.11    0.02   0.72  0.440XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36406  Bl draw <3 yrs other vein                         A   0.18   0.34     0.07    0.01   0.53  0.260XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36410  Non-routine bl draw 3/> yrs                       A   0.18   0.33     0.07    0.02   0.53  0.270XXX.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
36416  Collj capillary blood spec                        B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
36420  Venipuncture cutdown < 1 yr                       A   1.01   0.18NA   0.18    0.22   1.41  1.410XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36425  Venipuncture cutdown 1 yr/>                       A   0.76   0.30NA   0.30    0.11   1.17  1.170XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36430  Transfusion bld/bld compnt                        A   0.00   1.24     1.24NA  0.03   1.27  1.275XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36440  Bld push tfuj 2 yr/<                              A   1.03   0.38NA   0.38    0.07   1.48  1.480XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36450  Bld exchange truj newborn                         A   3.50   1.29NA   1.29    0.24   5.03  5.030XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36455  Bld exchange truj oth thn nb                      A   2.43   0.67NA   0.67    0.59   3.69  3.690XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36456  Prtl exchange transfuse nb                        A   2.00   0.73NA   0.73    0.14   2.87  2.870XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36460  Intrauterine transfusion ftl                      A   6.58   2.53NA   2.53    1.13  10.24 10.240XXX.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
36465  Njx noncmpnd sclrsnt 1 vein                       A   2.35  35.41     0.68    0.46  38.22  3.490000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36466  Njx noncmpnd sclrsnt mlt vn                       A   3.00  36.76     0.86    0.59  40.35  4.450000.00.00.0021100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
36470  Njx sclrsnt 1 incmptnt vein                       A   0.75   2.56     0.22    0.15   3.46  1.120000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36471  Njx sclrsnt mlt incmptnt vn                       A   1.50   4.19     0.43    0.30   5.99  2.230000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36473  Endovenous mchnchem 1st vein                      A   3.50  31.40     1.08    0.74  35.64  5.320000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36474  Endovenous mchnchem add-on                        A   1.75   5.38     0.51    0.34   7.47  2.600ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
36475  Endovenous rf 1st vein                            A   5.30  25.26     1.70    1.15  31.71  8.150000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36476  Endovenous rf vein add-on                         A   2.65   5.14     0.69    0.56   8.35  3.900ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
36478  Endovenous laser 1st vein                         A   5.30  22.57     1.76    1.09  28.96  8.150000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36479  Endovenous laser vein addon                       A   2.65   5.78     0.78    0.55   8.98  3.980ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
36481  Insertion of catheter vein                        A   6.73  43.29     2.00    0.74  50.76  9.470000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36482  Endoven ther chem adhes 1st                       A   3.50  45.05     1.04    0.72  49.27  5.260000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
36483  Endoven ther chem adhes sbsq                      A   1.75   1.95     0.45    0.39   4.09  2.590ZZZ.00.00.0001100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
36500  Insertion of catheter vein                        A   3.51   1.15NA   1.15    0.67   5.33  5.330000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36510  Insertion of catheter vein                        A   1.09   1.41     0.40    0.08   2.58  1.570000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36511  Apheresis wbc                                     A   2.00   1.15NA   1.15    0.13   3.28  3.280000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36512  Apheresis rbc                                     A   2.00   1.00NA   1.00    0.12   3.12  3.120000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36513  Apheresis platelets                               A   2.00   0.94NA   0.94    0.19   3.13  3.130000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36514  Apheresis plasma                                  A   1.81  17.98     0.79    0.15  19.94  2.750000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36516  Apheresis immunoads slctv                         A   1.56  51.39     0.67    0.31  53.26  2.540000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36522  Photopheresis                                     A   1.75  38.04     0.95    0.12  39.91  2.820000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36555  Insert non-tunnel cv cath                         A   1.93   3.51     0.39    0.16   5.60  2.480000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36556  Insert non-tunnel cv cath                         A   1.75   4.37     0.51    0.23   6.35  2.490000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36557  Insert tunneled cv cath                           A   4.89  28.00     3.46    1.25  34.14  9.600010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36558  Insert tunneled cv cath                           A   4.59  19.07     2.40    0.64  24.30  7.630010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36560  Insert tunneled cv cath                           A   6.04  28.84     3.88    1.55  36.43 11.470010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36561  Insert tunneled cv cath                           A   5.79  21.99     3.06    0.96  28.74  9.810010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36563  Insert tunneled cv cath                           A   5.99  25.09     3.50    1.23  32.31 10.720010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36565  Insert tunneled cv cath                           A   5.79  17.45     2.94    1.25  24.49  9.980010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36566  Insert tunneled cv cath                           A   6.29 116.56     3.14    1.12 123.97 10.550010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36568  Insj picc <5 yr w/o imaging                       A   2.11   0.34NA   0.34    0.25   2.70  2.700000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36569  Insj picc 5 yr+ w/o imaging                       A   1.90   0.60NA   0.60    0.29   2.79  2.790000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36570  Insert picvad cath                                A   5.11  36.42     3.54    1.31  42.84  9.960010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36571  Insert picvad cath                                A   5.09  30.77     3.14    1.06  36.92  9.290010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
36572  Insj picc rs&i <5 yr                              A   1.82   8.97     0.33    0.23  11.02  2.380000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36573  Insj picc rs&i 5 yr+                              A   1.70   9.39     0.57    0.17  11.26  2.440000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36575  Repair tunneled cv cath                           A   0.67   3.54     0.24    0.07   4.28  0.980000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36576  Repair tunneled cv cath                           A   2.99   6.66     1.87    0.57  10.22  5.430010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36578  Replace tunneled cv cath                          A   3.29   8.79     2.09    0.66  12.74  6.040010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36580  Replace cvad cath                                 A   1.31   4.10     0.43    0.17   5.58  1.910000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36581  Replace tunneled cv cath                          A   3.23  19.14     1.73    0.42  22.79  5.380010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36582  Replace tunneled cv cath                          A   4.99  19.87     2.63    0.86  25.72  8.480010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36583  Replace tunneled cv cath                          A   5.04  27.54     3.51    1.29  33.87  9.840010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36584  Compl rplcmt picc rs&i                            A   1.20   8.25     0.39    0.12   9.57  1.710000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36585  Replace picvad cath                               A   4.59  28.26     2.97    0.69  33.54  8.250010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36589  Removal tunneled cv cath                          A   2.28   2.29     1.41    0.34   4.91  4.030010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36590  Removal tunneled cv cath                          A   3.10   3.00     1.98    0.54   6.64  5.620010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
36591  Draw blood off venous device                      T   0.00   0.82     0.82NA  0.01   0.83  0.833XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
36592  Collect blood from picc                           T   0.00   0.89     0.89NA  0.01   0.90  0.903XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
36593  Declot vascular device                            A   0.00   1.02     1.02NA  0.02   1.04  1.043XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
36595  Mech remov tunneled cv cath                       A   3.59  13.47     1.28    0.42  17.48  5.290000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36596  Mech remov tunneled cv cath                       A   0.75   2.58     0.47    0.11   3.44  1.330000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36597  Reposition venous catheter                        A   1.21   1.93     0.40    0.15   3.29  1.760000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36598  Inj w/fluor eval cv device                        T   0.74   2.74     0.23    0.07   3.55  1.049000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
36600  Withdrawal of arterial blood                      A   0.32   0.48     0.10    0.02   0.82  0.440XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36620  Insertion catheter artery                         A   1.00   0.21NA   0.21    0.09   1.30  1.300000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36625  Insertion catheter artery                         A   2.11   0.66NA   0.66    0.33   3.10  3.100000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36640  Insertion catheter artery                         A   2.10   1.24NA   1.24    0.16   3.50  3.500000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36660  Insertion catheter artery                         A   1.40   0.51NA   0.51    0.10   2.01  2.010000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36680  Insert needle bone cavity                         A   1.20   0.35NA   0.35    0.22   1.77  1.770000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
36800  Insertion of cannula                              A   2.43   0.84NA   0.84    0.29   3.56  3.560000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36810  Insertion of cannula                              A   3.96   1.82NA   1.82    0.41   6.19  6.190000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36815  Insertion of cannula                              A   2.62   0.71NA   0.71    0.64   3.97  3.970000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36818  Av fuse uppr arm cephalic                         A  12.39   4.82NA   4.82    3.05  20.26 20.260090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36819  Av fuse uppr arm basilic                          A  13.29   4.85NA   4.85    3.31  21.45 21.450090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36820  Av fusion/forearm vein                            A  13.07   5.04NA   5.04    3.23  21.34 21.340090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
36821  Av fusion direct any site                         A  11.90   4.56NA   4.56    2.93  19.39 19.390090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36823  Insertion of cannula(s)                           A  22.98  13.17NA  13.17    5.93  42.08 42.080090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
36825  Artery-vein autograft                             A  14.17   5.62NA   5.62    3.53  23.32 23.320090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36830  Artery-vein nonautograft                          A  12.03   4.58NA   4.58    2.97  19.58 19.580090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36831  Open thrombect av fistula                         A  11.00   4.41NA   4.41    2.73  18.14 18.140090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36832  Av fistula revision open                          A  13.50   5.39NA   5.39    3.34  22.23 22.230090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36833  Av fistula revision                               A  14.50   5.61NA   5.61    3.60  23.71 23.710090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
36835  Artery to vein shunt                              A   7.51   5.06NA   5.06    1.84  14.41 14.410090.09.84.0720100             33.2875 090 99      0.00   0.00   0.00
36836  Prq av fstl crtj uxtr 1 acs                       A   7.20 232.31     2.19    1.01 240.52 10.400000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
36837  Prq av fstl crt uxtr sep acs                      A   9.30 275.61     2.78    1.37 286.28 13.450000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
36838  Dist revas ligation hemo                          A  21.69   6.31NA   6.31    5.40  33.40 33.400090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
36860  External cannula declotting                       A   2.01   4.45     0.74    0.51   6.97  3.260000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36861  Cannula declotting                                A   2.52   0.93NA   0.93    0.64   4.09  4.090000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36901  Intro cath dialysis circuit                       A   3.36  16.92     1.03    0.51  20.79  4.900000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36902  Intro cath dialysis circuit                       A   4.83  29.98     1.44    0.72  35.53  6.990000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36903  Intro cath dialysis circuit                       A   6.39 117.09     1.77    1.03 124.51  9.190000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
36904  Thrmbc/nfs dialysis circuit                       A   7.50  44.54     2.10    1.12  53.16 10.720000.00.00.0020110             33.2875 090 99      0.00   0.00   0.00
36905  Thrmbc/nfs dialysis circuit                       A   9.00  56.61     2.63    1.24  66.85 12.870000.00.00.0020110             33.2875 090 99      0.00   0.00   0.00
36906  Thrmbc/nfs dialysis circuit                       A  10.42 146.54     2.93    1.51 158.47 14.860000.00.00.0020110             33.2875 090 99      0.00   0.00   0.00
36907  Balo angiop ctr dialysis seg                      A   3.00  13.88     0.80    0.45  17.33  4.250ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36908  Stent plmt ctr dialysis seg                       A   4.25  36.57     1.07    0.71  41.53  6.030ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
36909  Dialysis circuit embolj                           A   4.12  50.75     1.06    0.67  55.54  5.850ZZZ.00.00.0000100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37140  Revision of circulation                           A  40.00  18.97NA  18.97   10.33  69.30 69.300090.09.84.0720110             33.2875 090 99      0.00   0.00   0.00
37145  Revision of circulation                           A  37.00  17.75NA  17.75    9.56  64.31 64.310090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
37160  Revision of circulation                           A  38.00  18.24NA  18.24    9.81  66.05 66.050090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37180  Revision of circulation                           A  36.50  17.56NA  17.56    9.43  63.49 63.490090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37181  Splice spleen/kidney veins                        A  40.00  18.97NA  18.97   10.33  69.30 69.300090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37182  Insert hepatic shunt (tips)                       A  16.97   4.90NA   4.90    1.76  23.63 23.630000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
37183  Revision tips                                     A   7.74 161.65     2.31    0.80 170.19 10.850000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
37184  Prim art m-thrmbc 1st vsl                         A   8.41  40.27     2.57    1.57  50.25 12.550000.00.00.0021120             33.2875 090 99      0.00   0.00   0.00
37185  Prim art m-thrmbc sbsq vsl                        A   3.28  10.04     0.83    0.63  13.95  4.740ZZZ.00.00.0002120             33.2875 090 99      0.00   0.00   0.00
37186  Sec art thrombectomy add-on                       A   4.92  28.90     1.17    1.01  34.83  7.100ZZZ.00.00.0002120             33.2875 090 99      0.00   0.00   0.00
37187  Venous mech thrombectomy                          A   7.78  40.62     2.40    1.27  49.67 11.450000.00.00.0021120             33.2875 090 99      0.00   0.00   0.00
37188  Ven mechnl thrmbc repeat tx                       A   5.46  36.12     1.76    0.97  42.55  8.190000.00.00.0001120             33.2875 090 99      0.00   0.00   0.00
37191  Ins endovas vena cava filtr                       A   4.46  54.11     1.33    0.63  59.20  6.420000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37192  Redo endovas vena cava filtr                      A   7.10  28.86     1.20    1.75  37.71 10.050000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37193  Rem endovas vena cava filter                      A   7.10  35.84     1.93    1.06  44.00 10.090000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37197  Remove intrvas foreign body                       A   6.04  38.89     1.71    1.01  45.94  8.760000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37200  Transcatheter biopsy                              A   4.55   1.21NA   1.21    0.47   6.23  6.230000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37211  Thrombolytic art therapy                          A   7.75   2.06NA   2.06    1.47  11.28 11.280000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
37212  Thrombolytic venous therapy                       A   6.81   1.84NA   1.84    1.18   9.83  9.830000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
37213  Thromblytic art/ven therapy                       A   4.75   1.16NA   1.16    0.81   6.72  6.720000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37214  Cessj therapy cath removal                        A   2.49   0.61NA   0.61    0.45   3.55  3.550000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37215  Transcath stent cca w/eps                         R  17.75   6.71NA   6.71    4.58  29.04 29.040090.09.84.0721000             33.2875 090 99      0.00   0.00   0.00
37216  Transcath stent cca w/o eps                       N+ 17.98   9.37NA   9.37    1.83  29.18 29.189090.09.84.0799999             33.2875 090 99      0.00   0.00   0.00
37217  Stent placemt retro carotid                       A  20.38   6.22NA   6.22    4.98  31.58 31.580090.09.84.0721000             33.2875 090 99      0.00   0.00   0.00
37218  Stent placemt ante carotid                        A  14.75   6.00NA   6.00    3.55  24.30 24.300090.09.84.0721000             33.2875 090 99      0.00   0.00   0.00
37220  Iliac revasc                                      A   7.90  64.01     2.00    1.74  73.65 11.640000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
37221  Iliac revasc w/stent                              A   9.75  78.45     2.38    2.21  90.41 14.340000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37222  Iliac revasc add-on                               A   3.73  13.64     0.84    0.81  18.18  5.380ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37223  Iliac revasc w/stent add-on                       A   4.25  32.06     0.93    0.98  37.29  6.160ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37224  Fem/popl revas w/tla                              A   8.75  74.88     2.20    1.99  85.62 12.940000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37225  Fem/popl revas w/ather                            A  11.75 242.41     3.12    2.54 256.70 17.410000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37226  Fem/popl revasc w/stent                           A  10.24 225.21     2.52    2.33 237.78 15.090000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37227  Fem/popl revasc stnt & ather                      A  14.25 310.48     3.51    3.07 327.80 20.830000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37228  Tib/per revasc w/tla                              A  10.75 108.20     2.60    2.38 121.33 15.730000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37229  Tib/per revasc w/ather                            A  13.80 244.60     3.56    2.79 261.19 20.150000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37230  Tib/per revasc w/stent                            A  13.55 245.10     3.65    2.96 261.61 20.160000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37231  Tib/per revasc stent & ather                      A  14.75 327.96     3.92    2.68 345.39 21.350000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37232  Tib/per revasc add-on                             A   4.00  19.32     0.97    0.82  24.14  5.790ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37233  Tibper revasc w/ather add-on                      A   6.50  23.26     1.61    1.25  31.01  9.360ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37234  Revsc opn/prq tib/pero stent                      A   5.50 100.00     1.50    1.18 106.68  8.180ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37235  Tib/per revasc stnt & ather                       A   7.80 106.97     1.79    1.10 115.87 10.690ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37236  Open/perq place stent 1st                         A   8.75  70.03     2.18    1.91  80.69 12.840000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37237  Open/perq place stent ea add                      A   4.25  32.73     0.94    0.96  37.94  6.150ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37238  Open/perq place stent same                        A   6.04  94.05     1.70    1.20 101.29  8.940000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
37239  Open/perq place stent ea add                      A   2.97  47.05     0.82    0.59  50.61  4.380ZZZ.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
37241  Vasc embolize/occlude venous                      A   8.75 125.62     2.39    1.29 135.66 12.430000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37242  Vasc embolize/occlude artery                      A   9.80 196.01     2.50    1.54 207.35 13.840000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37243  Vasc embolize/occlude organ                       A  11.74 238.30     3.29    1.23 251.27 16.260000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37244  Vasc embolize/occlude bleed                       A  13.75 176.70     3.92    1.50 191.95 19.170000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
37246  Trluml balo angiop 1st art                        A   7.00  45.02     1.83    1.31  53.33 10.140000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
37247  Trluml balo angiop addl art                       A   3.50  13.16     0.87    0.68  17.34  5.050ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
37248  Trluml balo angiop 1st vein                       A   6.00  32.86     1.74    0.91  39.77  8.650000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
37249  Trluml balo angiop addl vein                      A   2.97   9.51     0.74    0.53  13.01  4.240ZZZ.00.00.0001100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37252  Intrvasc us noncoronary 1st                       A   1.80  25.70     0.44    0.35  27.85  2.590ZZZ.00.00.0000010             33.2875 090 99      0.00   0.00   0.00
37253  Intrvasc us noncoronary addl                      A   1.44   3.41     0.35    0.27   5.12  2.060ZZZ.00.00.0000010             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37500  Endoscopy ligate perf veins                       A  11.67   4.01NA   4.01    2.89  18.57 18.570090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
37501  Unlisted vasc endoscopy px                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021111             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37565  Ligation of neck vein                             A  12.05   7.24NA   7.24    2.44  21.73 21.730090.09.84.0721010             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37600  Ligation of neck artery                           A  12.42   7.80NA   7.80    2.13  22.35 22.350090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37605  Ligation of neck artery                           A  14.28   3.87NA   3.87    3.56  21.71 21.710090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37606  Ligation of neck artery                           A   8.81   9.90NA   9.90    3.67  22.38 22.380090.09.84.0720200             33.2875 090 99      0.00   0.00   0.00
37607  Ligation of a-v fistula                           A   6.25   3.32NA   3.32    1.50  11.07 11.070090.09.84.0720110             33.2875 090 99      0.00   0.00   0.00
37609  Temporal artery procedure                         A   3.05   5.64     2.42    0.64   9.33  6.110010.10.80.1021100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37615  Ligation of neck artery                           A   7.80   6.11NA   6.11    1.54  15.45 15.450090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37616  Ligation of chest artery                          A  18.97   9.90NA   9.90    4.63  33.50 33.500090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37617  Ligation of abdomen artery                        A  23.79  10.05NA  10.05    5.47  39.31 39.310090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37618  Ligation of extremity artery                      A   6.03   4.26NA   4.26    1.44  11.73 11.730090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37619  Ligation of inf vena cava                         A  30.00  13.78NA  13.78    7.73  51.51 51.510090.09.84.0720200             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37650  Revision of major vein                            A   8.49   2.96NA   2.96    2.11  13.56 13.560090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
37660  Revision of major vein                            A  22.28  11.31NA  11.31    5.73  39.32 39.320090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
37700  Revise leg vein                                   A   3.82   2.49NA   2.49    0.95   7.26  7.260090.09.84.0721100             33.2875 090 99      0.00   0.00   0.00
37718  Ligate/strip short leg vein                       A   7.13   2.72NA   2.72    1.76  11.61 11.610090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
37722  Ligate/strip long leg vein                        A   8.16   3.44NA   3.44    2.03  13.63 13.630090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
37735  Removal of leg veins/lesion                       A  10.90   3.56NA   3.56    2.71  17.17 17.170090.09.84.0721110             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
37760  Ligate leg veins radical                          A  10.78   3.54NA   3.54    2.68  17.00 17.000090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
37761  Ligate leg veins open                             A   9.13   4.55NA   4.55    2.22  15.90 15.900090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
37765  Stab phleb veins xtr 10-20                        A   4.80   6.66     2.09    1.09  12.55  7.980010.10.80.1021110             33.2875 090 99      0.00   0.00   0.00
37766  Phleb veins - extrem 20+                          A   6.00   7.41     2.43    1.35  14.76  9.780010.10.80.1021110             33.2875 090 99      0.00   0.00   0.00
37780  Revision of leg vein                              A   3.93   2.10NA   2.10    0.98   7.01  7.010090.09.84.0721110             33.2875 090 99      0.00   0.00   0.00
37785  Ligate/divide/excise vein                         A   3.93   5.55     2.68    0.97  10.45  7.580090.09.84.0721100             33.2875 090 99      0.00   0.00   0.00
37788  Revascularization penis                           A  23.33  11.34NA  11.34    2.83  37.50 37.500090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
37790  Penile venous occlusion                           A   8.43   5.07NA   5.07    1.04  14.54 14.540090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
37799  Unlisted px vascular surgery                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
38100  Removal of spleen total                           A  19.55  10.20NA  10.20    4.70  34.45 34.450090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38101  Removal of spleen partial                         A  19.55  10.31NA  10.31    5.03  34.89 34.890090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38102  Removal of spleen total                           A   4.79   1.89NA   1.89    1.11   7.79  7.790ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
38115  Repair of ruptured spleen                         A  21.88  11.17NA  11.17    5.64  38.69 38.690090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38120  Laparoscopy splenectomy                           A  17.07  10.48NA  10.48    4.29  31.84 31.840090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
38129  Unlisted laps px spleen                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
38200  Injection for spleen x-ray                        A   2.64   0.94NA   0.94    0.24   3.82  3.820000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38204  Bl donor search management                        B+  2.00   0.78NA   0.78    0.21   2.99  2.999XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
38205  Harvest allogeneic stem cell                      R   1.50   0.89NA   0.89    0.10   2.49  2.490000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38206  Harvest auto stem cells                           R   1.50   0.84NA   0.84    0.10   2.44  2.440000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38207  Cryopreserve stem cells                           I+  0.89   0.35NA   0.35    0.09   1.33  1.339XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
38208  Thaw preserved stem cells                         I+  0.56   0.22NA   0.22    0.06   0.84  0.849XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
38210  T-cell depletion of harvest                       I+  1.57   0.61NA   0.61    0.16   2.34  2.349XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
38211  Tumor cell deplete of harvst                      I+  1.42   0.55NA   0.55    0.15   2.12  2.129XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
38212  Rbc depletion of harvest                          I+  0.94   0.36NA   0.36    0.10   1.40  1.409XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
38215  Harvest stem cell concentrte                      I+  0.94   0.36NA   0.36    0.10   1.40  1.409XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
38220  Dx bone marrow aspirations                        A   1.20   3.42     0.69    0.10   4.72  1.990XXX.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
38221  Dx bone marrow biopsies                           A   1.28   3.50     0.70    0.10   4.88  2.080XXX.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
38222  Dx bone marrow bx & aspir                         A   1.44   3.70     0.66    0.12   5.26  2.220XXX.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
38230  Bone marrow harvest allogen                       A   3.50   1.81NA   1.81    0.73   6.04  6.040000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38232  Bone marrow harvest autolog                       A   3.50   1.60NA   1.60    0.51   5.61  5.610000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38240  Transplt allo hct/donor                           R   4.00   2.90NA   2.90    0.26   7.16  7.160XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38241  Transplt autol hct/donor                          R   3.00   2.09NA   2.09    0.20   5.29  5.290XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38242  Transplt allo lymphocytes                         A   2.11   1.49NA   1.49    0.14   3.74  3.740000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38243  Transplj hematopoietic boost                      A   2.13   1.40NA   1.40    0.14   3.67  3.670000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
38300  Drainage lymph node lesion                        A   2.36   7.23     3.40    0.60  10.19  6.360010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
38305  Drainage lymph node lesion                        A   6.68   6.60NA   6.60    1.72  15.00 15.000090.11.73.1620100             33.2875 090 99      0.00   0.00   0.00
38308  Incision of lymph channels                        A   6.81   5.77NA   5.77    1.62  14.20 14.200090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38380  Thoracic duct procedure                           A   8.46   7.53NA   7.53    1.46  17.45 17.450090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38381  Thoracic duct procedure                           A  13.38   7.32NA   7.32    3.28  23.98 23.980090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38382  Thoracic duct procedure                           A  10.65   7.16NA   7.16    2.63  20.44 20.440090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38500  Biopsy/removal lymph nodes                        A   3.79   5.46     3.01    0.90  10.15  7.700010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
38505  Needle biopsy lymph nodes                         A   1.59   3.46     0.78    0.16   5.21  2.530000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
38510  Biopsy/removal lymph nodes                        A   6.74   7.88     4.55    1.29  15.91 12.580010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
38520  Biopsy/removal lymph nodes                        A   7.03   5.60NA   5.60    1.48  14.11 14.110090.11.73.1621100             33.2875 090 99      0.00   0.00   0.00
38525  Biopsy/removal lymph nodes                        A   6.43   5.30NA   5.30    1.61  13.34 13.340090.11.73.1621100             33.2875 090 99      0.00   0.00   0.00
38530  Biopsy/removal lymph nodes                        A   8.34   6.99NA   6.99    1.74  17.07 17.070090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38531  Open bx/exc inguinofem nodes                      A   6.74   5.16NA   5.16    1.62  13.52 13.520090.11.73.1621000             33.2875 090 99      0.00   0.00   0.00
38542  Explore deep node(s) neck                         A   7.95   6.47NA   6.47    1.39  15.81 15.810090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38550  Removal neck/armpit lesion                        A   7.11   6.90NA   6.90    1.82  15.83 15.830090.11.73.1620000             33.2875 090 99      0.00   0.00   0.00
38555  Removal neck/armpit lesion                        A  15.59  11.31NA  11.31    4.01  30.91 30.910090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38562  Removal pelvic lymph nodes                        A  11.06   8.24NA   8.24    1.98  21.28 21.280090.11.73.1622210             33.2875 090 99      0.00   0.00   0.00
38564  Removal abdomen lymph nodes                       A  11.38   7.22NA   7.22    2.46  21.06 21.060090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38570  Laparoscopy lymph node biop                       A   8.49   5.55NA   5.55    1.49  15.53 15.530010.10.80.1030220       49320 33.2875 090 99      0.00   0.00   0.00
38571  Laparoscopy lymphadenectomy                       A  12.00   6.21NA   6.21    1.56  19.77 19.770010.10.80.1032220       49320 33.2875 090 99      0.00   0.00   0.00
38572  Laparoscopy lymphadenectomy                       A  15.60   8.86NA   8.86    2.46  26.92 26.920010.10.80.1032220       49320 33.2875 090 99      0.00   0.00   0.00
38573  Laps pelvic lymphadec                             A  20.00  11.91NA  11.91    3.41  35.32 35.320010.10.80.1032220       49320 33.2875 090 99      0.00   0.00   0.00
38589  Unlisted laps px lymphtc sys                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
38700  Removal of lymph nodes neck                       A  12.81   9.55NA   9.55    1.91  24.27 24.270090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38720  Removal of lymph nodes neck                       A  21.95  14.64NA  14.64    3.81  40.40 40.400090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38724  Removal of lymph nodes neck                       A  23.95  15.92NA  15.92    3.73  43.60 43.600090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38740  Remove armpit lymph nodes                         A  10.70   7.82NA   7.82    2.68  21.20 21.200090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38745  Remove armpit lymph nodes                         A  13.87   9.27NA   9.27    3.48  26.62 26.620090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38746  Remove thoracic lymph nodes                       A   4.12   1.16NA   1.16    1.01   6.29  6.290ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
38747  Remove abdominal lymph nodes                      A   4.88   1.85NA   1.85    1.19   7.92  7.920ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
38760  Remove groin lymph nodes                          A  13.62   8.72NA   8.72    2.83  25.17 25.170090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38765  Remove groin lymph nodes                          A  21.91  12.74NA  12.74    4.60  39.25 39.250090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38770  Remove pelvis lymph nodes                         A  14.06   7.99NA   7.99    2.13  24.18 24.180090.11.73.1621210             33.2875 090 99      0.00   0.00   0.00
38780  Remove abdomen lymph nodes                        A  17.70  10.48NA  10.48    3.37  31.55 31.550090.11.73.1620210             33.2875 090 99      0.00   0.00   0.00
38790  Inject for lymphatic x-ray                        A   1.29   0.95NA   0.95    0.20   2.44  2.440000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
38792  Ra tracer id of sentinl node                      A   0.65   1.74     0.22    0.08   2.47  0.950000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
38794  Access thoracic lymph duct                        A   4.62   3.24NA   3.24    0.50   8.36  8.360090.11.73.1620000             33.2875 090 99      0.00   0.00   0.00
38900  Io map of sent lymph node                         A   2.50   1.00     1.00    0.59   4.09  4.090ZZZ.00.00.0001210             33.2875 090 99      0.00   0.00   0.00
38999  Unlistd px hemic/lymphtc sys                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
39000  Exploration of chest                              A   7.57   5.88NA   5.88    1.70  15.15 15.150090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39010  Exploration of chest                              A  13.19   7.10NA   7.10    3.18  23.47 23.470090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39200  Resect mediastinal cyst                           A  15.09   6.99NA   6.99    3.72  25.80 25.800090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39220  Resect mediastinal tumor                          A  19.55   9.69NA   9.69    4.47  33.71 33.710090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39401  Mediastinoscpy w/medstnl bx                       A   5.44   2.38NA   2.38    1.29   9.11  9.110000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
39402  Mediastinoscpy w/lmph nod bx                      A   7.25   2.88NA   2.88    1.76  11.89 11.890000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
39499  Unlisted px mediastinum                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
39501  Repair diaphragm laceration                       A  13.98   8.22NA   8.22    3.35  25.55 25.550090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39503  Repair of diaphragm hernia                        A 108.91  35.14NA  35.14   26.95 171.00171.000090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39540  Repair of diaphragm hernia                        A  14.57   7.83NA   7.83    3.55  25.95 25.950090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39541  Repair of diaphragm hernia                        A  15.75   8.26NA   8.26    3.87  27.88 27.880090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39545  Revision of diaphragm                             A  14.67   8.40NA   8.40    3.60  26.67 26.670090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39560  Resect diaphragm simple                           A  13.06   8.08NA   8.08    2.91  24.05 24.050090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39561  Resect diaphragm complex                          A  19.99  12.66NA  12.66    4.88  37.53 37.530090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
39599  Unlisted px diaphragm                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
4004F  Pt tobacco screen rcvd tlk                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
4010F  Ace/arb therapy rxd/taken                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
4040F  Pneumoc vac/admin/rcvd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
4044F  Doc order given vte prophylx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40490  Biopsy of lip                                     A   1.22   2.33     0.71    0.13   3.68  2.060000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40500  Partial excision of lip                           A   4.47  10.94     6.17    0.59  16.00 11.230090.09.81.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40510  Partial excision of lip                           A   4.82   9.29     5.07    0.68  14.79 10.570090.09.81.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40520  Partial excision of lip                           A   4.79   9.68     5.29    0.72  15.19 10.800090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
40525  Reconstruct lip with flap                         A   7.72   7.73NA   7.73    1.23  16.68 16.680090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
40527  Reconstruct lip with flap                         A   9.32   8.32NA   8.32    1.36  19.00 19.000090.09.81.1020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40530  Partial removal of lip                            A   5.54  10.42     5.85    0.89  16.85 12.280090.09.81.1020100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40650  Rpr lip fth vermilion only                        A   3.78  10.06     5.10    0.74  14.58  9.620090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
40652  Rpr lip fth<half ver height                       A   4.43  10.46     5.76    0.77  15.66 10.960090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
40654  Rpr lip fth>1half ver ht/cpx                      A   5.48  11.40     6.58    0.86  17.74 12.920090.09.81.1020100             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40700  Repair cleft lip/nasal                            A  14.17  13.50NA  13.50    2.62  30.29 30.290090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
40701  Repair cleft lip/nasal                            A  17.23  15.29NA  15.29    3.19  35.71 35.710090.09.81.1022200             33.2875 090 99      0.00   0.00   0.00
40702  Repair cleft lip/nasal                            A  14.27  13.11NA  13.11    2.64  30.02 30.020090.09.81.1022200             33.2875 090 99      0.00   0.00   0.00
40720  Repair cleft lip/nasal                            A  14.72  13.37NA  13.37    2.71  30.80 30.800090.09.81.1021000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40761  Repair cleft lip/nasal                            A  15.84  13.58NA  13.58    2.91  32.33 32.330090.09.81.1020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40799  Unlisted procedure lips                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
40800  Drainage of mouth lesion                          A   1.23   4.72     2.22    0.13   6.08  3.580010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
40801  Drainage of mouth lesion                          A   2.63   5.87     3.08    0.27   8.77  5.980010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
40804  Removal foreign body mouth                        A   1.30   4.25     1.99    0.15   5.70  3.440010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
40805  Removal foreign body mouth                        A   2.79   5.50     2.89    0.26   8.55  5.940010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
40806  Incision of lip fold                              A   0.31   2.64     0.53    0.05   3.00  0.890000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
40808  Biopsy of mouth lesion                            A   1.05   3.92     1.51    0.13   5.10  2.690010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
40810  Excision of mouth lesion                          A   1.36   5.00     2.17    0.17   6.53  3.700010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
40812  Excise/repair mouth lesion                        A   2.37   5.70     2.85    0.26   8.33  5.480010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
40814  Excise/repair mouth lesion                        A   3.52   7.25     4.60    0.40  11.17  8.520090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
40816  Excision of mouth lesion                          A   3.77   7.92     4.93    0.47  12.16  9.170090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
40818  Excise oral mucosa for graft                      A   2.83   7.76     4.81    0.35  10.94  7.990090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
40819  Excise lip or cheek fold                          A   2.51   5.37     3.26    0.24   8.12  6.010090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
40820  Treatment of mouth lesion                         A   1.34   6.31     3.53    0.14   7.79  5.010010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
40830  Repair mouth laceration                           A   1.82   4.70     2.34    0.21   6.73  4.370010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
40831  Repair mouth laceration                           A   2.57   5.99     3.17    0.29   8.85  6.030010.10.80.1020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40840  Reconstruction of mouth                           R   9.15  15.52     8.53    1.40  26.07 19.080090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
40842  Reconstruction of mouth                           R   9.15  17.22     9.58    1.69  28.06 20.420090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
40843  Reconstruction of mouth                           R  12.79  20.96    11.01    2.36  36.11 26.160090.09.81.1022200             33.2875 090 99      0.00   0.00   0.00
40844  Reconstruction of mouth                           R  16.80  25.42    15.49    3.11  45.33 35.400090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
40845  Reconstruction of mouth                           R  19.36  22.42    14.13    2.74  44.52 36.230090.09.81.1020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
40899  Unlisted px vestibule mouth                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
4090F  Pt rcvng epo thxpy                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
4100F  Biphos thxpy vein ord/recvd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
41000  Drainage of mouth lesion                          A   1.35   2.87     1.64    0.15   4.37  3.140010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41005  Drainage of mouth lesion                          A   1.31   5.40     2.05    0.14   6.85  3.500010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41006  Drainage of mouth lesion                          A   3.34   6.50     3.27    0.34  10.18  6.950090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41007  Drainage of mouth lesion                          A   3.20   6.36     3.15    0.31   9.87  6.660090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41008  Drainage of mouth lesion                          A   3.46   7.94     3.89    0.42  11.82  7.770090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41009  Drainage of mouth lesion                          A   3.71   8.60     4.45    0.44  12.75  8.600090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41010  Incision of tongue fold                           A   1.11   5.25     2.06    0.16   6.52  3.330010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41015  Drainage of mouth lesion                          A   4.08   7.51     4.50    0.40  11.99  8.980090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41016  Drainage of mouth lesion                          A   4.19   9.32     5.70    0.47  13.98 10.360090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41017  Drainage of mouth lesion                          A   4.19   9.33     5.66    0.45  13.97 10.300090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41018  Drainage of mouth lesion                          A   5.22   9.94     6.20    0.59  15.75 12.010090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41019  Place needles h&n for rt                          A   8.84   5.01NA   5.01    0.71  14.56 14.560000.00.00.0020011             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41100  Biopsy of tongue                                  A   1.42   4.04     1.63    0.19   5.65  3.240010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41105  Biopsy of tongue                                  A   1.47   4.01     1.67    0.19   5.67  3.330010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41108  Biopsy of floor of mouth                          A   1.10   3.82     1.51    0.15   5.07  2.760010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41110  Excision of tongue lesion                         A   1.56   5.15     2.15    0.22   6.93  3.930010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41112  Excision of tongue lesion                         A   2.83   7.02     4.14    0.36  10.21  7.330090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
41113  Excision of tongue lesion                         A   3.29   7.21     4.27    0.39  10.89  7.950090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
41114  Excision of tongue lesion                         A   8.82   8.63NA   8.63    1.28  18.73 18.730090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41115  Excision of tongue fold                           A   1.79   5.83     2.38    0.25   7.87  4.420010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41116  Excision of mouth lesion                          A   2.52   7.20     3.68    0.34  10.06  6.540090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
41120  Partial removal of tongue                         A  11.14  18.93NA  18.93    1.63  31.70 31.700090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
41130  Partial removal of tongue                         A  15.74  21.13NA  21.13    2.34  39.21 39.210090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
41135  Tongue and neck surgery                           A  30.14  30.05NA  30.05    4.43  64.62 64.620090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
41140  Removal of tongue                                 A  29.15  31.68NA  31.68    4.25  65.08 65.080090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
41145  Tongue removal neck surgery                       A  37.93  38.47NA  38.47    5.54  81.94 81.940090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
4115F  Beta blckr admin w/in 24 hrs                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
41150  Tongue mouth jaw surgery                          A  29.86  31.30NA  31.30    4.41  65.57 65.570090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
41153  Tongue mouth neck surgery                         A  33.59  32.79NA  32.79    4.95  71.33 71.330090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
41155  Tongue jaw & neck surgery                         A  44.30  38.19NA  38.19    6.39  88.88 88.880090.09.81.1020210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41250  Repair tongue laceration                          A   1.96   6.19     2.30    0.38   8.53  4.640010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41251  Repair tongue laceration                          A   2.32   6.62     2.73    0.49   9.43  5.540010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41252  Repair tongue laceration                          A   3.02   6.30     2.77    0.50   9.82  6.290010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
4130F  Topical prep rx aoe                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41510  Tongue to lip surgery                             A   3.51   9.66NA   9.66    0.50  13.67 13.670090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41512  Tongue suspension                                 A   6.86  12.14NA  12.14    1.02  20.02 20.020090.10.76.1420000             33.2875 090 99      0.00   0.00   0.00
41520  Reconstruction tongue fold                        A   2.83   7.83     4.38    0.40  11.06  7.610090.09.81.1020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41530  Tongue base vol reduction                         A   3.50  23.34     7.36    0.48  27.32 11.340000.00.00.0020000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41599  Unlisted px tongue flr mouth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41800  Drainage of gum lesion                            A   1.27   7.27     3.17    0.22   8.76  4.660010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41805  Removal foreign body gum                          A   1.34   7.74     4.38    0.14   9.22  5.860010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41806  Removal foreign body jawbone                      A   2.79   9.16     5.21    0.29  12.24  8.290010.10.80.1020000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41822  Excision of gum lesion                            R   2.41   7.83     3.23    0.44  10.68  6.080010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41823  Excision of gum lesion                            R   3.77  11.50     6.65    0.70  15.97 11.120090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41825  Excision of gum lesion                            A   1.41   5.07     2.10    0.16   6.64  3.670010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41826  Excision of gum lesion                            A   2.41   6.31     3.21    0.24   8.96  5.860010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
41827  Excision of gum lesion                            A   3.83   8.74     4.43    0.42  12.99  8.680090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
41828  Excision of gum lesion                            R   3.14   6.91     2.97    0.57  10.62  6.680010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
41830  Removal of gum tissue                             R   3.45  10.03     5.37    0.63  14.11  9.450010.10.80.1020000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41872  Repair gum                                        R   3.01  10.65     5.66    0.55  14.21  9.220090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
41874  Repair tooth socket                               R   3.19   7.99     3.80    0.35  11.53  7.340090.09.81.1020000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
41899  Unlisted px dentalvlr strux                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
4193F  Pt rcv <10mg daily predniso                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
4194F  Pt rcv >=10mg daily predniso                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
4195F  Pt rcvng anti-rheum thxpy ra                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42000  Drainage mouth roof lesion                        A   1.28   3.39     1.84    0.19   4.86  3.310010.10.80.1020000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42100  Biopsy roof of mouth                              A   1.36   2.87     1.79    0.18   4.41  3.330010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42104  Excision lesion mouth roof                        A   1.69   4.64     2.16    0.23   6.56  4.080010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42106  Excision lesion mouth roof                        A   2.15   5.15     2.44    0.24   7.54  4.830010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42107  Excision lesion mouth roof                        A   4.56   8.29     4.67    0.51  13.36  9.740090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42120  Remove palate/lesion                              A  11.86  16.49NA  16.49    1.72  30.07 30.070090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
42140  Excision of uvula                                 A   1.70   7.44     3.01    0.24   9.38  4.950090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42145  Repair palate pharynx/uvula                       A   9.78   9.57NA   9.57    1.44  20.79 20.790090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42160  Treatment mouth roof lesion                       A   1.85   4.73     2.16    0.24   6.82  4.250010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42180  Repair lac palate<2 cm                            A   2.55   4.78     2.75    0.37   7.70  5.670010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42182  Repair palate                                     A   3.87   5.53     3.37    0.56   9.96  7.800010.10.80.1020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42200  Reconstruct cleft palate                          A  12.53  13.00NA  13.00    2.31  27.84 27.840090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42205  Reconstruct cleft palate                          A  13.66  12.76NA  12.76    2.53  28.95 28.950090.09.81.1020200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42210  Reconstruct cleft palate                          A  15.03  14.51NA  14.51    2.77  32.31 32.310090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42215  Reconstruct cleft palate                          A   8.99  10.50NA  10.50    1.66  21.15 21.150090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42220  Reconstruct cleft palate                          A   7.16   8.96NA   8.96    1.32  17.44 17.440090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42225  Reconstruct cleft palate                          A   9.77  17.92NA  17.92    1.79  29.48 29.480090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42226  Lengthening of palate                             A  10.35  15.40NA  15.40    1.52  27.27 27.270090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42227  Lengthening of palate                             A   9.90  14.06NA  14.06    1.45  25.41 25.410090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42235  Repair palate                                     A   8.01  13.18NA  13.18    1.18  22.37 22.370090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42260  Repair nose to lip fistula                        A  10.22  14.31     8.54    1.50  26.03 20.260090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42280  Preparation palate mold                           A   1.59   3.55     1.51    0.16   5.30  3.260010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42281  Insertion palate prosthesis                       A   1.98   4.56     2.66    0.20   6.74  4.840010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42299  Unlisted px palate uvula                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42300  Drainage of salivary gland                        A   1.98   4.24     2.47    0.29   6.51  4.740010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42305  Drainage of salivary gland                        A   6.31   5.90NA   5.90    0.92  13.13 13.130090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42310  Drainage of salivary gland                        A   1.61   3.37     2.29    0.17   5.15  4.070010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42320  Drainage of salivary gland                        A   2.40   5.14     2.68    0.35   7.89  5.430010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42330  Removal of salivary stone                         A   2.26   4.50     2.43    0.32   7.08  5.010010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42335  Removal of salivary stone                         A   3.41   9.20     4.10    0.48  13.09  7.990090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42340  Removal of salivary stone                         A   4.72  10.71     5.06    0.69  16.12 10.470090.09.81.1021000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42400  Biopsy of salivary gland                          A   0.78   2.01     0.72    0.08   2.87  1.580000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
42405  Biopsy of salivary gland                          A   3.34   5.40     3.05    0.47   9.21  6.860010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42408  Excision of salivary cyst                         A   4.66  11.15     5.36    0.47  16.28 10.490090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42409  Drainage of salivary cyst                         A   2.91   8.62     3.73    0.42  11.95  7.060090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42410  Excise parotid gland/lesion                       A   9.57   7.96NA   7.96    1.52  19.05 19.050090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
42415  Excise parotid gland/lesion                       A  17.16  12.17NA  12.17    2.57  31.90 31.900090.09.81.1021210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42420  Excise parotid gland/lesion                       A  19.53  13.25NA  13.25    2.89  35.67 35.670090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
42425  Excise parotid gland/lesion                       A  13.42   9.86NA   9.86    2.03  25.31 25.310090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
42426  Excise parotid gland/lesion                       A  22.66  14.42NA  14.42    3.46  40.54 40.540090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
42440  Excise submaxillary gland                         A   6.14   5.55NA   5.55    0.92  12.61 12.610090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
4245F  Pt instr nrml activities                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
42450  Excise sublingual gland                           A   4.74   8.87     5.60    0.71  14.32 11.050090.09.81.1020000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42500  Repair salivary duct                              A   4.42   8.57     5.44    0.61  13.60 10.470090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42505  Repair salivary duct                              A   6.32  10.20     6.67    0.91  17.43 13.900090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42507  Parotid duct diversion                            A   6.25   7.81NA   7.81    0.92  14.98 14.980090.09.81.1022200             33.2875 090 99      0.00   0.00   0.00
42509  Parotid duct diversion                            A  11.76  11.19NA  11.19    1.71  24.66 24.660090.09.81.1022000             33.2875 090 99      0.00   0.00   0.00
42510  Parotid duct diversion                            A   8.35   8.80NA   8.80    1.22  18.37 18.370090.09.81.1022210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42550  Injection for salivary x-ray                      A   1.25   3.23     0.44    0.11   4.59  1.800000.00.00.0020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42600  Closure of salivary fistula                       A   4.94  10.85     5.16    0.72  16.51 10.820090.09.81.1020000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42650  Dilation of salivary duct                         A   0.77   1.37     0.90    0.11   2.25  1.780000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42660  Dilation of salivary duct                         A   1.13   1.97     1.20    0.27   3.37  2.600000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
42665  Ligation of salivary duct                         A   2.63   8.36     3.60    0.39  11.38  6.620090.09.81.1020000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42699  Unlisted px salivry glnd/dux                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42700  Drainage of tonsil abscess                        A   1.67   3.90     2.20    0.25   5.82  4.120010.10.80.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42720  Drainage of throat abscess                        A   6.31   6.27     4.38    0.91  13.49 11.600010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42725  Drainage of throat abscess                        A  12.41   9.78NA   9.78    1.89  24.08 24.080090.09.81.1020210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42800  Biopsy of throat                                  A   1.44   3.15     1.90    0.21   4.80  3.550010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42804  Biopsy of upper nose/throat                       A   1.29   5.05     2.26    0.19   6.53  3.740010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42806  Biopsy of upper nose/throat                       A   1.63   5.42     2.43    0.24   7.29  4.300010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42808  Excise pharynx lesion                             A   2.35   4.35     2.34    0.34   7.04  5.030010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42809  Remove pharynx foreign body                       A   1.86   4.10     1.68    0.30   6.26  3.840010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
42810  Excision of neck cyst                             A   3.38   7.95     4.73    0.49  11.82  8.600090.09.81.1021200             33.2875 090 99      0.00   0.00   0.00
42815  Excision of neck cyst                             A   7.31   7.87NA   7.87    1.11  16.29 16.290090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
42820  Remove tonsils and adenoids                       A   4.22   4.02NA   4.02    0.61   8.85  8.850090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42821  Remove tonsils and adenoids                       A   4.36   4.25NA   4.25    0.63   9.24  9.240090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42825  Removal of tonsils                                A   3.51   4.16NA   4.16    0.50   8.17  8.170090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42826  Removal of tonsils                                A   3.45   3.83NA   3.83    0.50   7.78  7.780090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42830  Removal of adenoids                               A   2.65   3.45NA   3.45    0.39   6.49  6.490090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42831  Removal of adenoids                               A   2.81   3.84NA   3.84    0.40   7.05  7.050090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42835  Removal of adenoids                               A   2.38   3.33NA   3.33    0.35   6.06  6.060090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42836  Removal of adenoids                               A   3.26   3.74NA   3.74    0.47   7.47  7.470090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42842  Extensive surgery of throat                       A  12.23  16.30NA  16.30    1.82  30.35 30.350090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42844  Extensive surgery of throat                       A  17.78  20.93NA  20.93    2.56  41.27 41.270090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
42845  Extensive surgery of throat                       A  32.56  28.54NA  28.54    4.73  65.83 65.830090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
42860  Excision of tonsil tags                           A   2.30   3.29NA   3.29    0.34   5.93  5.930090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42870  Excision of lingual tonsil                        A   5.52  11.41NA  11.41    0.80  17.73 17.730090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
42890  Partial removal of pharynx                        A  19.13  20.48NA  20.48    2.83  42.44 42.440090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
42892  Revision of pharyngeal walls                      A  26.03  25.91NA  25.91    3.80  55.74 55.740090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
42894  Revision of pharyngeal walls                      A  33.92  31.80NA  31.80    4.95  70.67 70.670090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42900  Repair throat wound                               A   5.29   3.94NA   3.94    0.77  10.00 10.000010.10.80.1020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
42950  Reconstruction of throat                          A   8.27  14.47NA  14.47    1.22  23.96 23.960090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
42953  Repair throat esophagus                           A   9.45  17.82NA  17.82    1.45  28.72 28.720090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42955  Surgical opening of throat                        A   8.01  13.63NA  13.63    1.18  22.82 22.820090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42960  Control throat bleeding                           A   2.38   2.13NA   2.13    0.36   4.87  4.870010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
42961  Control throat bleeding                           A   5.77   6.10NA   6.10    0.85  12.72 12.720090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42962  Control throat bleeding                           A   7.40   7.17NA   7.17    1.09  15.66 15.660090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42970  Control nose/throat bleeding                      A   5.82   5.80NA   5.80    0.85  12.47 12.470090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
42971  Control nose/throat bleeding                      A   6.60   6.16NA   6.16    0.97  13.73 13.730090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42972  Control nose/throat bleeding                      A   7.59   6.63NA   6.63    1.12  15.34 15.340090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
42975  Dise eval slp do brth flx dx                      A   1.58   1.10NA   1.10    0.23   2.91  2.910000.00.00.0030100       31575 33.2875 090 99      0.00   0.00   0.00
42999  Unlisted px phrnx adnd/tnsl                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43020  Incision of esophagus                             A   8.23   6.76NA   6.76    2.12  17.11 17.110090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43030  Throat muscle surgery                             A   7.99   6.62NA   6.62    1.24  15.85 15.850090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43045  Incision of esophagus                             A  21.88  11.51NA  11.51    5.41  38.80 38.800090.09.81.1020210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43100  Excision of esophagus lesion                      A   9.66   8.17NA   8.17    1.42  19.25 19.250090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43101  Excision of esophagus lesion                      A  17.07   8.65NA   8.65    4.20  29.92 29.920090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43107  Removal of esophagus                              A  52.05  23.25NA  23.25   12.87  88.17 88.170090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43108  Removal of esophagus                              A  82.87  27.38NA  27.38   20.50 130.75130.750090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43112  Esphg tot w/thrcm                                 A  62.00  25.19NA  25.19   14.97 102.16102.160090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43113  Removal of esophagus                              A  80.06  28.10NA  28.10   19.80 127.96127.960090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43116  Partial removal of esophagus                      A  92.99  30.16NA  30.16   23.00 146.15146.150090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43117  Partial removal of esophagus                      A  57.50  24.60NA  24.60   14.23  96.33 96.330090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43118  Partial removal of esophagus                      A  67.07  23.05NA  23.05   16.60 106.72106.720090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43121  Partial removal of esophagus                      A  51.43  20.22NA  20.22   12.74  84.39 84.390090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43122  Partial removal of esophagus                      A  44.18  21.35NA  21.35   10.90  76.43 76.430090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43123  Partial removal of esophagus                      A  83.12  28.93NA  28.93   20.56 132.61132.610090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43124  Removal of esophagus                              A  69.09  26.10NA  26.10   17.10 112.29112.290090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43130  Removal of esophagus pouch                        A  12.53   9.11NA   9.11    2.27  23.91 23.910090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43135  Removal of esophagus pouch                        A  26.17  10.86NA  10.86    6.47  43.50 43.500090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43180  Esophagoscopy rigid trnso                         A   9.03   6.09NA   6.09    1.33  16.45 16.450090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
43191  Esophagoscopy rigid trnso dx                      A   2.49   1.79NA   1.79    0.38   4.66  4.660000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43192  Esophagoscp rig trnso inject                      A   2.79   1.89NA   1.89    0.41   5.09  5.090000.00.00.0030100       43191 33.2875 090 99      0.00   0.00   0.00
43193  Esophagoscp rig trnso biopsy                      A   2.79   1.87NA   1.87    0.41   5.07  5.070000.00.00.0030100       43191 33.2875 090 99      0.00   0.00   0.00
43194  Esophagoscp rig trnso rem fb                      A   3.51   1.61NA   1.61    0.56   5.68  5.680000.00.00.0030100       43191 33.2875 090 99      0.00   0.00   0.00
43195  Esophagoscopy rigid balloon                       A   3.07   2.02NA   2.02    0.45   5.54  5.540000.00.00.0030100       43191 33.2875 090 99      0.00   0.00   0.00
43196  Esophagoscp guide wire dilat                      A   3.31   2.10NA   2.10    0.45   5.86  5.860000.00.00.0030100       43191 33.2875 090 99      0.00   0.00   0.00
43197  Esophagoscopy flex dx brush                       A   1.52   3.96     0.68    0.24   5.72  2.440000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43198  Esophagosc flex trnsn biopsy                      A   1.82   4.27     0.84    0.25   6.34  2.910000.00.00.0030100       43197 33.2875 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             33.2875 090 99      0.00   0.00   0.00
43200  Esophagoscopy flexible brush                      A   1.42   6.26     0.98    0.22   7.90  2.620000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43201  Esoph scope w/submucous inj                       A   1.72   5.83     1.12    0.24   7.79  3.080000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43202  Esophagoscopy flex biopsy                         A   1.72   8.71     1.11    0.23  10.66  3.060000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43204  Esoph scope w/sclerosis inj                       A   2.33   1.39NA   1.39    0.27   3.99  3.990000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43205  Esophagus endoscopy/ligation                      A   2.44   1.44NA   1.44    0.29   4.17  4.170000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43206  Esoph optical endomicroscopy                      A   2.29   6.54     1.37    0.26   9.09  3.920000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43210  Egd esophagogastrc fndoplsty                      A   7.75   3.66NA   3.66    1.31  12.72 12.720000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43211  Esophagoscop mucosal resect                       A   4.20   2.23NA   2.23    0.49   6.92  6.920000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43212  Esophagoscop stent placement                      A   3.40   1.63NA   1.63    0.55   5.58  5.580000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43213  Esophagoscopy retro balloon                       A   4.63  31.00     2.31    0.74  36.37  7.680000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43214  Esophagosc dilate balloon 30                      A   3.40   1.83NA   1.83    0.52   5.75  5.750000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43215  Esophagoscopy flex remove fb                      A   2.44   8.93     1.37    0.38  11.75  4.190000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43216  Esophagoscopy lesion removal                      A   2.30   9.65     1.38    0.27  12.22  3.950000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43217  Esophagoscopy snare les remv                      A   2.80   9.46     1.60    0.33  12.59  4.730000.00.00.0030100       43200 33.2875 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             33.2875 090 99      0.00   0.00   0.00
43220  Esophagoscopy balloon <30mm                       A   2.00  24.42     1.23    0.27  26.69  3.500000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43226  Esoph endoscopy dilation                          A   2.24   8.95     1.27    0.36  11.55  3.870000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43227  Esophagoscopy control bleed                       A   2.89  14.48     1.62    0.37  17.74  4.880000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43229  Esophagoscopy lesion ablate                       A   3.49  17.23     1.88    0.44  21.16  5.810000.00.00.0030100       43200 33.2875 090 99      0.00   0.00   0.00
43231  Esophagoscop ultrasound exam                      A   2.80   1.53NA   1.53    0.31   4.64  4.640000.00.00.0030120       43200 33.2875 090 99      0.00   0.00   0.00
43232  Esophagoscopy w/us needle bx                      A   3.59   1.87NA   1.87    0.41   5.87  5.870000.00.00.0030120       43200 33.2875 090 99      0.00   0.00   0.00
43233  Egd balloon dil esoph30 mm/>                      A   4.07   2.07NA   2.07    0.63   6.77  6.770000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43235  Egd diagnostic brush wash                         A   2.09   6.28     1.28    0.26   8.63  3.630000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43236  Uppr gi scope w/submuc inj                        A   2.39   9.33     1.41    0.30  12.02  4.100000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43237  Endoscopic us exam esoph                          A   3.47   1.90NA   1.90    0.40   5.77  5.770000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43238  Egd us fine needle bx/aspir                       A   4.16   2.20NA   2.20    0.48   6.84  6.840000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43239  Egd biopsy single/multiple                        A   2.39   8.59     1.41    0.30  11.28  4.100000.00.00.0030100       43235 33.2875 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             33.2875 090 99      0.00   0.00   0.00
43240  Egd w/transmural drain cyst                       A   7.15   3.54NA   3.54    0.85  11.54 11.540000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43241  Egd tube/cath insertion                           A   2.49   1.39NA   1.39    0.33   4.21  4.210000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43242  Egd us fine needle bx/aspir                       A   4.73   2.46NA   2.46    0.55   7.74  7.740000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43243  Egd injection varices                             A   4.27   2.17NA   2.17    0.57   7.01  7.010000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43244  Egd varices ligation                              A   4.40   2.31NA   2.31    0.51   7.22  7.220000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43245  Egd dilate stricture                              A   3.08  14.20     1.67    0.44  17.72  5.190000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43246  Egd place gastrostomy tube                        A   3.56   1.81NA   1.81    0.55   5.92  5.920000.00.00.0030020       43235 33.2875 090 99      0.00   0.00   0.00
43247  Egd remove foreign body                           A   3.11   7.98     1.71    0.40  11.49  5.220000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43248  Egd guide wire insertion                          A   2.91   9.11     1.64    0.36  12.38  4.910000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43249  Esoph egd dilation <30 mm                         A   2.67  29.03     1.53    0.34  32.04  4.540000.00.00.0030100       43235 33.2875 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             33.2875 090 99      0.00   0.00   0.00
43250  Egd cautery tumor polyp                           A   2.97  10.05     1.63    0.43  13.45  5.030000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43251  Egd remove lesion snare                           A   3.47  10.90     1.89    0.42  14.79  5.780000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43252  Egd optical endomicroscopy                        A   2.96   6.86     1.65    0.36  10.18  4.970000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43253  Egd us transmural injxn/mark                      A   4.73   2.45NA   2.45    0.55   7.73  7.730000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43254  Egd endo mucosal resection                        A   4.87   2.51NA   2.51    0.57   7.95  7.950000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43255  Egd control bleeding any                          A   3.56  14.71     1.93    0.41  18.68  5.900000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43257  Egd w/thrml txmnt gerd                            A   4.15   2.15NA   2.15    0.61   6.91  6.910000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43259  Egd us exam duodenum/jejunum                      A   4.04   2.15NA   2.15    0.46   6.65  6.650000.00.00.0030100       43235 33.2875 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             33.2875 090 99      0.00   0.00   0.00
43260  Ercp w/specimen collection                        A   5.85   2.95NA   2.95    0.70   9.50  9.500000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43261  Endo cholangiopancreatograph                      A   6.15   3.08NA   3.08    0.74   9.97  9.970000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43262  Endo cholangiopancreatograph                      A   6.50   3.24NA   3.24    0.76  10.50 10.500000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43263  Ercp sphincter pressure meas                      A   6.50   3.25NA   3.25    0.77  10.52 10.520000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43264  Ercp remove duct calculi                          A   6.63   3.30NA   3.30    0.78  10.71 10.710000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43265  Ercp lithotripsy calculi                          A   7.93   3.87NA   3.87    0.94  12.74 12.740000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43266  Egd endoscopic stent place                        A   3.92   1.98NA   1.98    0.52   6.42  6.420000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43270  Egd lesion ablation                               A   4.01  17.29     2.13    0.47  21.77  6.610000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43273  Endoscopic pancreatoscopy                         A   2.24   1.00NA   1.00    0.26   3.50  3.500ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
43274  Ercp duct stent placement                         A   8.48   4.11NA   4.11    1.02  13.61 13.610000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43275  Ercp remove forgn body duct                       A   6.86   3.40NA   3.40    0.81  11.07 11.070000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43276  Ercp stent exchange w/dilate                      A   8.84   4.27NA   4.27    1.06  14.17 14.170000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43277  Ercp ea duct/ampulla dilate                       A   6.90   3.42NA   3.42    0.81  11.13 11.130000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43278  Ercp lesion ablate w/dilate                       A   7.92   3.87NA   3.87    0.95  12.74 12.740000.00.00.0030100       43260 33.2875 090 99      0.00   0.00   0.00
43279  Lap myotomy heller                                A  22.10  10.77NA  10.77    5.51  38.38 38.380090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43280  Laparoscopy fundoplasty                           A  18.10   9.67NA   9.67    4.55  32.32 32.320090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43281  Lap paraesophag hern repair                       A  26.60  12.62NA  12.62    6.72  45.94 45.940090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43282  Lap paraesoph her rpr w/mesh                      A  30.10  14.02NA  14.02    7.62  51.74 51.740090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43283  Lap esoph lengthening                             A   2.95   0.98NA   0.98    0.74   4.67  4.670ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
43284  Laps esophgl sphnctr agmntj                       A  10.13   6.94NA   6.94    2.61  19.68 19.680090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43285  Rmvl esophgl sphnctr dev                          A  10.47   7.06NA   7.06    2.70  20.23 20.230090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43286  Esphg tot w/laps moblj                            A  55.00  25.29NA  25.29   13.76  94.05 94.050090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43287  Esphg dstl 2/3 w/laps moblj                       A  63.00  26.44NA  26.44   15.66 105.10105.100090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43288  Esphg thrsc moblj                                 A  66.42  28.03NA  28.03   16.39 110.84110.840090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43289  Unlisted laps px esoph                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
43290  Egd flx trnsorl dplmnt balo                       A   3.11  74.20     1.58    0.69  78.00  5.380000.00.00.0030100       43235 33.2875 090 99      0.00   0.00   0.00
43291  Egd flx trnsorl rmvl balo                         A   2.80  10.59     1.57    0.37  13.76  4.740000.00.00.0030100       43235 33.2875 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             33.2875 090 99      0.00   0.00   0.00
43300  Repair of esophagus                               A   9.33   8.26NA   8.26    1.36  18.95 18.950090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43305  Repair esophagus and fistula                      A  18.10  12.20NA  12.20    2.64  32.94 32.940090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43310  Repair of esophagus                               A  26.26  11.14NA  11.14    6.49  43.89 43.890090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43312  Repair esophagus and fistula                      A  29.25  10.36NA  10.36    7.25  46.86 46.860090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43313  Esophagoplasty congenital                         A  48.45  25.96NA  25.96   12.51  86.92 86.920090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43314  Tracheo-esophagoplasty cong                       A  53.43  25.78NA  25.78   13.78  92.99 92.990090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43320  Fuse esophagus & stomach                          A  23.31  12.61NA  12.61    6.01  41.93 41.930090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43325  Revise esophagus & stomach                        A  22.60  12.35NA  12.35    5.81  40.76 40.760090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43327  Esoph fundoplasty lap                             A  13.35   7.83NA   7.83    3.32  24.50 24.500090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43328  Esoph fundoplasty thor                            A  19.91   8.41NA   8.41    4.91  33.23 33.230090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43330  Esophagomyotomy abdominal                         A  22.19  12.21NA  12.21    5.71  40.11 40.110090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43331  Esophagomyotomy thoracic                          A  23.06  11.02NA  11.02    5.69  39.77 39.770090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43332  Transab esoph hiat hern rpr                       A  19.62   9.89NA   9.89    4.86  34.37 34.370090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43333  Transab esoph hiat hern rpr                       A  21.46  10.85NA  10.85    5.34  37.65 37.650090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43334  Transthor diaphrag hern rpr                       A  22.12   9.21NA   9.21    5.39  36.72 36.720090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43335  Transthor diaphrag hern rpr                       A  23.97   9.53NA   9.53    5.94  39.44 39.440090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43336  Thorabd diaphr hern repair                        A  25.81  10.66NA  10.66    6.37  42.84 42.840090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43337  Thorabd diaphr hern repair                        A  27.65  11.16NA  11.16    6.82  45.63 45.630090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43338  Esoph lengthening                                 A   2.21   0.61NA   0.61    0.54   3.36  3.360ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
43340  Fuse esophagus & intestine                        A  22.99  12.50NA  12.50    5.93  41.42 41.420090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43341  Fuse esophagus & intestine                        A  24.23  11.35NA  11.35    6.00  41.58 41.580090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43351  Surgical opening esophagus                        A  22.05  11.77NA  11.77    5.45  39.27 39.270090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43352  Surgical opening esophagus                        A  17.81   9.58NA   9.58    4.39  31.78 31.780090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43360  Gastrointestinal repair                           A  40.11  16.51NA  16.51    9.95  66.57 66.570090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43361  Gastrointestinal repair                           A  45.68  23.28NA  23.28   11.79  80.75 80.750090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43400  Ligate esophagus veins                            A  25.60  13.46NA  13.46    6.60  45.66 45.660090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43405  Ligate/staple esophagus                           A  24.73  12.49NA  12.49    6.12  43.34 43.340090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43410  Repair esophagus wound                            A  16.41  12.35NA  12.35    2.39  31.15 31.150090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43415  Repair esophagus wound                            A  44.88  20.59NA  20.59   11.07  76.54 76.540090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43420  Repair esophagus opening                          A  16.78  11.40NA  11.40    2.44  30.62 30.620090.09.81.1020010             33.2875 090 99      0.00   0.00   0.00
43425  Repair esophagus opening                          A  25.04  11.57NA  11.57    6.18  42.79 42.790090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43450  Dilate esophagus 1/mult pass                      A   1.28   4.18     0.93    0.16   5.62  2.370000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43453  Dilate esophagus                                  A   1.41  22.13     0.98    0.19  23.73  2.580000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43460  Pressure treatment esophagus                      A   3.79   2.03NA   2.03    0.44   6.26  6.260000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43497  Transorl lwr esophgl myotomy                      A  13.29   8.30NA   8.30    1.90  23.49 23.490090.09.81.1030100       43235 33.2875 090 99      0.00   0.00   0.00
43499  Unlisted procedure esophagus                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43500  Surgical opening of stomach                       A  12.79   7.70NA   7.70    3.19  23.68 23.680090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43501  Surgical repair of stomach                        A  22.60  12.30NA  12.30    5.68  40.58 40.580090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43502  Surgical repair of stomach                        A  25.69  13.46NA  13.46    6.62  45.77 45.770090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43510  Surgical opening of stomach                       A  15.14   9.59NA   9.59    3.89  28.62 28.620090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43520  Incision of pyloric muscle                        A  11.29   6.90NA   6.90    2.61  20.80 20.800090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43605  Biopsy of stomach                                 A  13.72   8.08NA   8.08    3.34  25.14 25.140090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43610  Excision of stomach lesion                        A  16.34   9.01NA   9.01    4.01  29.36 29.360090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43611  Excision of stomach lesion                        A  20.38  11.47NA  11.47    5.04  36.89 36.890090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43620  Removal of stomach                                A  34.04  16.51NA  16.51    8.78  59.33 59.330090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43621  Removal of stomach                                A  39.53  18.53NA  18.53    9.92  67.98 67.980090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43622  Removal of stomach                                A  40.03  18.71NA  18.71   10.34  69.08 69.080090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43631  Removal of stomach partial                        A  24.51  12.88NA  12.88    6.08  43.47 43.470090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43632  Removal of stomach partial                        A  35.14  16.93NA  16.93    8.83  60.90 60.900090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43633  Removal of stomach partial                        A  33.14  16.17NA  16.17    8.31  57.62 57.620090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43634  Removal of stomach partial                        A  36.64  17.47NA  17.47    9.46  63.57 63.570090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43635  Removal of stomach partial                        A   2.06   0.76NA   0.76    0.52   3.34  3.340ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
43640  Vagotomy & pylorus repair                         A  19.56  11.21NA  11.21    5.04  35.81 35.810090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43641  Vagotomy & pylorus repair                         A  19.81  11.31NA  11.31    5.10  36.22 36.220090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43644  Lap gastric bypass/roux-en-y                      A  29.40  15.14NA  15.14    7.55  52.09 52.090090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43645  Lap gastr bypass incl smll i                      A  31.53  15.88NA  15.88    7.93  55.34 55.340090.09.81.1020210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43651  Laparoscopy vagus nerve                           A  10.13   7.12NA   7.12    2.61  19.86 19.860090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
43652  Laparoscopy vagus nerve                           A  12.13   7.85NA   7.85    3.13  23.11 23.110090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
43653  Laparoscopy gastrostomy                           A   8.48   6.86NA   6.86    2.14  17.48 17.480090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43659  Unlisted laps px stomach                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
43752  Nasal/orogastric w/tube plmt                      A   0.81   0.27NA   0.27    0.10   1.18  1.180000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
43753  Tx gastro intub w/asp                             A   0.45   0.11NA   0.11    0.08   0.64  0.640000.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
43754  Dx gastr intub w/asp spec                         A   0.45   6.48     0.59    0.10   7.03  1.140000.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
43755  Dx gastr intub w/asp specs                        A   0.94   5.04     0.73    0.11   6.09  1.780000.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
43756  Dx duod intub w/asp spec                          A   0.77   7.40     0.66    0.09   8.26  1.520000.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
43757  Dx duod intub w/asp specs                         A   1.26   9.68     0.88    0.15  11.09  2.290000.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
43761  Reposition gastrostomy tube                       A   2.01   1.33     0.72    0.36   3.70  3.090000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43762  Rplc gtube no revj trc                            A   0.75   5.87     0.22    0.14   6.76  1.110000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43763  Rplc gtube revj gstrst trc                        A   1.41   8.32     0.93    0.27  10.00  2.610000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
43770  Lap place gastr adj device                        A  18.00  11.26NA  11.26    4.62  33.88 33.880090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43771  Lap revise gastr adj device                       A  20.79  12.28NA  12.28    5.35  38.42 38.420090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
43772  Lap rmvl gastr adj device                         A  15.70   8.86NA   8.86    4.01  28.57 28.570090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43773  Lap replace gastr adj device                      A  20.79  12.28NA  12.28    5.35  38.42 38.420090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43774  Lap rmvl gastr adj all parts                      A  15.76   9.12NA   9.12    4.02  28.90 28.900090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
43775  Lap sleeve gastrectomy                            A  20.38   7.45NA   7.45    5.20  33.03 33.030090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43800  Reconstruction of pylorus                         A  15.43   8.63NA   8.63    3.89  27.95 27.950090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43810  Fusion of stomach and bowel                       A  16.88   9.34NA   9.34    4.34  30.56 30.560090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43820  Fusion of stomach and bowel                       A  22.53  12.26NA  12.26    5.59  40.38 40.380090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43825  Fusion of stomach and bowel                       A  21.76  12.02NA  12.02    5.61  39.39 39.390090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43830  Place gastrostomy tube                            A  10.85   7.67NA   7.67    2.67  21.19 21.190090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43831  Place gastrostomy tube                            A   8.49   7.78NA   7.78    2.18  18.45 18.450090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43832  Place gastrostomy tube                            A  17.34   9.76NA   9.76    4.36  31.46 31.460090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43840  Repair of stomach lesion                          A  22.83  12.30NA  12.30    5.67  40.80 40.800090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43842  V-band gastroplasty                               N+ 21.03  11.31NA  11.31    2.16  34.50 34.509090.09.81.1099999             33.2875 090 99      0.00   0.00   0.00
43843  Gastroplasty w/o v-band                           A  21.21  11.92NA  11.92    5.46  38.59 38.590090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
43845  Gastroplasty duodenal switch                      A  33.30  16.97NA  16.97    8.47  58.74 58.740090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43846  Gastric bypass for obesity                        A  27.41  15.11NA  15.11    7.07  49.59 49.590090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43847  Gastric bypass incl small i                       A  30.28  16.16NA  16.16    7.80  54.24 54.240090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43848  Revision gastroplasty                             A  32.75  16.97NA  16.97    8.35  58.07 58.070090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43860  Revise stomach-bowel fusion                       A  27.89  14.26NA  14.26    6.86  49.01 49.010090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43865  Revise stomach-bowel fusion                       A  29.05  14.69NA  14.69    7.50  51.24 51.240090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43870  Repair stomach opening                            A  11.44   7.17NA   7.17    2.73  21.34 21.340090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43880  Repair stomach-bowel fistula                      A  27.18  14.00NA  14.00    6.99  48.17 48.170090.09.81.1020210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
43886  Revise gastric port open                          A   4.64   5.35NA   5.35    1.21  11.20 11.200090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
43887  Remove gastric port open                          A   4.32   4.67NA   4.67    1.13  10.12 10.120090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
43888  Change gastric port open                          A   6.44   6.01NA   6.01    1.65  14.10 14.100090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
43999  Unlisted procedure stomach                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
4400F  Rehab thxpy options w/pt                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
44005  Freeing of bowel adhesion                         A  18.46   9.77NA   9.77    4.48  32.71 32.710090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44010  Incision of small bowel                           A  14.26   8.64NA   8.64    2.56  25.46 25.460090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44015  Insert needle cath bowel                          A   2.62   0.93NA   0.93    0.64   4.19  4.190ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44020  Explore small intestine                           A  16.22   9.01NA   9.01    3.97  29.20 29.200090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44021  Decompress small bowel                            A  16.31   8.85NA   8.85    3.96  29.12 29.120090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44025  Incision of large bowel                           A  16.51   9.00NA   9.00    3.93  29.44 29.440090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44050  Reduce bowel obstruction                          A  15.52   8.78NA   8.78    3.82  28.12 28.120090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44055  Correct malrotation of bowel                      A  25.63  12.61NA  12.61    6.34  44.58 44.580090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44100  Biopsy of bowel                                   A   2.01   0.90NA   0.90    0.24   3.15  3.150000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
44110  Excise intestine lesion(s)                        A  14.04   8.44NA   8.44    3.05  25.53 25.530090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44111  Excision of bowel lesion(s)                       A  16.52   9.19NA   9.19    3.60  29.31 29.310090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44120  Removal of small intestine                        A  20.82  10.71NA  10.71    5.06  36.59 36.590090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44121  Removal of small intestine                        A   4.44   1.64NA   1.64    1.07   7.15  7.150ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44125  Removal of small intestine                        A  20.03  10.58NA  10.58    4.59  35.20 35.200090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44126  Enterectomy w/o taper cong                        A  42.23  20.74NA  20.74   10.89  73.86 73.860090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44127  Enterectomy w/taper cong                          A  49.30  23.22NA  23.22   12.73  85.25 85.250090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44128  Enterectomy cong add-on                           A   4.44   1.62NA   1.62    1.16   7.22  7.220ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44130  Bowel to bowel fusion                             A  22.11  12.04NA  12.04    5.27  39.42 39.420090.09.81.1020210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
44139  Mobilization of colon                             A   2.23   0.83NA   0.83    0.50   3.56  3.560ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44140  Partial removal of colon                          A  22.59  12.24NA  12.24    5.35  40.18 40.180090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44141  Partial removal of colon                          A  29.91  17.17NA  17.17    7.09  54.17 54.170090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44143  Partial removal of colon                          A  27.79  15.00NA  15.00    6.55  49.34 49.340090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44144  Partial removal of colon                          A  29.91  15.81NA  15.81    6.94  52.66 52.660090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44145  Partial removal of colon                          A  28.58  14.51NA  14.51    6.13  49.22 49.220090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44146  Partial removal of colon                          A  35.30  19.52NA  19.52    7.75  62.57 62.570090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44147  Partial removal of colon                          A  33.69  16.18NA  16.18    7.77  57.64 57.640090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44150  Removal of colon                                  A  30.18  18.37NA  18.37    6.73  55.28 55.280090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44151  Removal of colon/ileostomy                        A  34.92  20.36NA  20.36    9.01  64.29 64.290090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44155  Removal of colon/ileostomy                        A  34.42  20.01NA  20.01    7.18  61.61 61.610090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44156  Removal of colon/ileostomy                        A  37.42  21.65NA  21.65    9.65  68.72 68.720090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44157  Colectomy w/ileoanal anast                        A  35.70  20.44NA  20.44    9.21  65.35 65.350090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44158  Colectomy w/neo-rectum pouch                      A  36.70  20.80NA  20.80    9.48  66.98 66.980090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44160  Removal of colon                                  A  20.89  11.43NA  11.43    4.85  37.17 37.170090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44180  Lap enterolysis                                   A  15.27   8.61NA   8.61    3.74  27.62 27.620090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44186  Lap jejunostomy                                   A  10.38   6.64NA   6.64    2.60  19.62 19.620090.09.84.0720210             33.2875 090 99      0.00   0.00   0.00
44187  Lap ileo/jejuno-stomy                             A  17.40  11.81NA  11.81    3.37  32.58 32.580090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44188  Lap colostomy                                     A  19.35  12.74NA  12.74    4.19  36.28 36.280090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44202  Lap enterectomy                                   A  23.39  12.57NA  12.57    5.54  41.50 41.500090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44203  Lap resect s/intestine addl                       A   4.44   1.63NA   1.63    1.05   7.12  7.120ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44204  Laparo partial colectomy                          A  26.42  13.65NA  13.65    5.73  45.80 45.800090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44205  Lap colectomy part w/ileum                        A  22.95  12.02NA  12.02    4.79  39.76 39.760090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44206  Lap part colectomy w/stoma                        A  29.79  15.54NA  15.54    6.55  51.88 51.880090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44207  L colectomy/coloproctostomy                       A  31.92  15.55NA  15.55    6.37  53.84 53.840090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44208  L colectomy/coloproctostomy                       A  33.99  17.84NA  17.84    6.79  58.62 58.620090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44210  Laparo total proctocolectomy                      A  30.09  17.06NA  17.06    5.51  52.66 52.660090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44211  Lap colectomy w/proctectomy                       A  37.08  20.58NA  20.58    5.04  62.70 62.700090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44212  Laparo total proctocolectomy                      A  34.58  19.70NA  19.70    5.85  60.13 60.130090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44213  Lap mobil splenic fl add-on                       A   3.50   1.30NA   1.30    0.71   5.51  5.510ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44227  Lap close enterostomy                             A  28.62  14.50NA  14.50    6.25  49.37 49.370090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44238  Unlisted laps px intestine                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
44300  Open bowel to skin                                A  13.75   8.15NA   8.15    3.40  25.30 25.300090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44310  Ileostomy/jejunostomy                             A  17.59   9.70NA   9.70    3.81  31.10 31.100090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44312  Revision of ileostomy                             A   9.43   6.62NA   6.62    1.93  17.98 17.980090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
44314  Revision of ileostomy                             A  16.74  10.04NA  10.04    3.30  30.08 30.080090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44316  Devise bowel pouch                                A  23.59  12.79NA  12.79    6.08  42.46 42.460090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44320  Colostomy                                         A  19.91  11.56NA  11.56    4.48  35.95 35.950090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44322  Colostomy with biopsies                           A  13.32  13.47NA  13.47    3.43  30.22 30.220090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44340  Revision of colostomy                             A   9.28   7.63NA   7.63    2.09  19.00 19.000090.09.81.1020110             33.2875 090 99      0.00   0.00   0.00
44345  Revision of colostomy                             A  17.22  10.56NA  10.56    3.70  31.48 31.480090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44346  Revision of colostomy                             A  19.63  11.48NA  11.48    4.29  35.40 35.400090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44360  Small bowel endoscopy                             A   2.49   1.46NA   1.46    0.30   4.25  4.250000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
44361  Small bowel endoscopy/biopsy                      A   2.77   1.58NA   1.58    0.33   4.68  4.680000.00.00.0030100       44360 33.2875 090 99      0.00   0.00   0.00
44363  Small bowel endoscopy                             A   3.39   1.86NA   1.86    0.40   5.65  5.650000.00.00.0030000       44360 33.2875 090 99      0.00   0.00   0.00
44364  Small bowel endoscopy                             A   3.63   1.97NA   1.97    0.42   6.02  6.020000.00.00.0030000       44360 33.2875 090 99      0.00   0.00   0.00
44365  Small bowel endoscopy                             A   3.21   1.78NA   1.78    0.39   5.38  5.380000.00.00.0030000       44360 33.2875 090 99      0.00   0.00   0.00
44366  Small bowel endoscopy                             A   4.30   2.27NA   2.27    0.49   7.06  7.060000.00.00.0030100       44360 33.2875 090 99      0.00   0.00   0.00
44369  Small bowel endoscopy                             A   4.41   2.31NA   2.31    0.51   7.23  7.230000.00.00.0030000       44360 33.2875 090 99      0.00   0.00   0.00
44370  Small bowel endoscopy/stent                       A   4.69   2.63NA   2.63    0.55   7.87  7.870000.00.00.0030000       44360 33.2875 090 99      0.00   0.00   0.00
44372  Small bowel endoscopy                             A   4.30   2.20NA   2.20    0.56   7.06  7.060000.00.00.0030100       44360 33.2875 090 99      0.00   0.00   0.00
44373  Small bowel endoscopy                             A   3.39   1.82NA   1.82    0.43   5.64  5.640000.00.00.0030100       44360 33.2875 090 99      0.00   0.00   0.00
44376  Small bowel endoscopy                             A   5.15   2.62NA   2.62    0.58   8.35  8.350000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
44377  Small bowel endoscopy/biopsy                      A   5.42   2.73NA   2.73    0.66   8.81  8.810000.00.00.0030000       44376 33.2875 090 99      0.00   0.00   0.00
44378  Small bowel endoscopy                             A   7.02   3.47NA   3.47    0.82  11.31 11.310000.00.00.0030000       44376 33.2875 090 99      0.00   0.00   0.00
44379  S bowel endoscope w/stent                         A   7.36   3.82NA   3.82    0.88  12.06 12.060000.00.00.0030000       44376 33.2875 090 99      0.00   0.00   0.00
44380  Small bowel endoscopy br/wa                       A   0.87   4.93     0.73    0.11   5.91  1.710000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
44381  Small bowel endoscopy br/wa                       A   1.38  27.57     0.96    0.18  29.13  2.520000.00.00.0030100       44380 33.2875 090 99      0.00   0.00   0.00
44382  Small bowel endoscopy                             A   1.17   7.61     0.88    0.15   8.93  2.200000.00.00.0030100       44380 33.2875 090 99      0.00   0.00   0.00
44384  Small bowel endoscopy                             A   2.85   1.30NA   1.30    0.35   4.50  4.500000.00.00.0030100       44380 33.2875 090 99      0.00   0.00   0.00
44385  Endoscopy of bowel pouch                          A   1.20   5.12     0.80    0.17   6.49  2.170000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
44386  Endoscopy bowel pouch/biop                        A   1.50   7.61     0.96    0.19   9.30  2.650000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
44388  Colonoscopy thru stoma spx                        A   2.72   6.35     1.49    0.41   9.48  4.620000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
4438853Colonoscopy thru stoma spx                        A   1.36   3.17     0.75    0.21   4.74  2.320000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
44389  Colonoscopy with biopsy                           A   3.02   8.91     1.65    0.40  12.33  5.070000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44390  Colonoscopy for foreign body                      A   3.74   7.94     2.02    0.44  12.12  6.200000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44391  Colonoscopy for bleeding                          A   4.12  14.45     2.17    0.51  19.08  6.800000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44392  Colonoscopy & polypectomy                         A   3.53   7.55     1.78    0.60  11.68  5.910000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44394  Colonoscopy w/snare                               A   4.03   8.56     2.08    0.54  13.13  6.650000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44401  Colonoscopy with ablation                         A   4.34  65.33     2.29    0.51  70.18  7.140000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44402  Colonoscopy w/stent plcmt                         A   4.70   2.45NA   2.45    0.55   7.70  7.700000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44403  Colonoscopy w/resection                           A   5.50   2.80NA   2.80    0.66   8.96  8.960000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44404  Colonoscopy w/injection                           A   3.02   9.18     1.65    0.40  12.60  5.070000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44405  Colonoscopy w/dilation                            A   3.23  12.97     1.79    0.39  16.59  5.410000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44406  Colonoscopy w/ultrasound                          A   4.10   2.18NA   2.18    0.48   6.76  6.760000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44407  Colonoscopy w/ndl aspir/bx                        A   4.96   2.56NA   2.56    0.58   8.10  8.100000.00.00.0030100       44388 33.2875 090 99      0.00   0.00   0.00
44408  Colonoscopy w/decompression                       A   4.14   2.20NA   2.20    0.48   6.82  6.820000.00.00.0030100       44388 33.2875 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             33.2875 090 99      0.00   0.00   0.00
44500  Intro gastrointestinal tube                       A   0.39   0.13NA   0.13    0.04   0.56  0.560000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
44602  Suture small intestine                            A  24.72  11.33NA  11.33    5.96  42.01 42.010090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44603  Suture small intestine                            A  28.16  13.61NA  13.61    6.50  48.27 48.270090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44604  Suture large intestine                            A  18.16   9.17NA   9.17    4.20  31.53 31.530090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44605  Repair of bowel lesion                            A  22.08  11.36NA  11.36    5.03  38.47 38.470090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44615  Intestinal stricturoplasty                        A  18.16   9.76NA   9.76    4.02  31.94 31.940090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44620  Repair bowel opening                              A  14.43   8.36NA   8.36    3.07  25.86 25.860090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44625  Repair bowel opening                              A  17.28   9.42NA   9.42    3.48  30.18 30.180090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44626  Repair bowel opening                              A  27.90  13.29NA  13.29    6.21  47.40 47.400090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44640  Repair bowel-skin fistula                         A  24.20  12.03NA  12.03    5.42  41.65 41.650090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44650  Repair bowel fistula                              A  25.12  12.38NA  12.38    5.44  42.94 42.940090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44660  Repair bowel-bladder fistula                      A  23.91  11.45NA  11.45    4.66  40.02 40.020090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44661  Repair bowel-bladder fistula                      A  27.35  12.89NA  12.89    5.68  45.92 45.920090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44680  Surgical revision intestine                       A  17.96   9.74NA   9.74    4.61  32.31 32.310090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
44700  Suspend bowel w/prosthesis                        A  17.48   9.33NA   9.33    3.11  29.92 29.920090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44701  Intraop colon lavage add-on                       A   3.10   1.14NA   1.14    0.79   5.03  5.030ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44705  Prepare fecal microbiota                          I+  1.42   1.80     0.55    0.15   3.37  2.129XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
44720  Prep donor intestine/venous                       A   5.00   1.83NA   1.83    1.28   8.11  8.110XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
44721  Prep donor intestine/artery                       A   7.00   2.56NA   2.56    1.79  11.35 11.350XXX.00.00.0020210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
44800  Excision of bowel pouch                           A  12.05   8.47NA   8.47    2.90  23.42 23.420090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
44820  Excision of mesentery lesion                      A  13.73   8.37NA   8.37    3.54  25.64 25.640090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44850  Repair of mesentery                               A  12.11   7.54NA   7.54    2.86  22.51 22.510090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44899  Unlisted px meckel's dvrtclm                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
44900  Drain appendix abscess open                       A  12.57   7.81NA   7.81    3.23  23.61 23.610090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44950  Appendectomy                                      A  10.60   6.11NA   6.11    2.61  19.32 19.320090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44955  Appendectomy add-on                               A   1.53   0.61NA   0.61    0.34   2.48  2.480ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
44960  Appendectomy                                      A  14.50   8.22NA   8.22    3.63  26.35 26.350090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
44970  Laparoscopy appendectomy                          A   9.45   6.39NA   6.39    2.34  18.18 18.180090.09.81.1020220             33.2875 090 99      0.00   0.00   0.00
44979  Unlisted laps px appendix                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45000  Drainage of pelvic abscess                        A   6.30   5.48NA   5.48    1.17  12.95 12.950090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
45005  Drainage of rectal abscess                        A   2.02   6.95     2.47    0.51   9.48  5.000010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
45020  Drainage of rectal abscess                        A   8.56   6.95NA   6.95    1.62  17.13 17.130090.09.81.1020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45100  Biopsy of rectum                                  A   4.04   4.39NA   4.39    0.75   9.18  9.180090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
45108  Removal of anorectal lesion                       A   5.12   4.93NA   4.93    1.31  11.36 11.360090.09.81.1020110             33.2875 090 99      0.00   0.00   0.00
45110  Removal of rectum                                 A  30.76  17.82NA  17.82    5.51  54.09 54.090090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45111  Partial removal of rectum                         A  18.01  10.91NA  10.91    3.63  32.55 32.550090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45112  Removal of rectum                                 A  33.18  16.15NA  16.15    4.50  53.83 53.830090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45113  Partial proctectomy                               A  33.22  17.62NA  17.62    4.50  55.34 55.340090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45114  Partial removal of rectum                         A  30.79  15.68NA  15.68    7.93  54.40 54.400090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45116  Partial removal of rectum                         A  27.72  14.43NA  14.43    3.76  45.91 45.910090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45119  Remove rectum w/reservoir                         A  33.48  17.72NA  17.72    4.55  55.75 55.750090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45120  Removal of rectum                                 A  26.40  14.82NA  14.82    6.79  48.01 48.010090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45121  Removal of rectum and colon                       A  29.08  15.80NA  15.80    7.51  52.39 52.390090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45123  Partial proctectomy                               A  18.86  11.16NA  11.16    3.20  33.22 33.220090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45126  Pelvic exenteration                               A  49.10  24.40NA  24.40    8.09  81.59 81.590090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
45130  Excision of rectal prolapse                       A  18.50  10.69NA  10.69    3.17  32.36 32.360090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45135  Excision of rectal prolapse                       A  22.36  13.26NA  13.26    3.03  38.65 38.650090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45136  Excise ileoanal reservior                         A  30.82  18.01NA  18.01    4.19  53.02 53.020090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45150  Excision of rectal stricture                      A   5.85   5.49NA   5.49    1.51  12.85 12.850090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
45160  Excision of rectal lesion                         A  16.33  10.38NA  10.38    4.19  30.90 30.900090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45171  Exc rect tum transanal part                       A   8.13   8.91NA   8.91    1.55  18.59 18.590090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45172  Exc rect tum transanal full                       A  12.13  10.47NA  10.47    2.15  24.75 24.750090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45190  Destruction rectal tumor                          A  10.42   8.97NA   8.97    1.58  20.97 20.970090.09.81.1020110             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45300  Proctosigmoidoscopy dx                            A   0.80   2.92     0.51    0.13   3.85  1.440000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
45303  Proctosigmoidoscopy dilate                        A   1.40  26.43     0.92    0.24  28.07  2.560000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45305  Proctosigmoidoscopy w/bx                          A   1.15   4.09     0.83    0.20   5.44  2.180000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45307  Proctosigmoidoscopy fb                            A   1.60   4.41     1.01    0.40   6.41  3.010000.00.00.0030000       45300 33.2875 090 99      0.00   0.00   0.00
45308  Proctosigmoidoscopy removal                       A   1.30   4.50     0.90    0.34   6.14  2.540000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45309  Proctosigmoidoscopy removal                       A   1.40   4.57     0.93    0.36   6.33  2.690000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45315  Proctosigmoidoscopy removal                       A   1.70   4.70     1.04    0.43   6.83  3.170000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45317  Proctosigmoidoscopy bleed                         A   1.90   4.43     1.11    0.30   6.63  3.310000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45320  Proctosigmoidoscopy ablate                        A   1.68   4.58     1.04    0.42   6.68  3.140000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45321  Proctosigmoidoscopy volvul                        A   1.65   1.03NA   1.03    0.42   3.10  3.100000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45327  Proctosigmoidoscopy w/stent                       A   1.90   1.12NA   1.12    0.48   3.50  3.500000.00.00.0030100       45300 33.2875 090 99      0.00   0.00   0.00
45330  Diagnostic sigmoidoscopy                          A   0.84   4.63     0.73    0.12   5.59  1.690000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
45331  Sigmoidoscopy and biopsy                          A   1.14   7.29     0.86    0.15   8.58  2.150000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45332  Sigmoidoscopy w/fb removal                        A   1.76   6.32     1.13    0.24   8.32  3.130000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45333  Sigmoidoscopy & polypectomy                       A   1.55   8.04     1.01    0.24   9.83  2.800000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45334  Sigmoidoscopy for bleeding                        A   2.00  12.44     1.24    0.24  14.68  3.480000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45335  Sigmoidoscopy w/submuc inj                        A   1.04   7.53     0.81    0.14   8.71  1.990000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45337  Sigmoidoscopy & decompress                        A   2.10   1.01NA   1.01    0.27   3.38  3.380000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45338  Sigmoidoscopy w/tumr remove                       A   2.05   6.66     1.25    0.26   8.97  3.560000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45340  Sig w/tndsc balloon dilation                      A   1.25  12.18     0.90    0.18  13.61  2.330000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45341  Sigmoidoscopy w/ultrasound                        A   2.12   1.30NA   1.30    0.25   3.67  3.670000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45342  Sigmoidoscopy w/us guide bx                       A   2.98   1.66NA   1.66    0.40   5.04  5.040000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45346  Sigmoidoscopy w/ablation                          A   2.81  64.68     1.58    0.35  67.84  4.740000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45347  Sigmoidoscopy w/plcmt stent                       A   2.72   1.50NA   1.50    0.33   4.55  4.550000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45349  Sigmoidoscopy w/resection                         A   3.52   1.91NA   1.91    0.41   5.84  5.840000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45350  Sgmdsc w/band ligation                            A   1.68  18.07     1.09    0.23  19.98  3.000000.00.00.0030100       45330 33.2875 090 99      0.00   0.00   0.00
45378  Diagnostic colonoscopy                            A   3.26   6.51     1.77    0.42  10.19  5.450000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
4537853Diagnostic colonoscopy                            A   1.63   3.25     0.89    0.21   5.09  2.730000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
45379  Colonoscopy w/fb removal                          A   4.28   8.21     2.23    0.52  13.01  7.030000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45380  Colonoscopy and biopsy                            A   3.56   8.99     1.92    0.44  12.99  5.920000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45381  Colonoscopy submucous njx                         A   3.56   9.26     1.91    0.44  13.26  5.910000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45382  Colonoscopy w/control bleed                       A   4.66  14.65     2.41    0.55  19.86  7.620000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45384  Colonoscopy w/lesion removal                      A   4.07   9.93     2.05    0.62  14.62  6.740000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45385  Colonoscopy w/lesion removal                      A   4.57   8.47     2.36    0.56  13.60  7.490000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45386  Colonoscopy w/balloon dilat                       A   3.77  13.95     2.00    0.48  18.20  6.250000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45388  Colonoscopy w/ablation                            A   4.88  66.99     2.46    0.63  72.50  7.970000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45389  Colonoscopy w/stent plcmt                         A   5.24   2.66NA   2.66    0.63   8.53  8.530000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45390  Colonoscopy w/resection                           A   6.04   3.03NA   3.03    0.72   9.79  9.790000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45391  Colonoscopy w/endoscope us                        A   4.64   2.41NA   2.41    0.54   7.59  7.590000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45392  Colonoscopy w/endoscopic fnb                      A   5.50   2.80NA   2.80    0.66   8.96  8.960000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45393  Colonoscopy w/decompression                       A   4.68   2.12NA   2.12    0.61   7.41  7.410000.00.00.0030100       45378 33.2875 090 99      0.00   0.00   0.00
45395  Lap removal of rectum                             A  33.00  19.24NA  19.24    5.96  58.20 58.200090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45397  Lap remove rectum w/pouch                         A  36.50  20.44NA  20.44    6.03  62.97 62.970090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45398  Colonoscopy w/band ligation                       A   4.20  19.69     2.12    0.63  24.52  6.950000.00.00.0030100       45378 33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45400  Laparoscopic proc                                 A  19.44  11.05NA  11.05    3.28  33.77 33.770090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45402  Lap proctopexy w/sig resect                       A  26.51  13.72NA  13.72    4.92  45.15 45.150090.09.81.1020210             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45500  Repair of rectum                                  A   7.73   7.49NA   7.49    2.00  17.22 17.220090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
45505  Repair of rectum                                  A   8.36   8.32NA   8.32    1.47  18.15 18.150090.09.81.1020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45520  Treatment of rectal prolapse                      A   0.55   4.24     0.60    0.07   4.86  1.220000.00.00.0020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45540  Correct rectal prolapse                           A  18.12  10.21NA  10.21    3.00  31.33 31.330090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45541  Correct rectal prolapse                           A  14.85  10.43NA  10.43    2.83  28.11 28.110090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45550  Repair rectum/remove sigmoid                      A  24.80  14.14NA  14.14    4.34  43.28 43.280090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45560  Repair of rectocele                               A  11.50   7.42NA   7.42    1.85  20.77 20.770090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45562  Exploration/repair of rectum                      A  17.98  12.52NA  12.52    4.62  35.12 35.120090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45563  Exploration/repair of rectum                      A  26.38  16.51NA  16.51    6.79  49.68 49.680090.09.81.1020210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
45800  Repair rect/bladder fistula                       A  20.31  12.62NA  12.62    5.22  38.15 38.150090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45805  Repair fistula w/colostomy                        A  23.32  14.68NA  14.68    6.01  44.01 44.010090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45820  Repair rectourethral fistula                      A  20.37  12.64NA  12.64    5.24  38.25 38.250090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45825  Repair fistula w/colostomy                        A  24.17  15.70NA  15.70    6.22  46.09 46.090090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
45900  Reduction of rectal prolapse                      A   2.99   2.67NA   2.67    0.76   6.42  6.420010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
45905  Dilation of anal sphincter                        A   2.35   2.37NA   2.37    0.42   5.14  5.140010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
45910  Dilation of rectal narrowing                      A   2.85   2.49NA   2.49    0.48   5.82  5.820010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
45915  Remove rectal obstruction                         A   3.19   6.84     3.10    0.60  10.63  6.890010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
45990  Surg dx exam anorectal                            A   1.80   1.04NA   1.04    0.32   3.16  3.160000.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
45999  Unlisted procedure rectum                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
46020  Placement of seton                                A   1.86   1.29NA   1.29    0.35   3.50  3.500000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
46030  Removal of rectal marker                          A   1.48   5.89     0.87    0.24   7.61  2.590000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
46040  Incision of rectal abscess                        A   5.37  10.21     6.36    1.17  16.75 12.900090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46045  Incision of rectal abscess                        A   5.87   6.24NA   6.24    1.20  13.31 13.310090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46050  Incision of anal abscess                          A   1.24   5.64     1.59    0.24   7.12  3.070010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46060  Incision of rectal abscess                        A   6.37   7.16NA   7.16    1.19  14.72 14.720090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46070  Incision of anal septum                           A   2.79   4.71NA   4.71    0.72   8.22  8.220090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
46080  Incision of anal sphincter                        A   2.52   5.64     1.74    0.49   8.65  4.750010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46083  Incise external hemorrhoid                        A   1.45   4.55     1.61    0.27   6.27  3.330010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46200  Removal of anal fissure                           A   3.59  10.13     6.06    0.61  14.33 10.260090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46220  Excise anal ext tag/papilla                       A   1.61   5.65     1.77    0.30   7.56  3.680010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46221  Ligation of hemorrhoid(s)                         A   2.36   5.82     3.09    0.35   8.53  5.800010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46230  Removal of anal tags                              A   2.62   6.34     2.15    0.47   9.43  5.240010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46250  Remove ext hem groups 2+                          A   4.25   9.34     4.56    0.82  14.41  9.630090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46255  Remove int/ext hem 1 group                        A   4.96   9.76     4.83    0.93  15.65 10.720090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46257  Remove in/ex hem grp & fiss                       A   5.76   6.04NA   6.04    0.78  12.58 12.580090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46258  Remove in/ex hem grp w/fistu                      A   6.41   6.57NA   6.57    1.65  14.63 14.630090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
46260  Remove in/ex hem groups 2+                        A   6.73   6.50NA   6.50    1.33  14.56 14.560090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46261  Remove in/ex hem grps & fiss                      A   7.76   6.91NA   6.91    1.44  16.11 16.110090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46262  Remove in/ex hem grps w/fist                      A   7.91   7.79NA   7.79    2.03  17.73 17.730090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46270  Remove anal fist subq                             A   4.92  10.20     6.25    0.98  16.10 12.150090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46275  Remove anal fist inter                            A   5.42  10.63     6.41    0.96  17.01 12.790090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46280  Remove anal fist complex                          A   6.39   7.01NA   7.01    1.13  14.53 14.530090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46285  Remove anal fist 2 stage                          A   5.42  10.60     6.43    0.98  17.00 12.830090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46288  Repair anal fistula                               A   7.81   7.72NA   7.72    1.35  16.88 16.880090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46320  Removal of hemorrhoid clot                        A   1.64   4.51     1.50    0.29   6.44  3.430010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46500  Injection into hemorrhoid(s)                      A   1.74   7.38     3.54    0.26   9.38  5.540010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46505  Chemodenervation anal musc                        A   3.18   5.76     3.83    0.54   9.48  7.550010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
46600  Diagnostic anoscopy spx                           A   0.55   2.90     0.60    0.09   3.54  1.240000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
46601  Diagnostic anoscopy                               A   1.60   2.68     0.98    0.22   4.50  2.800000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46604  Anoscopy and dilation                             A   1.03  18.00     0.77    0.18  19.21  1.980000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46606  Anoscopy and biopsy                               A   1.20   6.99     0.85    0.21   8.40  2.260000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46607  Diagnostic anoscopy & biopsy                      A   2.20   3.71     1.20    0.32   6.23  3.720000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46608  Anoscopy remove for body                          A   1.30   7.05     0.90    0.34   8.69  2.540000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46610  Anoscopy remove lesion                            A   1.28   6.70     0.88    0.24   8.22  2.400000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46611  Anoscopy                                          A   1.30   5.19     0.91    0.20   6.69  2.410000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46612  Anoscopy remove lesions                           A   1.50   8.03     0.97    0.39   9.92  2.860000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46614  Anoscopy control bleeding                         A   1.00   3.89     0.77    0.16   5.05  1.930000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46615  Anoscopy                                          A   1.50   3.61     1.00    0.21   5.32  2.710000.00.00.0030100       46600 33.2875 090 99      0.00   0.00   0.00
46700  Repair of anal stricture                          A   9.81   8.30NA   8.30    1.55  19.66 19.660090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46705  Repair of anal stricture                          A   7.43   7.96NA   7.96    1.90  17.29 17.290090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46706  Repr of anal fistula w/glue                       A   2.44   2.39NA   2.39    0.62   5.45  5.450010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46707  Repair anorectal fist w/plug                      A   6.39   7.23NA   7.23    1.64  15.26 15.260090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
46710  Repr per/vag pouch sngl proc                      A  17.14  11.84NA  11.84    4.40  33.38 33.380090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46712  Repr per/vag pouch dbl proc                       A  36.45  20.46NA  20.46    9.41  66.32 66.320090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46715  Rep perf anoper fistu                             A   7.62   7.20NA   7.20    1.96  16.78 16.780090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
46716  Rep perf anoper/vestib fistu                      A  17.54  15.22NA  15.22    4.50  37.26 37.260090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46730  Construction of absent anus                       A  30.65  21.24NA  21.24    7.89  59.78 59.780090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46735  Construction of absent anus                       A  36.14  23.25NA  23.25    9.33  68.72 68.720090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46740  Construction of absent anus                       A  33.90  22.55NA  22.55    8.74  65.19 65.190090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46742  Repair of imperforated anus                       A  40.14  24.72NA  24.72   10.37  75.23 75.230090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46744  Repair of cloacal anomaly                         A  58.94  31.71NA  31.71   15.21 105.86105.860090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46746  Repair of cloacal anomaly                         A  65.44  34.24NA  34.24   16.88 116.56116.560090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46748  Repair of cloacal anomaly                         A  71.42  36.43NA  36.43   18.42 126.27126.270090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46750  Repair of anal sphincter                          A  12.15   8.34NA   8.34    2.00  22.49 22.490090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46751  Repair of anal sphincter                          A   9.30   8.53NA   8.53    2.38  20.21 20.210090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46753  Reconstruction of anus                            A   8.89   7.54NA   7.54    2.28  18.71 18.710090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46754  Removal of suture from anus                       A   3.01   7.12     3.92    0.40  10.53  7.330010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
46760  Repair of anal sphincter                          A  17.45  13.24NA  13.24    2.36  33.05 33.050090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46761  Repair of anal sphincter                          A  15.29   9.55NA   9.55    2.53  27.37 27.370090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
46900  Destruction anal lesion(s)                        A   1.91   5.08     1.98    0.26   7.25  4.150010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46910  Destruction anal lesion(s)                        A   1.91   5.74     1.86    0.32   7.97  4.090010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46916  Cryosurgery anal lesion(s)                        A   1.91   5.73     2.15    0.22   7.86  4.280010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46917  Laser surgery anal lesions                        A   1.91  11.11     1.69    0.30  13.32  3.900010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46922  Excision of anal lesion(s)                        A   1.91   7.17     1.90    0.36   9.44  4.170010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46924  Destruction anal lesion(s)                        A   2.81  13.46     2.22    0.43  16.70  5.460010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46930  Destroy internal hemorrhoids                      A   1.61   4.68     2.74    0.23   6.52  4.580090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
46940  Treatment of anal fissure                         A   2.35   5.35     1.67    0.34   8.04  4.360010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
46942  Treatment of anal fissure                         A   2.07   5.29     1.55    0.30   7.66  3.920010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
46945  Int hrhc lig 1 hroid w/o img                      A   3.69   5.97NA   5.97    0.62  10.28 10.280090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46946  Int hrhc lig 2+hroid w/o img                      A   4.50   6.27NA   6.27    0.71  11.48 11.480090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46947  Hemorrhoidopexy by stapling                       A   5.57   4.99NA   4.99    1.22  11.78 11.780090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46948  Int hrhc tranal dartlzj 2+                        A   5.57   6.73NA   6.73    1.10  13.40 13.400090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
46999  Unlisted procedure anus                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
47000  Needle biopsy of liver                            A   1.65   7.11     0.76    0.17   8.93  2.580000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47001  Needle biopsy liver add-on                        A   1.90   0.70NA   0.70    0.47   3.07  3.070ZZZ.00.00.0000110             33.2875 090 99      0.00   0.00   0.00
47010  Open drainage liver lesion                        A  19.40  12.17NA  12.17    4.85  36.42 36.420090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47015  Inject/aspirate liver cyst                        A  18.50  11.75NA  11.75    4.74  34.99 34.990090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47100  Wedge biopsy of liver                             A  12.91   9.48NA   9.48    3.20  25.59 25.590090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47120  Partial removal of liver                          A  39.01  21.23NA  21.23    9.67  69.91 69.910090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47122  Extensive removal of liver                        A  59.48  27.85NA  27.85   14.68 102.01102.010090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47125  Partial removal of liver                          A  53.04  25.50NA  25.50   13.36  91.90 91.900090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47130  Partial removal of liver                          A  57.19  26.97NA  26.97   14.44  98.60 98.600090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
47135  Transplantation of liver                          R  90.00  48.63NA  48.63   22.89 161.52161.520090.09.81.1020212             33.2875 090 99      0.00   0.00   0.00
47140  Partial removal donor liver                       A  59.40  32.30NA  32.30   15.33 107.03107.030090.09.81.1020212             33.2875 090 99      0.00   0.00   0.00
47141  Partial removal donor liver                       A  71.50  37.90NA  37.90   18.44 127.84127.840090.09.81.1020212             33.2875 090 99      0.00   0.00   0.00
47142  Partial removal donor liver                       A  79.44  40.81NA  40.81   20.46 140.71140.710090.09.81.1020210             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
47146  Prep donor liver/venous                           A   6.00   2.19NA   2.19    1.52   9.71  9.710XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
47147  Prep donor liver/arterial                         A   7.00   2.58NA   2.58    1.76  11.34 11.340XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
47300  Surgery for liver lesion                          A  18.14  11.46NA  11.46    4.55  34.15 34.150090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47350  Repair liver wound                                A  22.49  13.03NA  13.03    5.34  40.86 40.860090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47360  Repair liver wound                                A  31.31  16.73NA  16.73    8.06  56.10 56.100090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47361  Repair liver wound                                A  52.60  24.43NA  24.43   12.68  89.71 89.710090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47362  Repair liver wound                                A  23.54  13.88NA  13.88    6.07  43.49 43.490090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47370  Laparo ablate liver tumor rf                      A  20.80  11.63NA  11.63    5.23  37.66 37.660090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47371  Laparo ablate liver cryosurg                      A  20.80  11.66NA  11.66    5.36  37.82 37.820090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47379  Unlisted laps px liver                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
47380  Open ablate liver tumor rf                        A  24.56  12.88NA  12.88    5.94  43.38 43.380090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47381  Open ablate liver tumor cryo                      A  24.88  13.15NA  13.15    6.40  44.43 44.430090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47382  Percut ablate liver rf                            A  14.97  90.70     4.96    1.58 107.25 21.510010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
47383  Perq abltj lvr cryoablation                       A   8.88 162.93     3.30    0.93 172.74 13.110010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
47399  Unlisted procedure liver                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             33.2875 090 99      0.00   0.00   0.00
47400  Incision of liver duct                            A  36.36  18.57NA  18.57    9.39  64.32 64.320090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47420  Incision of bile duct                             A  22.03  12.68NA  12.68    5.46  40.17 40.170090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47425  Incision of bile duct                             A  22.31  12.97NA  12.97    5.74  41.02 41.020090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47460  Incise bile duct sphincter                        A  20.52  12.31NA  12.31    5.28  38.11 38.110090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47480  Incision of gallbladder                           A  13.25   9.94NA   9.94    3.17  26.36 26.360090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47490  Incision of gallbladder                           A   4.76   4.56NA   4.56    0.47   9.79  9.790010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
47531  Injection for cholangiogram                       A   1.30  11.05     0.63    0.13  12.48  2.060000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47532  Injection for cholangiogram                       A   4.25  20.04     1.42    0.47  24.76  6.140000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47533  Plmt biliary drainage cath                        A   5.38  28.32     1.71    0.55  34.25  7.640000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47534  Plmt biliary drainage cath                        A   7.60  29.25     2.32    0.77  37.62 10.690000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47535  Conversion ext bil drg cath                       A   3.95  21.73     1.33    0.40  26.08  5.680000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47536  Exchange biliary drg cath                         A   2.61  15.80     0.95    0.27  18.68  3.830000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47537  Removal biliary drg cath                          A   1.84  12.43     0.78    0.19  14.46  2.810000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47538  Perq plmt bile duct stent                         A   4.75 104.71     1.56    0.49 109.95  6.800000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47539  Perq plmt bile duct stent                         A   8.75 113.94     2.66    0.94 123.63 12.350000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47540  Perq plmt bile duct stent                         A   9.03 113.38     2.73    0.96 123.37 12.720000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47541  Plmt access bil tree sm bwl                       A   6.75  26.81     2.27    0.72  34.28  9.740000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
47542  Dilate biliary duct/ampulla                       A   2.85  11.50     0.78    0.30  14.65  3.930ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
47543  Endoluminal bx biliary tree                       A   3.00   8.24     0.84    0.31  11.55  4.150ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
47544  Removal duct glbldr calculi                       A   3.28  20.93     0.90    0.35  24.56  4.530ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
47550  Bile duct endoscopy add-on                        A   3.02   1.11NA   1.11    0.72   4.85  4.850ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
47552  Biliary endo perq dx w/speci                      A   6.03   1.37NA   1.37    0.74   8.14  8.140000.00.00.0020110             33.2875 090 99      0.00   0.00   0.00
47553  Biliary endoscopy thru skin                       A   6.34   1.03NA   1.03    0.78   8.15  8.150000.00.00.0030100       47552 33.2875 090 99      0.00   0.00   0.00
47554  Biliary endoscopy thru skin                       A   9.05   2.82NA   2.82    1.27  13.14 13.140000.00.00.0030110       47552 33.2875 090 99      0.00   0.00   0.00
47555  Biliary endoscopy thru skin                       A   7.55   1.22NA   1.22    0.94   9.71  9.710000.00.00.0030100       47552 33.2875 090 99      0.00   0.00   0.00
47556  Biliary endoscopy thru skin                       A   8.55   1.38NA   1.38    1.07  11.00 11.000000.00.00.0030100       47552 33.2875 090 99      0.00   0.00   0.00
47562  Laparoscopic cholecystectomy                      A  10.47   6.81NA   6.81    2.64  19.92 19.920090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47563  Laparo cholecystectomy/graph                      A  11.47   7.29NA   7.29    2.89  21.65 21.650090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47564  Laparo cholecystectomy/explr                      A  18.00  11.09NA  11.09    4.56  33.65 33.650090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47570  Laparo cholecystoenterostomy                      A  12.56   7.58NA   7.58    3.23  23.37 23.370090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47579  Unlisted laps px biliary trc                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
47600  Removal of gallbladder                            A  17.48  10.35NA  10.35    4.34  32.17 32.170090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47605  Removal of gallbladder                            A  18.48  10.75NA  10.75    4.64  33.87 33.870090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47610  Removal of gallbladder                            A  20.92  11.29NA  11.29    5.26  37.47 37.470090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47612  Removal of gallbladder                            A  21.21  11.53NA  11.53    5.46  38.20 38.200090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47620  Removal of gallbladder                            A  23.07  12.21NA  12.21    5.95  41.23 41.230090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47700  Exploration of bile ducts                         A  16.50  11.13NA  11.13    4.25  31.88 31.880090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47701  Bile duct revision                                A  28.73  15.89NA  15.89    7.42  52.04 52.040090.09.81.1020000             33.2875 090 99      0.00   0.00   0.00
47711  Excision of bile duct tumor                       A  25.90  14.39NA  14.39    6.44  46.73 46.730090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47712  Excision of bile duct tumor                       A  33.72  17.32NA  17.32    8.69  59.73 59.730090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47715  Excision of bile duct cyst                        A  21.55  12.86NA  12.86    5.55  39.96 39.960090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47720  Fuse gallbladder & bowel                          A  18.34  11.69NA  11.69    4.70  34.73 34.730090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47721  Fuse upper gi structures                          A  21.99  13.02NA  13.02    5.67  40.68 40.680090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47740  Fuse gallbladder & bowel                          A  21.23  12.74NA  12.74    5.47  39.44 39.440090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47741  Fuse gallbladder & bowel                          A  24.21  13.84NA  13.84    6.23  44.28 44.280090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47760  Fuse bile ducts and bowel                         A  38.32  19.61NA  19.61    9.48  67.41 67.410090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47765  Fuse liver ducts & bowel                          A  52.19  24.88NA  24.88   13.47  90.54 90.540090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47780  Fuse bile ducts and bowel                         A  42.32  21.00NA  21.00   10.75  74.07 74.070090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47785  Fuse bile ducts and bowel                         A  56.19  26.37NA  26.37   14.14  96.70 96.700090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47800  Reconstruction of bile ducts                      A  26.17  14.39NA  14.39    6.03  46.59 46.590090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47801  Placement bile duct support                       A  17.60  11.42NA  11.42    4.52  33.54 33.540090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47802  Fuse liver duct & intestine                       A  24.93  14.39NA  14.39    6.42  45.74 45.740090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47900  Suture bile duct injury                           A  22.44  13.19NA  13.19    5.77  41.40 41.400090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
47999  Unlisted px biliary tract                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             33.2875 090 99      0.00   0.00   0.00
48000  Drainage of abdomen                               A  31.95  16.17NA  16.17    8.23  56.35 56.350090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48001  Placement of drain pancreas                       A  39.69  19.00NA  19.00   10.25  68.94 68.940090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48020  Removal of pancreatic stone                       A  19.09  11.46NA  11.46    4.91  35.46 35.460090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48100  Biopsy of pancreas open                           A  14.46   8.79NA   8.79    3.58  26.83 26.830090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48102  Needle biopsy pancreas                            A   4.70  10.02     1.74    0.47  15.19  6.910010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
48105  Resect/debride pancreas                           A  49.26  24.10NA  24.10   10.76  84.12 84.120090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48120  Removal of pancreas lesion                        A  18.41  10.32NA  10.32    4.72  33.45 33.450090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48140  Partial removal of pancreas                       A  26.32  14.12NA  14.12    6.54  46.98 46.980090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48145  Partial removal of pancreas                       A  27.39  14.50NA  14.50    7.06  48.95 48.950090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48146  Pancreatectomy                                    A  30.60  17.99NA  17.99    7.88  56.47 56.470090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48148  Removal of pancreatic duct                        A  20.39  11.94NA  11.94    5.24  37.57 37.570090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48150  Partial removal of pancreas                       A  52.84  27.12NA  27.12   13.24  93.20 93.200090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48152  Pancreatectomy                                    A  48.65  25.06NA  25.06   12.56  86.27 86.270090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48153  Pancreatectomy                                    A  52.79  26.60NA  26.60   13.42  92.81 92.810090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48154  Pancreatectomy                                    A  48.88  25.15NA  25.15   12.62  86.65 86.650090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48155  Removal of pancreas                               A  29.45  17.75NA  17.75    7.33  54.53 54.530090.09.81.1020210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
48400  Injection intraop add-on                          A   1.95   0.72NA   0.72    0.49   3.16  3.160ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
48500  Surgery of pancreatic cyst                        A  18.16  11.74NA  11.74    4.66  34.56 34.560090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48510  Drain pancreatic pseudocyst                       A  17.19  11.38NA  11.38    4.41  32.98 32.980090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48520  Fuse pancreas cyst and bowel                      A  18.15  10.22NA  10.22    4.66  33.03 33.030090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48540  Fuse pancreas cyst and bowel                      A  21.94  11.61NA  11.61    5.65  39.20 39.200090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48545  Pancreatorrhaphy                                  A  22.23  12.48NA  12.48    5.72  40.43 40.430090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48547  Duodenal exclusion                                A  30.38  15.46NA  15.46    7.82  53.66 53.660090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
48548  Fuse pancreas and bowel                           A  28.09  14.76NA  14.76    7.25  50.10 50.100090.09.81.1020210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
48552  Prep donor pancreas/venous                        A   4.30   1.57NA   1.57    1.12   6.99  6.990XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
48554  Transpl allograft pancreas                        R  37.80  31.70NA  31.70    9.61  79.11 79.110090.09.81.1020222             33.2875 090 99      0.00   0.00   0.00
48556  Removal allograft pancreas                        A  19.47  14.39NA  14.39    5.00  38.86 38.860090.09.81.1020222             33.2875 090 99      0.00   0.00   0.00
48999  Unlisted procedure pancreas                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
49000  Exploration of abdomen                            A  12.54   7.61NA   7.61    2.95  23.10 23.100090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49002  Reopening of abdomen                              A  17.63   9.37NA   9.37    4.24  31.24 31.240090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49010  Exploration behind abdomen                        A  16.06   7.80NA   7.80    3.75  27.61 27.610090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49013  Prpertl pel pack hemrrg trma                      A   8.35   3.06NA   3.06    2.15  13.56 13.560000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49014  Reexploration pelvic wound                        A   6.73   2.84NA   2.84    1.72  11.29 11.290000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49020  Drainage abdom abscess open                       A  26.67  14.82NA  14.82    6.30  47.79 47.790090.09.81.1020200             33.2875 090 99      0.00   0.00   0.00
49040  Drain open abdom abscess                          A  16.52   9.63NA   9.63    3.96  30.11 30.110090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49060  Drain open retroperi abscess                      A  18.53  10.09NA  10.09    4.19  32.81 32.810090.09.81.1020110             33.2875 090 99      0.00   0.00   0.00
49062  Drain to peritoneal cavity                        A  12.22   7.81NA   7.81    3.15  23.18 23.180090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49082  Abd paracentesis                                  A   1.24   4.92     0.75    0.19   6.35  2.180000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49083  Abd paracentesis w/imaging                        A   2.00   6.51     0.92    0.20   8.71  3.120000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49084  Peritoneal lavage                                 A   2.00   0.72NA   0.72    0.45   3.17  3.170000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49180  Biopsy abdominal mass                             A   1.73   3.29     0.52    0.17   5.19  2.420000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49185  Sclerotx fluid collection                         A   2.35  34.49     0.87    0.27  37.11  3.490000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
49203  Exc abd tum 5 cm or less                          A  20.13  11.27NA  11.27    4.45  35.85 35.850090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49204  Exc abd tum over 5 cm                             A  26.13  13.80NA  13.80    5.74  45.67 45.670090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49205  Exc abd tum over 10 cm                            A  30.13  15.59NA  15.59    6.67  52.39 52.390090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49215  Excise sacral spine tumor                         A  37.81  20.33NA  20.33    8.29  66.43 66.430090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49250  Excision of umbilicus                             A   9.01   6.86NA   6.86    2.09  17.96 17.960090.09.81.1020110             33.2875 090 99      0.00   0.00   0.00
49255  Removal of omentum                                A  12.56   8.59NA   8.59    2.73  23.88 23.880090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49320  Diag laparo separate proc                         A   5.14   3.58NA   3.58    1.22   9.94  9.940010.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
49321  Laparoscopy biopsy                                A   5.44   3.73NA   3.73    1.22  10.39 10.390010.10.80.1030220       49320 33.2875 090 99      0.00   0.00   0.00
49322  Laparoscopy aspiration                            A   6.01   3.90NA   3.90    1.39  11.30 11.300010.10.80.1030220       49320 33.2875 090 99      0.00   0.00   0.00
49323  Laparo drain lymphocele                           A  10.23   6.70NA   6.70    2.32  19.25 19.250090.10.80.1030220       49320 33.2875 090 99      0.00   0.00   0.00
49324  Lap insert tunnel ip cath                         A   6.32   3.72NA   3.72    1.59  11.63 11.630010.10.80.1030220       49320 33.2875 090 99      0.00   0.00   0.00
49325  Lap revision perm ip cath                         A   6.82   3.86NA   3.86    1.72  12.40 12.400010.10.80.1030220       49320 33.2875 090 99      0.00   0.00   0.00
49326  Lap w/omentopexy add-on                           A   3.50   1.20NA   1.20    0.89   5.59  5.590ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
49327  Lap ins device for rt                             A   2.38   0.87NA   0.87    0.61   3.86  3.860ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
49329  Unlstd laps px abd pertm&omn                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
49400  Air injection into abdomen                        A   1.88   2.36     0.55    0.21   4.45  2.640000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49402  Remove foreign body adbomen                       A  14.09   8.16NA   8.16    3.43  25.68 25.680090.09.81.1020110             33.2875 090 99      0.00   0.00   0.00
49405  Image cath fluid colxn visc                       A   4.00  21.70     1.27    0.40  26.10  5.670000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49406  Image cath fluid peri/retro                       A   4.00  21.71     1.27    0.40  26.11  5.670000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49407  Image cath fluid trns/vgnl                        A   4.25  17.55     1.28    0.48  22.28  6.010000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49411  Ins mark abd/pel for rt perq                      A   3.57  10.42     1.53    0.34  14.33  5.440000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49412  Ins device for rt guide open                      A   1.50   0.55NA   0.55    0.39   2.44  2.440ZZZ.00.00.0000010             33.2875 090 99      0.00   0.00   0.00
49418  Insert tun ip cath perc                           A   3.96  24.53     1.46    0.43  28.92  5.850000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49419  Insert tun ip cath w/port                         A   7.08   3.86NA   3.86    1.54  12.48 12.480090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
49421  Ins tun ip cath for dial opn                      A   4.21   1.51NA   1.51    1.01   6.73  6.730000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49422  Remove tunneled ip cath                           A   4.00   1.63NA   1.63    0.95   6.58  6.580000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
49423  Exchange drainage catheter                        A   1.46  15.62     0.44    0.16  17.24  2.060000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49424  Assess cyst contrast inject                       A   0.76   4.51     0.25    0.08   5.35  1.090000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49425  Insert abdomen-venous drain                       A  12.22   8.17NA   8.17    3.15  23.54 23.540090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49426  Revise abdomen-venous shunt                       A  10.41   7.14NA   7.14    2.68  20.23 20.230090.09.81.1020100             33.2875 090 99      0.00   0.00   0.00
49427  Injection abdominal shunt                         A   0.89   0.14NA   0.14    0.11   1.14  1.140000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49428  Ligation of shunt                                 A   6.87   4.34NA   4.34    1.76  12.97 12.970010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
49429  Removal of shunt                                  A   7.44   4.41NA   4.41    1.90  13.75 13.750010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
49435  Insert subq exten to ip cath                      A   2.25   0.68NA   0.68    0.56   3.49  3.490ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
49436  Embedded ip cath exit-site                        A   2.72  12.67     2.20    0.69  16.08  5.610010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
49440  Place gastrostomy tube perc                       A   3.93  20.14     1.59    0.41  24.48  5.930010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
49441  Place duod/jej tube perc                          A   4.52  23.17     1.91    0.64  28.33  7.070010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
49442  Place cecostomy tube perc                         A   3.75  19.30     1.98    0.33  23.38  6.060010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
49446  Change g-tube to g-j perc                         A   3.06  20.12     0.87    0.33  23.51  4.260000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49450  Replace g/c tube perc                             A   1.36  16.01     0.40    0.15  17.52  1.910000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49451  Replace duod/jej tube perc                        A   1.84  16.69     0.54    0.20  18.73  2.580000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49452  Replace g-j tube perc                             A   2.86  19.58     0.81    0.30  22.74  3.970000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49460  Fix g/colon tube w/device                         A   0.96  20.48     0.40    0.13  21.57  1.490000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49465  Fluoro exam of g/colon tube                       A   0.62   3.39     0.21    0.06   4.07  0.890000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
49491  Rpr hern preemie reduc                            A  12.53   8.35NA   8.35    3.22  24.10 24.100090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49492  Rpr ing hern premie blocked                       A  15.43   9.53NA   9.53    3.97  28.93 28.930090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49495  Rpr ing hernia baby reduc                         A   6.20   4.59NA   4.59    1.59  12.38 12.380090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49496  Rpr ing hernia baby blocked                       A   9.42   6.79NA   6.79    2.42  18.63 18.630090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49500  Rpr ing hernia init reduce                        A   5.84   5.29NA   5.29    1.51  12.64 12.640090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49501  Rpr ing hernia init blocked                       A   9.36   6.59NA   6.59    2.40  18.35 18.350090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49505  Prp i/hern init reduc >5 yr                       A   7.96   5.85NA   5.85    2.01  15.82 15.820090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49507  Prp i/hern init block >5 yr                       A   9.09   6.40NA   6.40    2.28  17.77 17.770090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49520  Rerepair ing hernia reduce                        A   9.99   6.62NA   6.62    2.53  19.14 19.140090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49521  Rerepair ing hernia blocked                       A  11.48   7.26NA   7.26    2.88  21.62 21.620090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49525  Repair ing hernia sliding                         A   8.93   6.17NA   6.17    2.24  17.34 17.340090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49540  Repair lumbar hernia                              A  10.74   6.90NA   6.90    2.62  20.26 20.260090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49550  Rpr rem hernia init reduce                        A   8.99   6.22NA   6.22    2.26  17.47 17.470090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49553  Rpr fem hernia init blocked                       A   9.92   6.70NA   6.70    2.48  19.10 19.100090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49555  Rerepair fem hernia reduce                        A   9.39   6.48NA   6.48    2.41  18.28 18.280090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49557  Rerepair fem hernia blocked                       A  11.62   7.27NA   7.27    2.91  21.80 21.800090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49591  Rpr aa hrn 1st < 3 cm rdc                         A   5.96   2.80NA   2.80    1.49  10.25 10.250000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49592  Rpr aa hrn 1st < 3 ncr/strn                       A   8.46   3.65NA   3.65    2.13  14.24 14.240000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49593  Rpr aa hrn 1st 3-10 rdc                           A  10.26   4.33NA   4.33    2.56  17.15 17.150000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49594  Rpr aa hrn 1st 3-10 ncr/strn                      A  13.46   5.48NA   5.48    3.38  22.32 22.320000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49595  Rpr aa hrn 1st > 10 rdc                           A  13.94   5.68NA   5.68    3.45  23.07 23.070000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49596  Rpr aa hrn 1st > 10 ncr/strn                      A  18.67   7.38NA   7.38    4.55  30.60 30.600000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49600  Repair umbilical lesion                           A  11.55   7.67NA   7.67    2.96  22.18 22.180090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49605  Repair umbilical lesion                           A  87.09  37.10NA  37.10   22.47 146.66146.660090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49606  Repair umbilical lesion                           A  19.00  10.22NA  10.22    4.88  34.10 34.100090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49610  Repair umbilical lesion                           A  10.91   7.26NA   7.26    2.79  20.96 20.960090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49611  Repair umbilical lesion                           A   9.34   6.76NA   6.76    2.39  18.49 18.490090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49613  Rpr aa hrn rcr < 3 rdc                            A   7.42   3.39NA   3.39    1.82  12.63 12.630000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49614  Rpr aa hrn rcr < 3 ncr/strn                       A  10.25   4.31NA   4.31    2.54  17.10 17.100000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49615  Rpr aa hrn rcr 3-10 rdc                           A  11.46   4.83NA   4.83    2.83  19.12 19.120000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49616  Rpr aa hrn rcr 3-10 ncr/strn                      A  15.55   6.26NA   6.26    3.88  25.69 25.690000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49617  Rpr aa hrn rcr > 10 rdc                           A  16.03   6.55NA   6.55    3.89  26.47 26.470000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49618  Rpr aa hrn rcr > 10 ncr/strn                      A  22.67   8.87NA   8.87    5.54  37.08 37.080000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49621  Rpr parastomal hernia rdc                         A  13.70   5.45NA   5.45    3.04  22.19 22.190000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49622  Rpr parastomal hrna ncr/strn                      A  17.06   6.58NA   6.58    3.72  27.36 27.360000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
49623  Rmvl ninfct mesh hernia rpr                       A   3.75   1.34NA   1.34    0.79   5.88  5.880ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
49650  Lap ing hernia repair init                        A   6.36   5.15NA   5.15    1.61  13.12 13.120090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49651  Lap ing hernia repair recur                       A   8.38   6.61NA   6.61    2.13  17.12 17.120090.09.81.1021210             33.2875 090 99      0.00   0.00   0.00
49659  Unlstd laps px hrnap hrnrphy                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
49900  Repair of abdominal wall                          A  12.41   9.49NA   9.49    2.95  24.85 24.850090.09.81.1020210             33.2875 090 99      0.00   0.00   0.00
49904  Omental flap extra-abdom                          A  22.35  14.38NA  14.38    4.97  41.70 41.700090.10.80.1020111             33.2875 090 99      0.00   0.00   0.00
49905  Omental flap intra-abdom                          A   6.54   2.42NA   2.42    1.51  10.47 10.470ZZZ.00.00.0000220             33.2875 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             33.2875 090 99      0.00   0.00   0.00
49999  Unlisted px abd pertm&omn                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             33.2875 090 99      0.00   0.00   0.00
50010  Exploration of kidney                             A  12.28   7.32NA   7.32    1.51  21.11 21.110090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50020  Renal abscess open drain                          A  18.08  10.00NA  10.00    2.21  30.29 30.290090.08.83.0920110             33.2875 090 99      0.00   0.00   0.00
50040  Nfros nfrot w/drg                                 A  16.68   8.88NA   8.88    2.03  27.59 27.590090.08.83.0921110             33.2875 090 99      0.00   0.00   0.00
50045  Nephrotomy w/exploration                          A  16.82   8.92NA   8.92    2.05  27.79 27.790090.08.83.0921210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50060  Nl removal calculus                               A  20.95  10.37NA  10.37    2.56  33.88 33.880090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50065  Nl sec surg operj calculus                        A  22.32  10.85NA  10.85    2.72  35.89 35.890090.08.83.0921200             33.2875 090 99      0.00   0.00   0.00
50070  Nl comp cgen kdn abnormality                      A  21.85  10.69NA  10.69    2.67  35.21 35.210090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50075  Nl rmvl lg staghorn calculus                      A  27.09  12.85NA  12.85    3.31  43.25 43.250090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50080  Perq nl/pl lithotrp smpl<2cm                      A  12.41   6.86NA   6.86    1.52  20.79 20.790090.08.83.0921100             33.2875 090 99      0.00   0.00   0.00
50081  Perq nl/pl lithotrp cplx>2cm                      A  20.91   9.98NA   9.98    2.55  33.44 33.440090.08.83.0921210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50100  Trnsxj/repos abrrnt rnl vsls                      A  17.45  10.61NA  10.61    4.48  32.54 32.540090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50120  Pyelotomy w/exploration                           A  17.21   8.98NA   8.98    2.10  28.29 28.290090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50125  Pyelotomy w/drg pyelostomy                        A  17.82   9.28NA   9.28    2.17  29.27 29.270090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50130  Pyelotomy w/removal calculus                      A  18.82   9.62NA   9.62    2.29  30.73 30.730090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50135  Pyelotomy complicated                             A  20.59  10.24NA  10.24    2.50  33.33 33.330090.08.83.0921210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50200  Renal biopsy perq                                 A   2.38  12.58     1.10    0.24  15.20  3.720000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50205  Renal bx surg exposure kdn                        A  12.29   7.49NA   7.49    2.93  22.71 22.710090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50220  Remove kidney open                                A  18.68   9.83NA   9.83    2.90  31.41 31.410090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50225  Removal kidney open complex                       A  21.88  10.95NA  10.95    3.25  36.08 36.080090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50230  Removal kidney open radical                       A  23.81  11.01NA  11.01    3.20  38.02 38.020090.08.83.0921220             33.2875 090 99      0.00   0.00   0.00
50234  Removal of kidney & ureter                        A  24.05  11.53NA  11.53    3.07  38.65 38.650090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50236  Removal of kidney & ureter                        A  26.94  13.24NA  13.24    3.29  43.47 43.470090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50240  Partial removal of kidney                         A  24.21  12.22NA  12.22    3.10  39.53 39.530090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50250  Cryoablate renal mass open                        A  22.22  11.25NA  11.25    2.71  36.18 36.180090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50280  Removal of kidney lesion                          A  17.09   9.02NA   9.02    2.08  28.19 28.190090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50290  Removal of kidney lesion                          A  16.15   8.69NA   8.69    1.98  26.82 26.820090.08.83.0920210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50320  Remove kidney living donor                        A  22.43  17.75NA  17.75    5.77  45.95 45.950090.08.83.0921210             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50327  Prep renal graft/venous                           A   4.00   1.45NA   1.45    0.97   6.42  6.420XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
50328  Prep renal graft/arterial                         A   3.50   1.28NA   1.28    0.85   5.63  5.630XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
50329  Prep renal graft/ureteral                         A   3.34   1.20NA   1.20    0.79   5.33  5.330XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
50340  Removal of kidney                                 A  14.04  11.36NA  11.36    3.61  29.01 29.010090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50360  Transplantation of kidney                         A  39.88  23.36NA  23.36    9.87  73.11 73.110090.08.83.0920222             33.2875 090 99      0.00   0.00   0.00
50365  Transplantation of kidney                         A  46.13  29.87NA  29.87   11.29  87.29 87.290090.08.83.0921222             33.2875 090 99      0.00   0.00   0.00
50370  Remove transplanted kidney                        A  18.88  13.23NA  13.23    4.55  36.66 36.660090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50380  Reimplantation of kidney                          A  30.11  23.67NA  23.67    7.75  61.53 61.530090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50382  Change ureter stent percut                        A   5.25  23.65     1.51    0.56  29.46  7.320000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50384  Remove ureter stent percut                        A   4.75  20.00     1.35    0.51  25.26  6.610000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50385  Change stent via transureth                       A   4.19  25.25     1.64    0.48  29.92  6.310000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50386  Remove stent via transureth                       A   3.05  18.92     1.37    0.37  22.34  4.790000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50387  Change nephroureteral cath                        A   1.75  14.32     0.49    0.18  16.25  2.420000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50389  Remove renal tube w/fluoro                        A   1.10  11.00     0.34    0.12  12.22  1.560000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50390  Drainage of kidney lesion                         A   1.96   0.60NA   0.60    0.20   2.76  2.760000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50391  Instll rx agnt into rnal tub                      A   1.96   1.55     0.70    0.24   3.75  2.900000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50396  Measure kidney pressure                           A   2.09   1.13NA   1.13    0.19   3.41  3.410000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50400  Revision of kidney/ureter                         A  21.27  10.48NA  10.48    2.60  34.35 34.350090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50405  Revision of kidney/ureter                         A  25.86  12.41NA  12.41    3.16  41.43 41.430090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50430  Njx px nfrosgrm &/urtrgrm                         A   2.90  15.52     1.29    0.31  18.73  4.500000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50431  Njx px nfrosgrm &/urtrgrm                         A   1.10   8.31     0.73    0.12   9.53  1.950000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50432  Plmt nephrostomy catheter                         A   4.00  22.33     1.56    0.40  26.73  5.960000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50433  Plmt nephroureteral catheter                      A   5.05  27.71     1.83    0.52  33.28  7.400000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50434  Convert nephrostomy catheter                      A   3.75  22.57     1.41    0.40  26.72  5.560000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50435  Exchange nephrostomy cath                         A   1.82  15.59     0.91    0.19  17.60  2.920000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50436  Dilat xst trc ndurlgc px                          A   2.78   1.31NA   1.31    0.29   4.38  4.380000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50437  Dilat xst trc new access rcs                      A   4.85   1.93NA   1.93    0.47   7.25  7.250000.00.00.0021100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50500  Repair of kidney wound                            A  21.22  12.00NA  12.00    5.47  38.69 38.690090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50520  Close kidney-skin fistula                         A  18.88  11.14NA  11.14    4.85  34.87 34.870090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50525  Close nephrovisceral fistula                      A  24.39  13.49NA  13.49    6.28  44.16 44.160090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50526  Close nephrovisceral fistula                      A  26.31  14.19NA  14.19    6.77  47.27 47.270090.08.83.0920200             33.2875 090 99      0.00   0.00   0.00
50540  Revision of horseshoe kidney                      A  21.10  10.42NA  10.42    2.58  34.10 34.100090.08.83.0922210             33.2875 090 99      0.00   0.00   0.00
50541  Laparo ablate renal cyst                          A  16.86   8.32NA   8.32    2.11  27.29 27.290090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50542  Laparo ablate renal mass                          A  21.36  10.53NA  10.53    2.63  34.52 34.520090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50543  Laparo partial nephrectomy                        A  27.41  13.48NA  13.48    3.38  44.27 44.270090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50544  Laparoscopy pyeloplasty                           A  23.37  10.59NA  10.59    2.85  36.81 36.810090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50545  Laparo radical nephrectomy                        A  25.06  11.44NA  11.44    3.11  39.61 39.610090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50546  Laparoscopic nephrectomy                          A  21.87  11.03NA  11.03    2.91  35.81 35.810090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50547  Laparo removal donor kidney                       A  26.34  16.27NA  16.27    6.09  48.70 48.700090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50548  Laparo remove w/ureter                            A  25.36  11.31NA  11.31    3.15  39.82 39.820090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50549  Unlisted laps px renal                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
50551  Kidney endoscopy                                  A   5.59   4.53     2.39    0.68  10.80  8.660000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50553  Kidney endoscopy                                  A   5.98   4.88     2.55    0.73  11.59  9.260000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50555  Kidney endoscopy & biopsy                         A   6.52   5.04     2.74    0.79  12.35 10.050000.00.00.0031000       50551 33.2875 090 99      0.00   0.00   0.00
50557  Kidney endoscopy & treatment                      A   6.61   5.15     2.77    0.80  12.56 10.180000.00.00.0031000       50551 33.2875 090 99      0.00   0.00   0.00
50561  Kidney endoscopy & treatment                      A   7.58   5.75     3.11    0.94  14.27 11.630000.00.00.0031000       50551 33.2875 090 99      0.00   0.00   0.00
50562  Renal scope w/tumor resect                        A  10.90   4.85NA   4.85    1.33  17.08 17.080090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50570  Kidney endoscopy                                  A   9.53   3.76NA   3.76    1.18  14.47 14.470000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50572  Kidney endoscopy                                  A  10.33   4.04NA   4.04    1.26  15.63 15.630000.00.00.0031000       50570 33.2875 090 99      0.00   0.00   0.00
50574  Kidney endoscopy & biopsy                         A  11.00   4.27NA   4.27    1.34  16.61 16.610000.00.00.0031000       50570 33.2875 090 99      0.00   0.00   0.00
50575  Kidney endoscopy                                  A  13.96   5.31NA   5.31    1.70  20.97 20.970000.00.00.0031100       50570 33.2875 090 99      0.00   0.00   0.00
50576  Kidney endoscopy & treatment                      A  10.97   4.26NA   4.26    1.33  16.56 16.560000.00.00.0031000       50570 33.2875 090 99      0.00   0.00   0.00
50580  Kidney endoscopy & treatment                      A  11.84   4.56NA   4.56    1.45  17.85 17.850000.00.00.0031000       50570 33.2875 090 99      0.00   0.00   0.00
50590  Fragmenting of kidney stone                       A   9.77  11.28     6.17    1.21  22.26 17.150090.08.83.0921100             33.2875 090 99      0.00   0.00   0.00
50592  Perc rf ablate renal tumor                        A   6.55  75.33     2.82    0.67  82.55 10.040010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
50593  Perc cryo ablate renal tum                        A   8.88 100.59     3.59    0.92 110.39 13.390010.10.80.1021200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50600  Exploration of ureter                             A  17.17   8.65NA   8.65    2.09  27.91 27.910090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50605  Insert ureteral support                           A  16.79   9.56NA   9.56    3.87  30.22 30.220090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50606  Endoluminal bx urtr rnl plvs                      A   3.16  10.72     0.51    0.39  14.27  4.060ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
50610  Removal of ureter stone                           A  17.25   8.76NA   8.76    2.10  28.11 28.110090.08.83.0921210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
50620  Removal of ureter stone                           A  16.43   8.47NA   8.47    2.00  26.90 26.900090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50630  Removal of ureter stone                           A  16.21   8.39NA   8.39    1.99  26.59 26.590090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50650  Removal of ureter                                 A  18.82   9.69NA   9.69    2.44  30.95 30.950090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50660  Removal of ureter                                 A  21.02  10.40NA  10.40    2.57  33.99 33.990090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50684  Injection for ureter x-ray                        A   0.76   2.97     0.67    0.09   3.82  1.520000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50686  Measure ureter pressure                           A   1.51   2.61     0.94    0.19   4.31  2.640000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
50688  Change of ureter tube/stent                       A   1.20   0.98NA   0.98    0.13   2.31  2.310010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
50690  Injection for ureter x-ray                        A   1.16   2.27     0.79    0.12   3.55  2.070000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
50693  Plmt ureteral stent prq                           A   3.96  24.91     1.57    0.40  29.27  5.930000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50694  Plmt ureteral stent prq                           A   5.25  27.05     1.97    0.52  32.82  7.740000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50695  Plmt ureteral stent prq                           A   6.80  31.93     2.44    0.69  39.42  9.930000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
50700  Revision of ureter                                A  16.69   8.88NA   8.88    2.04  27.61 27.610090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50705  Ureteral embolization/occl                        A   4.03  49.19     0.65    0.49  53.71  5.170ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
50706  Balloon dilate urtrl strix                        A   3.80  20.45     1.05    0.40  24.65  5.250ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
50715  Release of ureter                                 A  20.64  11.80NA  11.80    3.72  36.16 36.160090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50722  Release of ureter                                 A  17.95   9.65NA   9.65    3.03  30.63 30.630090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50725  Release/revise ureter                             A  20.20  10.11NA  10.11    2.46  32.77 32.770090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50727  Revise ureter                                     A   8.28   6.02NA   6.02    1.10  15.40 15.400090.08.83.0920220             33.2875 090 99      0.00   0.00   0.00
50728  Revise ureter                                     A  12.18   7.29NA   7.29    1.49  20.96 20.960090.08.83.0920220             33.2875 090 99      0.00   0.00   0.00
50740  Fusion of ureter & kidney                         A  20.07  11.58NA  11.58    5.18  36.83 36.830090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50750  Fusion of ureter & kidney                         A  21.22  10.47NA  10.47    2.59  34.28 34.280090.08.83.0921200             33.2875 090 99      0.00   0.00   0.00
50760  Fusion of ureters                                 A  20.07  10.45NA  10.45    3.20  33.72 33.720090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50770  Splicing of ureters                               A  21.22  10.47NA  10.47    2.59  34.28 34.280090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50780  Reimplant ureter in bladder                       A  19.95  10.29NA  10.29    2.94  33.18 33.180090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50782  Reimplant ureter in bladder                       A  19.66   9.92NA   9.92    2.39  31.97 31.970090.08.83.0921220             33.2875 090 99      0.00   0.00   0.00
50783  Reimplant ureter in bladder                       A  20.70  10.28NA  10.28    2.53  33.51 33.510090.08.83.0921220             33.2875 090 99      0.00   0.00   0.00
50785  Reimplant ureter in bladder                       A  22.23  10.95NA  10.95    2.88  36.06 36.060090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50800  Implant ureter in bowel                           A  16.41   9.10NA   9.10    2.00  27.51 27.510090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50810  Fusion of ureter & bowel                          A  22.61  13.85NA  13.85    5.82  42.28 42.280090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50815  Urine shunt to intestine                          A  22.26  11.47NA  11.47    2.71  36.44 36.440090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50820  Construct bowel bladder                           A  24.07  11.87NA  11.87    3.09  39.03 39.030090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50825  Construct bowel bladder                           A  30.68  14.43NA  14.43    3.74  48.85 48.850090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50830  Revise urine flow                                 A  33.77  15.51NA  15.51    4.12  53.40 53.400090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50840  Replace ureter by bowel                           A  22.39  11.52NA  11.52    2.72  36.63 36.630090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50845  Appendico-vesicostomy                             A  22.46  12.18NA  12.18    2.73  37.37 37.370090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50860  Transplant ureter to skin                         A  17.08   9.02NA   9.02    2.08  28.18 28.180090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50900  Repair of ureter                                  A  15.04   8.30NA   8.30    1.82  25.16 25.160090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50920  Closure ureter/skin fistula                       A  15.81   8.57NA   8.57    1.92  26.30 26.300090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50930  Closure ureter/bowel fistula                      A  20.19  10.10NA  10.10    2.45  32.74 32.740090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
50940  Release of ureter                                 A  15.93   8.61NA   8.61    1.93  26.47 26.470090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50945  Laparoscopy ureterolithotomy                      A  17.97   8.69NA   8.69    2.19  28.85 28.850090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50947  Laparo new ureter/bladder                         A  25.78  12.12NA  12.12    3.20  41.10 41.100090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50948  Laparo new ureter/bladder                         A  23.82  10.98NA  10.98    2.89  37.69 37.690090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
50949  Unlisted laps px ureter                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
50951  Endoscopy of ureter                               A   5.83   4.79     2.50    0.72  11.34  9.050000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50953  Endoscopy of ureter                               A   6.23   5.00     2.64    0.75  11.98  9.620000.00.00.0031000       50951 33.2875 090 99      0.00   0.00   0.00
50955  Ureter endoscopy & biopsy                         A   6.74   5.22     2.82    0.82  12.78 10.380000.00.00.0031000       50951 33.2875 090 99      0.00   0.00   0.00
50957  Ureter endoscopy & treatment                      A   6.78   5.30     2.83    0.82  12.90 10.430000.00.00.0031000       50951 33.2875 090 99      0.00   0.00   0.00
50961  Ureter endoscopy & treatment                      A   6.04   4.87     2.57    0.74  11.65  9.350000.00.00.0031000       50951 33.2875 090 99      0.00   0.00   0.00
50970  Ureter endoscopy                                  A   7.13   2.91NA   2.91    0.87  10.91 10.910000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50972  Ureter endoscopy & catheter                       A   6.88   2.82NA   2.82    0.83  10.53 10.530000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
50974  Ureter endoscopy & biopsy                         A   9.16   3.63NA   3.63    1.13  13.92 13.920000.00.00.0031000       50970 33.2875 090 99      0.00   0.00   0.00
50976  Ureter endoscopy & treatment                      A   9.03   3.58NA   3.58    1.12  13.73 13.730000.00.00.0031000       50970 33.2875 090 99      0.00   0.00   0.00
50980  Ureter endoscopy & treatment                      A   6.84   2.81NA   2.81    0.83  10.48 10.480000.00.00.0021000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
51020  Incise & treat bladder                            A   7.69   5.53NA   5.53    0.94  14.16 14.160090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51030  Incise & treat bladder                            A   7.81   5.49NA   5.49    0.96  14.26 14.260090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
51040  Incise & drain bladder                            A   4.49   3.76NA   3.76    0.55   8.80  8.800090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51045  Incise bladder/drain ureter                       A   7.81   5.88NA   5.88    1.29  14.98 14.980090.08.83.0920200             33.2875 090 99      0.00   0.00   0.00
51050  Removal of bladder stone                          A   7.97   5.23NA   5.23    0.98  14.18 14.180090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51060  Removal of ureter stone                           A   9.95   6.32NA   6.32    1.22  17.49 17.490090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51065  Remove ureter calculus                            A   9.95   6.24NA   6.24    1.22  17.41 17.410090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
51080  Drainage of bladder abscess                       A   6.71   4.79NA   4.79    0.81  12.31 12.310090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51100  Drain bladder by needle                           A   0.78   1.34     0.28    0.10   2.22  1.160000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51101  Drain bladder by trocar/cath                      A   1.02   3.47     0.36    0.13   4.62  1.510000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51102  Drain bl w/cath insertion                         A   2.70   4.15     1.21    0.31   7.16  4.220000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51500  Removal of bladder cyst                           A  11.05   6.70NA   6.70    1.34  19.09 19.090090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51520  Removal of bladder lesion                         A  10.21   6.41NA   6.41    1.24  17.86 17.860090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51525  Removal of bladder lesion                         A  15.42   8.25NA   8.25    1.91  25.58 25.580090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51530  Removal of bladder lesion                         A  13.71   7.62NA   7.62    1.67  23.00 23.000090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51535  Repair of ureter lesion                           A  13.90   7.69NA   7.69    1.69  23.28 23.280090.08.83.0921210             33.2875 090 99      0.00   0.00   0.00
51550  Partial removal of bladder                        A  17.23   9.12NA   9.12    2.40  28.75 28.750090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51555  Partial removal of bladder                        A  23.18  11.30NA  11.30    3.03  37.51 37.510090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51565  Revise bladder & ureter(s)                        A  23.68  11.74NA  11.74    2.87  38.29 38.290090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51570  Removal of bladder                                A  27.46  12.78NA  12.78    3.48  43.72 43.720090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51575  Removal of bladder & nodes                        A  34.18  15.47NA  15.47    4.17  53.82 53.820090.08.83.0922210             33.2875 090 99      0.00   0.00   0.00
51580  Remove bladder/revise tract                       A  35.37  16.53NA  16.53    4.32  56.22 56.220090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51585  Removal of bladder & nodes                        A  39.64  18.02NA  18.02    4.83  62.49 62.490090.08.83.0922210             33.2875 090 99      0.00   0.00   0.00
51590  Remove bladder/revise tract                       A  36.33  16.28NA  16.28    4.57  57.18 57.180090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51595  Remove bladder/revise tract                       A  41.32  18.26NA  18.26    5.15  64.73 64.730090.08.83.0922210             33.2875 090 99      0.00   0.00   0.00
51596  Remove bladder/create pouch                       A  44.26  19.95NA  19.95    5.55  69.76 69.760090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51597  Removal of pelvic structures                      A  42.86  19.70NA  19.70    5.59  68.15 68.150090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51600  Injection for bladder x-ray                       A   0.88   5.32     0.31    0.09   6.29  1.280000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51605  Preparation for bladder xray                      A   0.64   0.43NA   0.43    0.08   1.15  1.150000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51610  Injection for bladder x-ray                       A   1.05   2.69     0.74    0.12   3.86  1.910000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51700  Irrigation of bladder                             A   0.60   1.62     0.21    0.08   2.30  0.890000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51701  Insert bladder catheter                           A   0.50   0.77     0.19    0.07   1.34  0.760000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51702  Insert temp bladder cath                          A   0.50   1.31     0.19    0.06   1.87  0.750000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51703  Insert bladder cath complex                       A   1.47   2.84     0.61    0.18   4.49  2.260000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51705  Change of bladder tube                            A   0.90   1.92     0.53    0.11   2.93  1.540000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51710  Change of bladder tube                            A   1.35   2.57     0.87    0.17   4.09  2.390000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51715  Endoscopic injection/implant                      A   3.73   6.86     1.68    0.51  11.10  5.920000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51720  Treatment of bladder lesion                       A   0.87   1.68     0.31    0.11   2.66  1.290000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51725  Simple cystometrogram                             A   1.51   5.14     5.14NA  0.18   6.83  6.831000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51725TCSimple cystometrogram                             A   0.00   4.57     4.57NA  0.02   4.59  4.591000.00.00.0020000             33.2875 020 99      0.00   0.00   0.00
5172526Simple cystometrogram                             A   1.51   0.57     0.57    0.16   2.24  2.241000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51726  Complex cystometrogram                            A   1.71   7.13     7.13NA  0.17   9.01  9.011000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51726TCComplex cystometrogram                            A   0.00   6.51     6.51NA  0.02   6.53  6.531000.00.00.0020100             33.2875 020 99      0.00   0.00   0.00
5172626Complex cystometrogram                            A   1.71   0.62     0.62    0.15   2.48  2.481000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51727  Cystometrogram w/up                               A   2.11   8.62     8.62NA  0.25  10.98 10.981000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51727TCCystometrogram w/up                               A   0.00   7.83     7.83NA  0.02   7.85  7.851000.00.00.0020000             33.2875 020 99      0.00   0.00   0.00
5172726Cystometrogram w/up                               A   2.11   0.79     0.79    0.23   3.13  3.131000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51728  Cystometrogram w/vp                               A   2.11   8.59     8.59NA  0.21  10.91 10.911000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51728TCCystometrogram w/vp                               A   0.00   7.84     7.84NA  0.02   7.86  7.861000.00.00.0020000             33.2875 020 99      0.00   0.00   0.00
5172826Cystometrogram w/vp                               A   2.11   0.75     0.75    0.19   3.05  3.051000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51729  Cystometrogram w/vp&up                            A   2.51   8.71     8.71NA  0.29  11.51 11.511000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51729TCCystometrogram w/vp&up                            A   0.00   7.78     7.78NA  0.03   7.81  7.811000.00.00.0020000             33.2875 020 99      0.00   0.00   0.00
5172926Cystometrogram w/vp&up                            A   2.51   0.93     0.93    0.26   3.70  3.701000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51736  Urine flow measurement                            A   0.17   0.22     0.22NA  0.02   0.41  0.411XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51736TCUrine flow measurement                            A   0.00   0.16     0.16NA  0.01   0.17  0.171XXX.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
51741  Electro-uroflowmetry first                        A   0.17   0.23     0.23NA  0.03   0.43  0.431XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51741TCElectro-uroflowmetry first                        A   0.00   0.17     0.17NA  0.01   0.18  0.181XXX.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
51784  Anal/urinary muscle study                         A   0.75   1.10     1.10NA  0.08   1.93  1.931XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51784TCAnal/urinary muscle study                         A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0020100             33.2875 020 99      0.00   0.00   0.00
5178426Anal/urinary muscle study                         A   0.75   0.27     0.27    0.07   1.09  1.091XXX.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
51785  Anal/urinary muscle study                         A   1.53  11.08    11.08NA  0.51  13.12 13.121XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51785TCAnal/urinary muscle study                         A   0.00  10.34    10.34NA  0.03  10.37 10.371XXX.00.00.0020000             33.2875 030 99      0.00   0.00   0.00
5178526Anal/urinary muscle study                         A   1.53   0.74     0.74    0.48   2.75  2.751XXX.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51792  Urinary reflex study                              A   1.10   6.95     6.95NA  0.17   8.22  8.221000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51792TCUrinary reflex study                              A   0.00   6.55     6.55NA  0.03   6.58  6.581000.00.00.0020000             33.2875 020 99      0.00   0.00   0.00
5179226Urinary reflex study                              A   1.10   0.40     0.40    0.14   1.64  1.641000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
51797  Intraabdominal pressure test                      A   0.80   4.79     4.79NA  0.08   5.67  5.671ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
51797TCIntraabdominal pressure test                      A   0.00   4.50     4.50NA  0.00   4.50  4.501ZZZ.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
5179726Intraabdominal pressure test                      A   0.80   0.29     0.29    0.08   1.17  1.171ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
51798  Us urine capacity measure                         A   0.00   0.33     0.33NA  0.01   0.34  0.343XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
51800  Revision of bladder/urethra                       A  18.89   9.71NA   9.71    2.30  30.90 30.900090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51820  Revision of urinary tract                         A  19.59  10.34NA  10.34    2.38  32.31 32.310090.08.83.0922210             33.2875 090 99      0.00   0.00   0.00
51840  Attach bladder/urethra                            A  11.36   7.97NA   7.97    1.54  20.87 20.870090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51841  Attach bladder/urethra                            A  13.68   8.74NA   8.74    1.67  24.09 24.090090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51845  Repair bladder neck                               A  10.15   6.07NA   6.07    1.23  17.45 17.450090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51860  Repair of bladder wound                           A  12.60   7.82NA   7.82    1.92  22.34 22.340090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51865  Repair of bladder wound                           A  15.80   8.78NA   8.78    2.17  26.75 26.750090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51880  Repair of bladder opening                         A   7.87   5.06NA   5.06    1.07  14.00 14.000090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51900  Repair bladder/vagina lesion                      A  14.63   8.21NA   8.21    1.77  24.61 24.610090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51920  Close bladder-uterus fistula                      A  13.41   7.78NA   7.78    1.63  22.82 22.820090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51925  Hysterectomy/bladder repair                       A  17.53  11.94NA  11.94    2.95  32.42 32.420090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51940  Correction of bladder defect                      A  30.66  14.26NA  14.26    3.74  48.66 48.660090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51960  Revision of bladder & bowel                       A  25.40  12.65NA  12.65    3.10  41.15 41.150090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51980  Construct bladder opening                         A  12.57   7.24NA   7.24    1.53  21.34 21.340090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51990  Laparo urethral suspension                        A  13.36   7.18NA   7.18    1.68  22.22 22.220090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51992  Laparo sling operation                            A  14.87   7.85NA   7.85    2.34  25.06 25.060090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
51999  Unlisted laps px bladder                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000011             33.2875 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             33.2875 090 99      0.00   0.00   0.00
52000  Cystoscopy                                        A   1.53   5.47     0.66    0.19   7.19  2.380000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
52001  Cystoscopy removal of clots                       A   5.44   7.04     2.36    0.67  13.15  8.470000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52005  Cystoscopy & ureter catheter                      A   2.37   6.44     1.29    0.29   9.10  3.950000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52007  Cystoscopy and biopsy                             A   3.02  10.06     1.51    0.39  13.47  4.920000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52010  Cystoscopy & duct catheter                        A   3.02   8.06     1.50    0.37  11.45  4.890000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52204  Cystoscopy w/biopsy(s)                            A   2.59   8.40     1.28    0.32  11.31  4.190000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52214  Cystoscopy and treatment                          A   3.50  18.39     1.23    0.42  22.31  5.150000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52224  Cystoscopy and treatment                          A   4.05  18.77     1.42    0.49  23.31  5.960000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52234  Cystoscopy and treatment                          A   4.62   2.07NA   2.07    0.56   7.25  7.250000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52235  Cystoscopy and treatment                          A   5.44   2.40NA   2.40    0.67   8.51  8.510000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52240  Cystoscopy and treatment                          A   7.50   3.13NA   3.13    0.92  11.55 11.550000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52250  Cystoscopy and radiotracer                        A   4.49   2.02NA   2.02    0.54   7.05  7.050000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52260  Cystoscopy and treatment                          A   3.91   1.81NA   1.81    0.50   6.22  6.220000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52265  Cystoscopy and treatment                          A   2.94   7.83     1.47    0.40  11.17  4.810000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52270  Cystoscopy & revise urethra                       A   3.36   8.82     1.60    0.40  12.58  5.360000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52275  Cystoscopy & revise urethra                       A   4.69  10.89     2.07    0.56  16.14  7.320000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52276  Cystoscopy and treatment                          A   4.99   2.20NA   2.20    0.60   7.79  7.790000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52277  Cystoscopy and treatment                          A   6.16   2.61NA   2.61    0.75   9.52  9.520000.00.00.0030000       52000 33.2875 090 99      0.00   0.00   0.00
52281  Cystoscopy and treatment                          A   2.75   6.70     1.41    0.34   9.79  4.500000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52282  Cystoscopy implant stent                          A   6.39   2.74NA   2.74    0.81   9.94  9.940000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52283  Cystoscopy and treatment                          A   3.73   6.42     1.76    0.46  10.61  5.950000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52284  Cysto rx balo cath urtl strx                      A   3.10  76.79     1.38    0.38  80.27  4.860000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52285  Cystoscopy and treatment                          A   3.60   6.44     1.73    0.47  10.51  5.800000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52287  Cystoscopy chemodenervation                       A   3.20   8.01     1.38    0.41  11.62  4.990000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52290  Cystoscopy and treatment                          A   4.58   2.05NA   2.05    0.55   7.18  7.180000.00.00.0032100       52000 33.2875 090 99      0.00   0.00   0.00
52300  Cystoscopy and treatment                          A   5.30   2.31NA   2.31    0.64   8.25  8.250000.00.00.0032000       52000 33.2875 090 99      0.00   0.00   0.00
52301  Cystoscopy and treatment                          A   5.50   2.38NA   2.38    0.67   8.55  8.550000.00.00.0032000       52000 33.2875 090 99      0.00   0.00   0.00
52305  Cystoscopy and treatment                          A   5.30   2.25NA   2.25    0.64   8.19  8.190000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52310  Cystoscopy and treatment                          A   2.81   6.42     1.32    0.35   9.58  4.480000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52315  Cystoscopy and treatment                          A   5.20   8.24     2.25    0.64  14.08  8.090000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52317  Remove bladder stone                              A   6.71  18.91     2.68    0.81  26.43 10.200000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52318  Remove bladder stone                              A   9.18   3.62NA   3.62    1.14  13.94 13.940000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52320  Cystoscopy and treatment                          A   4.69   2.00NA   2.00    0.56   7.25  7.250000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52325  Cystoscopy stone removal                          A   6.15   2.53NA   2.53    0.74   9.42  9.420000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52327  Cystoscopy inject material                        A   5.18   1.82NA   1.82    0.62   7.62  7.620000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52330  Cystoscopy and treatment                          A   5.03  12.40     2.12    0.61  18.04  7.760000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52332  Cystoscopy and treatment                          A   2.82   8.82     1.43    0.35  11.99  4.600000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52334  Create passage to kidney                          A   3.37   1.62NA   1.62    0.40   5.39  5.390000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52341  Cysto w/ureter stricture tx                       A   5.35   2.37NA   2.37    0.66   8.38  8.380000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52342  Cysto w/up stricture tx                           A   5.85   2.55NA   2.55    0.72   9.12  9.120000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52343  Cysto w/renal stricture tx                        A   6.55   2.79NA   2.79    0.79  10.13 10.130000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52344  Cysto/uretero stricture tx                        A   7.05   2.97NA   2.97    0.87  10.89 10.890000.00.00.0031100       52000 33.2875 090 99      0.00   0.00   0.00
52345  Cysto/uretero w/up stricture                      A   7.55   3.14NA   3.14    0.93  11.62 11.620000.00.00.0031000       52351 33.2875 090 99      0.00   0.00   0.00
52346  Cystouretero w/renal strict                       A   8.58   3.50NA   3.50    1.06  13.14 13.140000.00.00.0031000       52351 33.2875 090 99      0.00   0.00   0.00
52351  Cystouretero & or pyeloscope                      A   5.75   2.47NA   2.47    0.71   8.93  8.930000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
52352  Cystouretero w/stone remove                       A   6.75   2.86NA   2.86    0.82  10.43 10.430000.00.00.0031100       52351 33.2875 090 99      0.00   0.00   0.00
52353  Cystouretero w/lithotripsy                        A   7.50   3.12NA   3.12    0.92  11.54 11.540000.00.00.0031100       52351 33.2875 090 99      0.00   0.00   0.00
52354  Cystouretero w/biopsy                             A   8.00   3.30NA   3.30    0.98  12.28 12.280000.00.00.0031100       52351 33.2875 090 99      0.00   0.00   0.00
52355  Cystouretero w/excise tumor                       A   9.00   3.65NA   3.65    1.11  13.76 13.760000.00.00.0031100       52351 33.2875 090 99      0.00   0.00   0.00
52356  Cysto/uretero w/lithotripsy                       A   8.00   3.26NA   3.26    0.98  12.24 12.240000.00.00.0031100       52351 33.2875 090 99      0.00   0.00   0.00
52400  Cystouretero w/congen repr                        A   8.69   4.46NA   4.46    1.08  14.23 14.230090.08.83.0930100       52000 33.2875 090 99      0.00   0.00   0.00
52402  Cystourethro cut ejacul duct                      A   5.27   1.90NA   1.90    0.64   7.81  7.810000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52441  Cystourethro w/implant                            A   4.00  33.23     1.70    0.48  37.71  6.180000.00.00.0030100       52000 33.2875 090 99      0.00   0.00   0.00
52442  Cystourethro w/addl implant                       A   1.01  24.51     0.36    0.12  25.64  1.490ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
52450  Incision of prostate                              A   7.78   5.55NA   5.55    0.95  14.28 14.280090.08.83.0920100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
52500  Revision of bladder neck                          A   8.14   5.67NA   5.67    1.01  14.82 14.820090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
52601  Prostatectomy (turp)                              A  13.16   6.96NA   6.96    1.61  21.73 21.730090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
52630  Remove prostate regrowth                          A   6.55   4.86NA   4.86    0.79  12.20 12.200090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
52640  Relieve bladder contracture                       A   4.79   4.37NA   4.37    0.58   9.74  9.740090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
52647  Laser surgery of prostate                         A  11.30  34.07     6.77    1.38  46.75 19.450090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
52648  Laser surgery of prostate                         A  12.15  34.57     7.08    1.49  48.21 20.720090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
52649  Prostate laser enucleation                        A  14.56   8.31NA   8.31    1.77  24.64 24.640090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
52700  Drainage of prostate abscess                      A   7.49   4.88NA   4.88    0.92  13.29 13.290090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
53000  Incision of urethra                               A   2.33   1.85NA   1.85    0.29   4.47  4.470010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
53010  Incision of urethra                               A   4.45   3.99NA   3.99    0.54   8.98  8.980090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53020  Incision of urethra                               A   1.77   0.88NA   0.88    0.22   2.87  2.870000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53025  Incision of urethra                               A   1.13   0.78NA   0.78    0.14   2.05  2.050000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
53040  Drainage of urethra abscess                       A   6.55   4.45NA   4.45    0.79  11.79 11.790090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
53060  Drainage of urethra abscess                       A   2.68   2.59     1.87    0.45   5.72  5.000010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
53080  Drainage of urinary leakage                       A   6.92   4.89NA   4.89    0.85  12.66 12.660090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53085  Drainage of urinary leakage                       A  11.18   6.87NA   6.87    1.36  19.41 19.410090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53200  Biopsy of urethra                                 A   2.59   1.84     1.29    0.35   4.78  4.230000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53210  Removal of urethra                                A  13.72   7.75NA   7.75    1.73  23.20 23.200090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53215  Removal of urethra                                A  16.85   8.70NA   8.70    2.05  27.60 27.600090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53220  Treatment of urethra lesion                       A   7.63   5.01NA   5.01    0.94  13.58 13.580090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
53230  Removal of urethra lesion                         A  10.44   6.43NA   6.43    1.43  18.30 18.300090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53235  Removal of urethra lesion                         A  10.99   6.67NA   6.67    1.34  19.00 19.000090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53240  Surgery for urethra pouch                         A   7.08   4.83NA   4.83    0.87  12.78 12.780090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53250  Removal of urethra gland                          A   6.52   4.61NA   4.61    0.79  11.92 11.920090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53260  Treatment of urethra lesion                       A   3.03   2.81     2.01    0.41   6.25  5.450010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
53265  Treatment of urethra lesion                       A   3.17   3.30     2.05    0.45   6.92  5.670010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
53270  Removal of urethra gland                          A   3.14   2.87     2.03    0.38   6.39  5.550010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
53275  Repair of urethra defect                          A   4.57   2.69NA   2.69    0.61   7.87  7.870010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
53400  Revise urethra stage 1                            A  14.13   8.03NA   8.03    1.74  23.90 23.900090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53405  Revise urethra stage 2                            A  15.66   8.49NA   8.49    1.90  26.05 26.050090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53410  Reconstruction of urethra                         A  17.68   9.34NA   9.34    2.18  29.20 29.200090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53415  Reconstruction of urethra                         A  20.70  10.37NA  10.37    2.53  33.60 33.600090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53420  Reconstruct urethra stage 1                       A  15.17   8.06NA   8.06    1.84  25.07 25.070090.08.83.0920110             33.2875 090 99      0.00   0.00   0.00
53425  Reconstruct urethra stage 2                       A  17.07   8.73NA   8.73    2.08  27.88 27.880090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53430  Reconstruction of urethra                         A  17.43   9.23NA   9.23    2.42  29.08 29.080090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53431  Reconstruct urethra/bladder                       A  21.18  10.51NA  10.51    2.59  34.28 34.280090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53440  Male sling procedure                              A  13.36   7.51NA   7.51    1.63  22.50 22.500090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53442  Remove/revise male sling                          A  13.49   8.40NA   8.40    1.64  23.53 23.530090.08.83.0920200             33.2875 090 99      0.00   0.00   0.00
53444  Insert tandem cuff                                A  14.19   7.78NA   7.78    1.72  23.69 23.690090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53445  Insert uro/ves nck sphincter                      A  13.00   8.07NA   8.07    1.59  22.66 22.660090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53446  Remove uro sphincter                              A  11.02   6.89NA   6.89    1.35  19.26 19.260090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53447  Remove/replace ur sphincter                       A  14.28   8.07NA   8.07    1.73  24.08 24.080090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53448  Remov/replc ur sphinctr comp                      A  23.44  11.65NA  11.65    2.84  37.93 37.930090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53449  Repair uro sphincter                              A  10.56   6.52NA   6.52    1.28  18.36 18.360090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53450  Revision of urethra                               A   6.77   4.71NA   4.71    0.82  12.30 12.300090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53451  Tprnl balo cntnc dev bi                           C   0.00   0.00     0.00    0.00   0.00  0.000010.10.80.1000000             33.2875 090 99      0.00   0.00   0.00
53452  Tprnl balo cntnc dev uni                          C   0.00   0.00     0.00    0.00   0.00  0.000010.10.80.1000000             33.2875 090 99      0.00   0.00   0.00
53453  Tprnl balo cntnc dev rmvl ea                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
53454  Tprnl balo cntnc dev adjmt                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
53460  Revision of urethra                               A   7.75   5.06NA   5.06    0.95  13.76 13.760090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
53500  Urethrlys transvag w/ scope                       A  13.00   7.53NA   7.53    1.89  22.42 22.420090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
53502  Repair of urethra injury                          A   8.26   5.33NA   5.33    1.02  14.61 14.610090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53505  Repair of urethra injury                          A   8.26   5.32NA   5.32    1.02  14.60 14.600090.08.83.0920200             33.2875 090 99      0.00   0.00   0.00
53510  Repair of urethra injury                          A  10.96   6.66NA   6.66    1.33  18.95 18.950090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53515  Repair of urethra injury                          A  14.22   7.80NA   7.80    1.72  23.74 23.740090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
53520  Repair of urethra defect                          A   9.48   6.14NA   6.14    1.17  16.79 16.790090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53600  Dilate urethra stricture                          A   1.21   1.30     0.52    0.15   2.66  1.880000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53601  Dilate urethra stricture                          A   0.98   1.48     0.48    0.12   2.58  1.580000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53605  Dilate urethra stricture                          A   1.28   0.45NA   0.45    0.16   1.89  1.890000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53620  Dilate urethra stricture                          A   1.62   3.28     0.76    0.20   5.10  2.580000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53621  Dilate urethra stricture                          A   1.35   3.36     0.61    0.17   4.88  2.130000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53660  Dilation of urethra                               A   0.71   1.49     0.44    0.09   2.29  1.240000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53661  Dilation of urethra                               A   0.72   1.44     0.39    0.09   2.25  1.200000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53665  Dilation of urethra                               A   0.76   0.27NA   0.27    0.09   1.12  1.120000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
53850  Prostatic microwave thermotx                      A   5.42  36.10     4.64    0.66  42.18 10.720090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53852  Prostatic rf thermotx                             A   5.93  34.52     4.82    0.73  41.18 11.480090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53854  Trurl dstrj prst8 tiss rf wv                      A   5.93  43.03     4.82    0.73  49.69 11.480090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
53855  Insert prost urethral stent                       A   1.64  17.56     0.58    0.20  19.40  2.420000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
53860  Transurethral rf treatment                        A   3.97  66.44     2.21    0.48  70.89  6.660090.08.83.0920000             33.2875 090 99      0.00   0.00   0.00
53899  Unlisted px urinary system                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
54000  Slitting of prepuce                               A   1.59   3.16     1.57    0.19   4.94  3.350010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
54001  Slitting of prepuce                               A   2.24   3.49     1.72    0.27   6.00  4.230010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54015  Drain penis lesion                                A   5.36   3.10NA   3.10    0.66   9.12  9.120010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
54050  Destruction penis lesion(s)                       A   1.29   2.93     1.79    0.15   4.37  3.230010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54055  Destruction penis lesion(s)                       A   1.25   2.77     1.50    0.15   4.17  2.900010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54056  Cryosurgery penis lesion(s)                       A   1.29   2.95     1.95    0.14   4.38  3.380010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54057  Laser surg penis lesion(s)                        A   1.29   2.86     1.51    0.16   4.31  2.960010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54060  Excision of penis lesion(s)                       A   1.98   3.71     1.75    0.24   5.93  3.970010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54065  Destruction penis lesion(s)                       A   2.47   3.99     2.44    0.26   6.72  5.170010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54100  Biopsy of penis                                   A   1.90   3.99     1.52    0.21   6.10  3.630000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
54105  Biopsy of penis                                   A   3.54   4.37     2.42    0.43   8.34  6.390010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54110  Treatment of penis lesion                         A  10.92   6.45NA   6.45    1.33  18.70 18.700090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
54111  Treat penis lesion graft                          A  14.42   7.68NA   7.68    1.75  23.85 23.850090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54112  Treat penis lesion graft                          A  16.98   8.90NA   8.90    2.07  27.95 27.950090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54115  Treatment of penis lesion                         A   6.95   6.01     5.05    0.85  13.81 12.850090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
54120  Partial removal of penis                          A  11.01   6.60NA   6.60    1.35  18.96 18.960090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54125  Removal of penis                                  A  14.56   8.15NA   8.15    1.87  24.58 24.580090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54130  Remove penis & nodes                              A  21.84  11.01NA  11.01    2.67  35.52 35.520090.10.80.1022210             33.2875 090 99      0.00   0.00   0.00
54135  Remove penis & nodes                              A  28.17  13.23NA  13.23    3.44  44.84 44.840090.10.80.1022200             33.2875 090 99      0.00   0.00   0.00
54150  Circumcision w/regionl block                      A   1.90   2.32     0.71    0.24   4.46  2.850000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
54160  Circumcision neonate                              A   2.53   3.82     1.52    0.31   6.66  4.360010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54161  Circum 28 days or older                           A   3.32   2.20NA   2.20    0.40   5.92  5.920010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54162  Lysis penil circumic lesion                       A   3.32   4.02     2.30    0.40   7.74  6.020010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54163  Repair of circumcision                            A   3.32   2.89NA   2.89    0.40   6.61  6.610010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54164  Frenulotomy of penis                              A   2.82   2.70NA   2.70    0.35   5.87  5.870010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54200  Treatment of penis lesion                         A   1.11   2.28     1.39    0.14   3.53  2.640010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54205  Treatment of penis lesion                         A   8.97   5.91NA   5.91    1.11  15.99 15.990090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
54220  Treatment of penis lesion                         A   2.42   3.89     1.20    0.40   6.71  4.020000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
54230  Prepare penis study                               A   1.34   1.71     0.88    0.16   3.21  2.380000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
54231  Dynamic cavernosometry                            A   2.04   2.04     1.17    0.24   4.32  3.450000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
54235  Penile injection                                  A   1.19   1.38     0.87    0.15   2.72  2.210000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
54240  Penis study                                       A   1.31   1.76     1.76NA  0.15   3.22  3.221000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
54240TCPenis study                                       A   0.00   1.30     1.30NA  0.02   1.32  1.321000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
5424026Penis study                                       A   1.31   0.46     0.46    0.13   1.90  1.901000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
54250  Penis study                                       A   2.22   1.21     1.21NA  0.20   3.63  3.631000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
54250TCPenis study                                       A   0.00   0.43     0.43NA  0.01   0.44  0.441000.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
5425026Penis study                                       A   2.22   0.78     0.78    0.19   3.19  3.191000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
54300  Revision of penis                                 A  11.20   6.75NA   6.75    1.37  19.32 19.320090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54304  Revision of penis                                 A  13.28   7.44NA   7.44    1.62  22.34 22.340090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
54308  Reconstruction of urethra                         A  12.62   7.26NA   7.26    1.54  21.42 21.420090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54312  Reconstruction of urethra                         A  14.51   8.18NA   8.18    1.76  24.45 24.450090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54316  Reconstruction of urethra                         A  18.05   9.38NA   9.38    2.20  29.63 29.630090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54318  Reconstruction of urethra                         A  12.43   7.36NA   7.36    1.52  21.31 21.310090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54322  Reconstruction of urethra                         A  13.98   7.64NA   7.64    1.70  23.32 23.320090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
54324  Reconstruction of urethra                         A  17.55   9.17NA   9.17    2.14  28.86 28.860090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54326  Reconstruction of urethra                         A  17.02   9.00NA   9.00    2.08  28.10 28.100090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54328  Revise penis/urethra                              A  16.89   8.97NA   8.97    2.06  27.92 27.920090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54332  Revise penis/urethra                              A  18.37   9.49NA   9.49    2.23  30.09 30.090090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54336  Revise penis/urethra                              A  21.62  11.11NA  11.11    2.64  35.37 35.370090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54340  Rpr hypspad comp simple                           A   9.71   6.18NA   6.18    1.20  17.09 17.090090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54344  Rrp hypspad comp moblj&urtp                       A  17.06   9.02NA   9.02    2.08  28.16 28.160090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54348  Rpr hypspad comp dsj & urtp                       A  18.32   9.55NA   9.55    2.23  30.10 30.100090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54352  Revj prior hypspad repair                         A  26.13  12.69NA  12.69    3.19  42.01 42.010090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54360  Penis plastic surgery                             A  12.78   7.22NA   7.22    1.56  21.56 21.560090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54380  Repair penis                                      A  14.18   7.98NA   7.98    1.72  23.88 23.880090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54385  Repair penis                                      A  16.56   9.21NA   9.21    2.02  27.79 27.790090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54390  Repair penis and bladder                          A  22.77  11.39NA  11.39    2.77  36.93 36.930090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54400  Insert semi-rigid prosthesis                      A   9.17   5.66NA   5.66    1.13  15.96 15.960090.10.80.1020110             33.2875 090 99      0.00   0.00   0.00
54401  Insert self-contd prosthesis                      A  10.44   8.30NA   8.30    1.27  20.01 20.010090.10.80.1020110             33.2875 090 99      0.00   0.00   0.00
54405  Insert multi-comp penis pros                      A  14.52   7.84NA   7.84    1.76  24.12 24.120090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54406  Remove muti-comp penis pros                       A  12.89   7.41NA   7.41    1.58  21.88 21.880090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54408  Repair multi-comp penis pros                      A  13.91   8.05NA   8.05    1.70  23.66 23.660090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54410  Remove/replace penis prosth                       A  15.18   8.78NA   8.78    1.85  25.81 25.810090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54411  Remov/replc penis pros comp                       A  18.35  10.12NA  10.12    2.23  30.70 30.700090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54415  Remove self-contd penis pros                      A   8.88   6.01NA   6.01    1.11  16.00 16.000090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54416  Remv/repl penis contain pros                      A  12.08   7.93NA   7.93    1.51  21.52 21.520090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54417  Remv/replc penis pros compl                       A  16.10   8.78NA   8.78    1.96  26.84 26.840090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54420  Revision of penis                                 A  12.39   7.11NA   7.11    1.52  21.02 21.020090.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
54430  Revision of penis                                 A  11.06   6.73NA   6.73    1.35  19.14 19.140090.10.80.1022200             33.2875 090 99      0.00   0.00   0.00
54435  Revision of penis                                 A   6.81   4.84NA   4.84    0.82  12.47 12.470090.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54437  Repair corporeal tear                             A  11.50   7.46NA   7.46    1.40  20.36 20.360090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
54438  Replantation of penis                             A  24.50  12.28NA  12.28    2.97  39.75 39.750090.08.83.0920210             33.2875 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             33.2875 090 99      0.00   0.00   0.00
54450  Preputial stretching                              A   1.12   0.81     0.43    0.14   2.07  1.690000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
54500  Biopsy of testis                                  A   1.31   0.75NA   0.75    0.16   2.22  2.220000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
54505  Biopsy of testis                                  A   3.50   2.36NA   2.36    0.42   6.28  6.280010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
54512  Excise lesion testis                              A   9.33   5.62NA   5.62    1.18  16.13 16.130090.10.80.1021110             33.2875 090 99      0.00   0.00   0.00
54520  Removal of testis                                 A   5.30   3.87NA   3.87    0.72   9.89  9.890090.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
54522  Orchiectomy partial                               A  10.25   6.10NA   6.10    1.25  17.60 17.600090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
54530  Removal of testis                                 A   8.46   5.76NA   5.76    1.08  15.30 15.300090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
54535  Extensive testis surgery                          A  13.19   7.46NA   7.46    1.61  22.26 22.260090.10.80.1021200             33.2875 090 99      0.00   0.00   0.00
54550  Exploration for testis                            A   8.41   5.32NA   5.32    1.04  14.77 14.770090.10.80.1021200             33.2875 090 99      0.00   0.00   0.00
54560  Exploration for testis                            A  12.10   6.99NA   6.99    1.48  20.57 20.570090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
54600  Reduce testis torsion                             A   7.64   5.04NA   5.04    0.94  13.62 13.620090.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
54620  Suspension of testis                              A   5.21   3.09NA   3.09    0.63   8.93  8.930010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
54640  Orchiopexy ingun/scrot appr                       A   7.73   4.17NA   4.17    1.02  12.92 12.920090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
54650  Orchiopexy (fowler-stephens)                      A  12.39   7.43NA   7.43    1.52  21.34 21.340090.10.80.1021200             33.2875 090 99      0.00   0.00   0.00
54660  Revision of testis                                A   5.74   4.37NA   4.37    0.70  10.81 10.810090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
54670  Repair testis injury                              A   6.65   4.86NA   4.86    0.81  12.32 12.320090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
54680  Relocation of testis(es)                          A  14.04   7.77NA   7.77    1.71  23.52 23.520090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
54690  Laparoscopy orchiectomy                           A  11.70   6.47NA   6.47    1.43  19.60 19.600090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
54692  Laparoscopy orchiopexy                            A  13.74   7.13NA   7.13    1.67  22.54 22.540090.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
54699  Unlisted laps px testis                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
54700  Drainage of scrotum                               A   3.47   2.47NA   2.47    0.47   6.41  6.410010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
54800  Biopsy of epididymis                              A   2.33   1.11NA   1.11    0.29   3.73  3.730000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
54830  Remove epididymis lesion                          A   6.01   4.48NA   4.48    0.74  11.23 11.230090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
54840  Remove epididymis lesion                          A   5.27   3.79NA   3.79    0.64   9.70  9.700090.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
54860  Removal of epididymis                             A   6.95   4.81NA   4.81    0.85  12.61 12.610090.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
54861  Removal of epididymis                             A   9.70   6.17NA   6.17    1.20  17.07 17.070090.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
54865  Explore epididymis                                A   5.77   4.38NA   4.38    0.71  10.86 10.860090.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
54900  Fusion of spermatic ducts                         A  14.20   7.99NA   7.99    1.72  23.91 23.910090.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
54901  Fusion of spermatic ducts                         A  19.10  10.11NA  10.11    2.32  31.53 31.530090.10.80.1022000             33.2875 090 99      0.00   0.00   0.00
55000  Drainage of hydrocele                             A   1.43   2.01     0.92    0.18   3.62  2.530000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
55040  Removal of hydrocele                              A   5.45   4.06NA   4.06    0.70  10.21 10.210090.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
55041  Removal of hydroceles                             A   8.54   5.77NA   5.77    1.08  15.39 15.390090.10.80.1022100             33.2875 090 99      0.00   0.00   0.00
55060  Repair of hydrocele                               A   6.15   4.53NA   4.53    0.76  11.44 11.440090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
55100  Drainage of scrotum abscess                       A   2.45   4.17     2.26    0.36   6.98  5.070010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
55110  Explore scrotum                                   A   6.33   4.55NA   4.55    0.81  11.69 11.690090.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
55120  Removal of scrotum lesion                         A   5.72   4.30NA   4.30    0.70  10.72 10.720090.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
55150  Removal of scrotum                                A   8.14   5.63NA   5.63    1.06  14.83 14.830090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55175  Revision of scrotum                               A   5.87   4.39NA   4.39    0.74  11.00 11.000090.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
55180  Revision of scrotum                               A  11.78   7.36NA   7.36    1.50  20.64 20.640090.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
55200  Incision of sperm duct                            A   4.55   6.43     3.26    0.55  11.53  8.360090.10.80.1022000             33.2875 090 99      0.00   0.00   0.00
55250  Removal of sperm duct(s)                          A   3.37   6.32     3.16    0.40  10.09  6.930090.10.80.1022100             33.2875 090 99      0.00   0.00   0.00
55300  Prepare sperm duct x-ray                          A   3.50   1.59NA   1.59    0.42   5.51  5.510000.00.00.0022000             33.2875 090 99      0.00   0.00   0.00
55400  Repair of sperm duct                              A   8.61   5.33NA   5.33    1.07  15.01 15.010090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
55500  Removal of hydrocele                              A   6.22   4.67NA   4.67    0.92  11.81 11.810090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
55520  Removal of sperm cord lesion                      A   6.66   5.60NA   5.60    1.62  13.88 13.880090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
55530  Revise spermatic cord veins                       A   5.75   4.13NA   4.13    0.73  10.61 10.610090.10.80.1021110             33.2875 090 99      0.00   0.00   0.00
55535  Revise spermatic cord veins                       A   7.19   4.88NA   4.88    0.88  12.95 12.950090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
55540  Revise hernia & sperm veins                       A   8.30   6.35NA   6.35    2.14  16.79 16.790090.10.80.1021110             33.2875 090 99      0.00   0.00   0.00
55550  Laparo ligate spermatic vein                      A   7.20   4.85NA   4.85    0.88  12.93 12.930090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
55559  Unlstd laps px sprmatic cord                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
55600  Incise sperm duct pouch                           A   7.01   4.83NA   4.83    0.86  12.70 12.700090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
55605  Incise sperm duct pouch                           A   8.76   5.92NA   5.92    1.08  15.76 15.760090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
55650  Remove sperm duct pouch                           A  12.65   7.29NA   7.29    1.55  21.49 21.490090.10.80.1021210             33.2875 090 99      0.00   0.00   0.00
55680  Remove sperm pouch lesion                         A   5.67   4.10NA   4.10    0.69  10.46 10.460090.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
55700  Biopsy of prostate                                A   2.50   4.42     1.05    0.31   7.23  3.860000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
55705  Biopsy of prostate                                A   4.61   2.75NA   2.75    0.56   7.92  7.920010.10.80.1020110             33.2875 090 99      0.00   0.00   0.00
55706  Prostate saturation sampling                      A   6.28   4.23NA   4.23    0.75  11.26 11.260010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55720  Drainage of prostate abscess                      A   7.73   4.90NA   4.90    0.95  13.58 13.580090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55725  Drainage of prostate abscess                      A  10.05   6.61NA   6.61    1.23  17.89 17.890090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55801  Removal of prostate                               A  19.80  10.41NA  10.41    2.41  32.62 32.620090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55810  Extensive prostate surgery                        A  24.29  11.58NA  11.58    2.95  38.82 38.820090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55812  Extensive prostate surgery                        A  29.89  14.19NA  14.19    3.64  47.72 47.720090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55815  Extensive prostate surgery                        A  32.95  15.25NA  15.25    4.02  52.22 52.220090.10.80.1022210             33.2875 090 99      0.00   0.00   0.00
55821  Removal of prostate                               A  15.18   7.99NA   7.99    1.85  25.02 25.020090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55831  Removal of prostate                               A  15.60   8.13NA   8.13    1.92  25.65 25.650090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55840  Extensive prostate surgery                        A  21.36  10.82NA  10.82    2.65  34.83 34.830090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55842  Extensive prostate surgery                        A  21.36  10.81NA  10.81    2.64  34.81 34.810090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55845  Extensive prostate surgery                        A  25.18  12.17NA  12.17    3.12  40.47 40.470090.10.80.1022210             33.2875 090 99      0.00   0.00   0.00
55860  Surgical exposure prostate                        A  15.84   8.31NA   8.31    1.92  26.07 26.070090.10.80.1020110             33.2875 090 99      0.00   0.00   0.00
55862  Extensive prostate surgery                        A  20.04  10.11NA  10.11    2.44  32.59 32.590090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55865  Extensive prostate surgery                        A  24.57  12.11NA  12.11    2.98  39.66 39.660090.10.80.1022210             33.2875 090 99      0.00   0.00   0.00
55866  Laps surg prst8ect rpbic rad                      A  22.46  10.33NA  10.33    2.74  35.53 35.530090.08.83.0920210             33.2875 090 99      0.00   0.00   0.00
55867  Laps surg prst8ect smpl stot                      A  19.53   9.30NA   9.30    2.38  31.21 31.210090.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
55870  Electroejaculation                                A   2.58   2.46     1.32    0.32   5.36  4.220000.00.00.0020110             33.2875 090 99      0.00   0.00   0.00
55873  Cryoablate prostate                               A  13.60 154.93     7.59    1.65 170.18 22.840090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
55874  Tprnl plmt biodegrdabl matrl                      A   3.03  81.87     1.52    0.32  85.22  4.870000.00.00.0020111             33.2875 090 99      0.00   0.00   0.00
55875  Transperi needle place pros                       A  13.46   8.41NA   8.41    1.44  23.31 23.310090.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
55876  Place rt device/marker pros                       A   1.73   2.63     1.13    0.19   4.55  3.050000.00.00.0020111             33.2875 090 99      0.00   0.00   0.00
55880  Abltj mal prst8 tiss hifu                         A  17.73   9.32NA   9.32    2.16  29.21 29.210090.08.83.0920100             33.2875 090 99      0.00   0.00   0.00
55899  Unlisted px male genital sys                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
55920  Place needles pelvic for rt                       A   8.31   4.71NA   4.71    0.70  13.72 13.720000.00.00.0020000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
56405  I & d of vulva/perineum                           A   1.49   2.70     2.11    0.25   4.44  3.850010.10.80.1020120             33.2875 090 99      0.00   0.00   0.00
56420  Drainage of gland abscess                         A   1.44   3.95     1.67    0.24   5.63  3.350010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
56440  Surgery for vulva lesion                          A   2.89   2.12NA   2.12    0.48   5.49  5.490010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
56441  Lysis of labial lesion(s)                         A   2.02   3.22     2.37    0.32   5.56  4.710010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
56442  Hymenotomy                                        A   0.68   0.63NA   0.63    0.12   1.43  1.430000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
56501  Destroy vulva lesions sim                         A   1.58   4.00     2.23    0.24   5.82  4.050010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
56515  Destroy vulva lesion/s compl                      A   3.08   4.81     2.85    0.50   8.39  6.430010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
56605  Biopsy of vulva/perineum                          A   1.10   1.63     0.49    0.18   2.91  1.770000.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
56606  Biopsy of vulva/perineum                          A   0.55   0.50     0.23    0.09   1.14  0.870ZZZ.00.00.0000120             33.2875 090 99      0.00   0.00   0.00
56620  Partial removal of vulva                          A   7.53   9.01NA   9.01    1.27  17.81 17.810090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
56625  Complete removal of vulva                         A   9.68   8.96NA   8.96    1.62  20.26 20.260090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
56630  Extensive vulva surgery                           A  14.80  11.77NA  11.77    2.50  29.07 29.070090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
56631  Extensive vulva surgery                           A  18.99  13.69NA  13.69    3.20  35.88 35.880090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
56632  Extensive vulva surgery                           A  21.86  17.82NA  17.82    3.71  43.39 43.390090.12.74.1422220             33.2875 090 99      0.00   0.00   0.00
56633  Extensive vulva surgery                           A  19.62  14.50NA  14.50    3.34  37.46 37.460090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
56634  Extensive vulva surgery                           A  20.66  15.02NA  15.02    3.50  39.18 39.180090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
56637  Extensive vulva surgery                           A  24.75  16.93NA  16.93    4.19  45.87 45.870090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
56640  Extensive vulva surgery                           A  24.78  17.14NA  17.14    4.19  46.11 46.110090.12.74.1421210             33.2875 090 99      0.00   0.00   0.00
56700  Partial removal of hymen                          A   2.84   2.84NA   2.84    0.47   6.15  6.150010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
56740  Remove vagina gland lesion                        A   4.88   3.81NA   3.81    0.83   9.52  9.520010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
56800  Repair of vagina                                  A   3.93   3.09NA   3.09    0.64   7.66  7.660010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
56805  Repair clitoris                                   A  19.88  11.86NA  11.86    3.37  35.11 35.110090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
56810  Repair of perineum                                A   4.29   3.26NA   3.26    0.71   8.26  8.260010.10.80.1020220             33.2875 090 99      0.00   0.00   0.00
56820  Exam of vulva w/scope                             A   1.50   2.05     0.78    0.24   3.79  2.520000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
56821  Exam/biopsy of vulva w/scope                      A   2.05   2.68     1.00    0.35   5.08  3.400000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57000  Exploration of vagina                             A   3.02   2.59NA   2.59    0.50   6.11  6.110010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
57010  Drainage of pelvic abscess                        A   6.84   5.86NA   5.86    1.17  13.87 13.870090.12.74.1420000             33.2875 090 99      0.00   0.00   0.00
57020  Drainage of pelvic fluid                          A   1.50   2.02     0.62    0.25   3.77  2.370000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
57022  I & d vaginal hematoma pp                         A   2.73   2.30NA   2.30    0.45   5.48  5.480010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
57023  I & d vag hematoma non-ob                         A   5.18   3.61NA   3.61    0.88   9.67  9.670010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
57061  Destroy vag lesions simple                        A   1.30   3.55     1.98    0.22   5.07  3.500010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57065  Destroy vag lesions complex                       A   2.66   4.38     2.54    0.43   7.47  5.630010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57100  Biopsy of vagina                                  A   1.20   1.73     0.56    0.20   3.13  1.960000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57105  Biopsy of vagina                                  A   1.74   3.34     2.42    0.29   5.37  4.450010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57106  Remove vagina wall partial                        A   7.50   7.55NA   7.55    1.23  16.28 16.280090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57107  Remove vagina tissue part                         A  24.56  15.37NA  15.37    4.03  43.96 43.960090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57109  Vaginectomy partial w/nodes                       A  28.40  19.05NA  19.05    4.80  52.25 52.250090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
57110  Remove vagina wall complete                       A  15.48   9.21NA   9.21    2.53  27.22 27.220090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57111  Remove vagina tissue compl                        A  28.40  19.05NA  19.05    4.80  52.25 52.250090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
57120  Closure of vagina                                 A   8.28   6.44NA   6.44    1.33  16.05 16.050090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57130  Remove vagina lesion                              A   2.46   4.10     2.37    0.41   6.97  5.240010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
57135  Remove vagina lesion                              A   2.70   4.35     2.55    0.44   7.49  5.690010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57150  Treat vagina infection                            A   0.50   1.16     0.19    0.08   1.74  0.770000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57155  Insert uteri tandem/ovoids                        A   5.15   6.37     2.88    0.45  11.97  8.480000.00.00.0020120             33.2875 090 99      0.00   0.00   0.00
57156  Ins vag brachytx device                           A   2.69   3.98     1.61    0.22   6.89  4.520000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
57160  Insert pessary/other device                       A   0.89   1.21     0.34    0.14   2.24  1.370000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57170  Fitting of diaphragm/cap                          A   0.91   1.28     0.35    0.15   2.34  1.410000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
57180  Treat vaginal bleeding                            A   1.63   4.10     1.77    0.26   5.99  3.660010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57200  Repair of vagina                                  A   4.42   4.93NA   4.93    0.74  10.09 10.090090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57210  Repair vagina/perineum                            A   5.71   5.26NA   5.26    0.95  11.92 11.920090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57220  Revision of urethra                               A   4.85   4.86NA   4.86    0.78  10.49 10.490090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57230  Repair of urethral lesion                         A   6.30   5.32NA   5.32    1.08  12.70 12.700090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57240  Anterior colporrhaphy                             A  10.08   6.86NA   6.86    1.57  18.51 18.510090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57250  Repair rectum & vagina                            A  10.08   6.88NA   6.88    1.63  18.59 18.590090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57260  Cmbn ant pst colprhy                              A  13.25   8.07NA   8.07    2.15  23.47 23.470090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57265  Cmbn ap colprhy w/ntrcl rpr                       A  15.00   8.79NA   8.79    2.45  26.24 26.240090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57267  Insert mesh/pelvic flr addon                      A   4.88   1.83NA   1.83    0.75   7.46  7.460ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
57268  Repair of bowel bulge                             A   7.57   6.55NA   6.55    1.21  15.33 15.330090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57270  Repair of bowel pouch                             A  13.67   8.63NA   8.63    2.22  24.52 24.520090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57280  Suspension of vagina                              A  16.72   9.69NA   9.69    2.63  29.04 29.040090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57282  Colpopexy extraperitoneal                         A  11.63   7.46NA   7.46    1.83  20.92 20.920090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57283  Colpopexy intraperitoneal                         A  11.66   7.51NA   7.51    1.90  21.07 21.070090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57284  Repair paravag defect open                        A  14.33   8.54NA   8.54    2.19  25.06 25.060090.08.83.0920220             33.2875 090 99      0.00   0.00   0.00
57285  Repair paravag defect vag                         A  11.60   7.45NA   7.45    1.82  20.87 20.870090.08.83.0920220             33.2875 090 99      0.00   0.00   0.00
57287  Revise/remove sling repair                        A  11.15   9.58NA   9.58    1.68  22.41 22.410090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57288  Repair bladder defect                             A  12.13   8.44NA   8.44    1.85  22.42 22.420090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57289  Repair bladder & vagina                           A  12.80   9.00NA   9.00    2.17  23.97 23.970090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57291  Construction of vagina                            A   8.64   6.53NA   6.53    1.47  16.64 16.640090.12.74.1420200             33.2875 090 99      0.00   0.00   0.00
57292  Construct vagina with graft                       A  14.01   8.60NA   8.60    2.36  24.97 24.970090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57295  Revise vag graft via vagina                       A   7.82   6.12NA   6.12    1.22  15.16 15.160090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57296  Revise vag graft open abd                         A  16.56   9.51NA   9.51    2.79  28.86 28.860090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57300  Repair rectum-vagina fistula                      A   8.71   8.32NA   8.32    1.52  18.55 18.550090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57305  Repair rectum-vagina fistula                      A  15.35  11.21NA  11.21    2.90  29.46 29.460090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57307  Fistula repair & colostomy                        A  17.17  12.96NA  12.96    2.32  32.45 32.450090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57308  Fistula repair transperine                        A  10.59   7.97NA   7.97    1.45  20.01 20.010090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57310  Repair urethrovaginal lesion                      A   7.65   6.29NA   6.29    0.94  14.88 14.880090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57311  Repair urethrovaginal lesion                      A   8.91   6.74NA   6.74    1.10  16.75 16.750090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57320  Repair bladder-vagina lesion                      A   8.88   6.70NA   6.70    1.51  17.09 17.090090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57330  Repair bladder-vagina lesion                      A  13.21   8.19NA   8.19    1.61  23.01 23.010090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57335  Repair vagina                                     A  20.02  12.06NA  12.06    3.39  35.47 35.470090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57400  Dilation of vagina                                A   2.27   1.25NA   1.25    0.39   3.91  3.910000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
57410  Pelvic examination                                A   1.75   1.15NA   1.15    0.29   3.19  3.190000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57415  Remove vaginal foreign body                       A   2.49   2.43NA   2.43    0.40   5.32  5.320010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
57420  Exam of vagina w/scope                            A   1.60   2.16     0.83    0.26   4.02  2.690000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57421  Exam/biopsy of vag w/scope                        A   2.20   2.80     1.07    0.38   5.38  3.650000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57423  Repair paravag defect lap                         A  16.08   9.26NA   9.26    2.59  27.93 27.930090.08.83.0920220             33.2875 090 99      0.00   0.00   0.00
57425  Laparoscopy surg colpopexy                        A  17.03   9.56NA   9.56    2.67  29.26 29.260090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57426  Revise prosth vag graft lap                       A  14.30   9.78NA   9.78    2.25  26.33 26.330090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57452  Exam of cervix w/scope                            A   1.50   2.09     0.99    0.24   3.83  2.730000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57454  Bx/curett of cervix w/scope                       A   2.33   2.38     1.29    0.39   5.10  4.010000.00.00.0030100       57452 33.2875 090 99      0.00   0.00   0.00
57455  Biopsy of cervix w/scope                          A   1.99   2.57     0.93    0.33   4.89  3.250000.00.00.0030100       57452 33.2875 090 99      0.00   0.00   0.00
57456  Endocerv curettage w/scope                        A   1.85   2.45     0.87    0.31   4.61  3.030000.00.00.0030100       57452 33.2875 090 99      0.00   0.00   0.00
57460  Bx of cervix w/scope leep                         A   2.83   6.15     1.48    0.47   9.45  4.780000.00.00.0030100       57452 33.2875 090 99      0.00   0.00   0.00
57461  Conz of cervix w/scope leep                       A   3.43   6.53     1.47    0.57  10.53  5.470000.00.00.0030100       57452 33.2875 090 99      0.00   0.00   0.00
57465  Cam cervix uteri drg colp                         A   0.81   0.70     0.32    0.14   1.65  1.270ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
57500  Biopsy of cervix                                  A   1.20   3.23     0.86    0.20   4.63  2.260000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
57505  Endocervical curettage                            A   1.19   3.30     1.93    0.20   4.69  3.320010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57510  Cauterization of cervix                           A   1.90   2.84     1.19    0.32   5.06  3.410010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57511  Cryocautery of cervix                             A   1.95   3.76     2.19    0.33   6.04  4.470010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57513  Laser surgery of cervix                           A   1.95   3.95     2.17    0.33   6.23  4.450010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57520  Conization of cervix                              A   4.11   5.91     4.19    0.70  10.72  9.000090.12.74.1420100             33.2875 090 99      0.00   0.00   0.00
57522  Conization of cervix                              A   3.67   4.91     3.46    0.61   9.19  7.740090.12.74.1420100             33.2875 090 99      0.00   0.00   0.00
57530  Removal of cervix                                 A   5.27   5.22NA   5.22    0.87  11.36 11.360090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57531  Removal of cervix radical                         A  29.95  16.08NA  16.08    9.20  55.23 55.230090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
57540  Removal of residual cervix                        A  13.29   8.34NA   8.34    2.24  23.87 23.870090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57545  Remove cervix/repair pelvis                       A  14.10   8.66NA   8.66    2.38  25.14 25.140090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57550  Removal of residual cervix                        A   6.34   5.67NA   5.67    1.09  13.10 13.100090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57555  Remove cervix/repair vagina                       A   9.94   7.09NA   7.09    1.68  18.71 18.710090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57556  Remove cervix repair bowel                        A   9.36   6.83NA   6.83    1.58  17.77 17.770090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
57558  D&c of cervical stump                             A   1.72   2.79     1.90    0.29   4.80  3.910010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
57700  Revision of cervix                                A   4.35   5.75NA   5.75    0.74  10.84 10.840090.12.74.1420000             33.2875 090 99      0.00   0.00   0.00
57720  Revision of cervix                                A   4.61   4.76NA   4.76    0.77  10.14 10.140090.12.74.1420200             33.2875 090 99      0.00   0.00   0.00
57800  Dilation of cervical canal                        A   0.77   1.45     0.55    0.13   2.35  1.450000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
58100  Biopsy of uterus lining                           A   1.21   1.65     0.48    0.20   3.06  1.890000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
58110  Bx done w/colposcopy add-on                       A   0.77   0.61     0.30    0.13   1.51  1.200ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
58120  Dilation and curettage                            A   3.59   4.83     2.87    0.60   9.02  7.060010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
58140  Myomectomy abdom method                           A  15.79   9.31NA   9.31    2.68  27.78 27.780090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58145  Myomectomy vag method                             A   8.91   6.79NA   6.79    1.52  17.22 17.220090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58146  Myomectomy abdom complex                          A  20.34  10.96NA  10.96    3.45  34.75 34.750090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58150  Total hysterectomy                                A  17.31  10.40NA  10.40    2.91  30.62 30.620090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58152  Total hysterectomy                                A  21.86  11.68NA  11.68    3.70  37.24 37.240090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58180  Partial hysterectomy                              A  16.60   9.54NA   9.54    2.82  28.96 28.960090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58200  Extensive hysterectomy                            A  23.10  13.61NA  13.61    3.89  40.60 40.600090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58210  Extensive hysterectomy                            A  30.91  18.67NA  18.67    5.25  54.83 54.830090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58240  Removal of pelvis contents                        A  49.33  30.11NA  30.11    8.41  87.85 87.850090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58260  Vaginal hysterectomy                              A  14.15   8.79NA   8.79    2.37  25.31 25.310090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58262  Vag hyst including t/o                            A  15.94   9.37NA   9.37    2.65  27.96 27.960090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58263  Vag hyst w/t/o & vag repair                       A  17.23   9.87NA   9.87    2.86  29.96 29.960090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58267  Vag hyst w/urinary repair                         A  18.36  10.76NA  10.76    3.11  32.23 32.230090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58270  Vag hyst w/enterocele repair                      A  15.30   9.10NA   9.10    2.55  26.95 26.950090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58275  Hysterectomy/revise vagina                        A  17.03  10.04NA  10.04    2.79  29.86 29.860090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58280  Hysterectomy/revise vagina                        A  18.33  10.50NA  10.50    3.11  31.94 31.940090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58285  Extensive hysterectomy                            A  23.38  15.58NA  15.58    3.95  42.91 42.910090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58290  Vag hyst complex                                  A  20.27  10.93NA  10.93    3.44  34.64 34.640090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58291  Vag hyst incl t/o complex                         A  22.06  11.62NA  11.62    3.73  37.41 37.410090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58292  Vag hyst t/o & repair compl                       A  23.35  12.12NA  12.12    3.95  39.42 39.420090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58294  Vag hyst w/enterocele compl                       A  21.55  11.42NA  11.42    3.64  36.61 36.610090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58300  Insert intrauterine device                        N+  1.01   2.20     0.39    0.10   3.31  1.509XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
58301  Remove intrauterine device                        A   1.27   1.85     0.50    0.21   3.33  1.980000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
58321  Artificial insemination                           A   0.92   1.40     0.36    0.16   2.48  1.440000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
58322  Artificial insemination                           A   1.10   1.47     0.43    0.19   2.76  1.720000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
58323  Sperm washing                                     A   0.23   0.18     0.09    0.04   0.45  0.360000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
58340  Catheter for hysterography                        A   0.88   6.24     0.71    0.14   7.26  1.730000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
58345  Reopen fallopian tube                             A   4.70   3.24NA   3.24    0.79   8.73  8.730010.10.80.1021220             33.2875 090 99      0.00   0.00   0.00
58346  Insert heyman uteri capsule                       A   7.56   6.78NA   6.78    0.60  14.94 14.940090.12.74.1420100             33.2875 090 99      0.00   0.00   0.00
58350  Reopen fallopian tube                             A   1.06   3.41     1.64    0.18   4.65  2.880010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
58353  Endometr ablate thermal                           A   3.60  23.44     2.77    0.60  27.64  6.970010.10.80.1020120             33.2875 090 99      0.00   0.00   0.00
58356  Endometrial cryoablation                          A   6.41  42.38     3.12    1.10  49.89 10.630010.10.80.1020220             33.2875 090 99      0.00   0.00   0.00
58400  Suspension of uterus                              A   7.14   5.77NA   5.77    1.12  14.03 14.030090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58410  Suspension of uterus                              A  13.80   8.47NA   8.47    2.33  24.60 24.600090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58520  Repair of ruptured uterus                         A  13.48   8.34NA   8.34    2.27  24.09 24.090090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58540  Revision of uterus                                A  15.71   9.28NA   9.28    2.66  27.65 27.650090.12.74.1420200             33.2875 090 99      0.00   0.00   0.00
58541  Lsh uterus 250 g or less                          A  12.29   7.79NA   7.79    1.96  22.04 22.040090.12.74.1430220       49320 33.2875 090 99      0.00   0.00   0.00
58542  Lsh w/t/o ut 250 g or less                        A  14.16   8.55NA   8.55    2.31  25.02 25.020090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58543  Lsh uterus above 250 g                            A  14.39   8.59NA   8.59    2.43  25.41 25.410090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58544  Lsh w/t/o uterus above 250 g                      A  15.60   9.06NA   9.06    2.64  27.30 27.300090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58545  Laparoscopic myomectomy                           A  15.55   8.94NA   8.94    2.70  27.19 27.190090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58546  Laparo-myomectomy complex                         A  19.94  10.18NA  10.18    3.38  33.50 33.500090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58548  Lap radical hyst                                  A  31.63  19.73NA  19.73    5.36  56.72 56.720090.12.74.1422220             33.2875 090 99      0.00   0.00   0.00
58550  Laparo-asst vag hysterectomy                      A  15.10   8.96NA   8.96    2.54  26.60 26.600090.12.74.1430220       49320 33.2875 090 99      0.00   0.00   0.00
58552  Laparo-vag hyst incl t/o                          A  16.91   9.80NA   9.80    2.83  29.54 29.540090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58553  Laparo-vag hyst complex                           A  20.06  10.23NA  10.23    3.40  33.69 33.690090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58554  Laparo-vag hyst w/t/o compl                       A  23.11  12.26NA  12.26    3.89  39.26 39.260090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58555  Hysteroscopy dx sep proc                          A   2.65   7.75     1.44    0.44  10.84  4.530000.00.00.0020020             33.2875 090 99      0.00   0.00   0.00
58558  Hysteroscopy biopsy                               A   4.17  34.67     2.04    0.71  39.55  6.920000.00.00.0030120       58555 33.2875 090 99      0.00   0.00   0.00
58559  Hysteroscopy lysis                                A   5.20   2.41NA   2.41    0.88   8.49  8.490000.00.00.0030120       58555 33.2875 090 99      0.00   0.00   0.00
58560  Hysteroscopy resect septum                        A   5.75   2.62NA   2.62    0.98   9.35  9.350000.00.00.0030220       58555 33.2875 090 99      0.00   0.00   0.00
58561  Hysteroscopy remove myoma                         A   6.60   2.97NA   2.97    1.13  10.70 10.700000.00.00.0030020       58555 33.2875 090 99      0.00   0.00   0.00
58562  Hysteroscopy remove fb                            A   4.00   8.28     1.95    0.68  12.96  6.630000.00.00.0030120       58555 33.2875 090 99      0.00   0.00   0.00
58563  Hysteroscopy ablation                             A   4.47  57.44     2.13    0.75  62.66  7.350000.00.00.0030020       58555 33.2875 090 99      0.00   0.00   0.00
58565  Hysteroscopy sterilization                        A   7.12  41.38     5.51    1.21  49.71 13.840090.12.74.1432120       58555 33.2875 090 99      0.00   0.00   0.00
58570  Tlh uterus 250 g or less                          A  13.36   8.76NA   8.76    2.24  24.36 24.360090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58571  Tlh w/t/o 250 g or less                           A  15.00   9.89NA   9.89    2.54  27.43 27.430090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58572  Tlh uterus over 250 g                             A  17.71   9.87NA   9.87    2.98  30.56 30.560090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58573  Tlh w/t/o uterus over 250 g                       A  20.79  12.40NA  12.40    3.53  36.72 36.720090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58575  Laps tot hyst resj mal                            A  32.60  20.08NA  20.08    5.53  58.21 58.210090.12.74.1422220             33.2875 090 99      0.00   0.00   0.00
58578  Unlisted laps px uterus                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
58579  Unlisted hystsc px uterus                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
58580  Transcrv abltj utrn fibrd rf                      A   7.21  85.14     4.01    0.74  93.09 11.960010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
58600  Division of fallopian tube                        A   5.91   4.31NA   4.31    1.01  11.23 11.230090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58605  Division of fallopian tube                        A   5.28   4.03NA   4.03    0.90  10.21 10.210090.12.74.1422200             33.2875 090 99      0.00   0.00   0.00
58611  Ligate oviduct(s) add-on                          A   1.45   0.56NA   0.56    0.24   2.25  2.250ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
58615  Occlude fallopian tube(s)                         A   3.94   3.06NA   3.06    0.67   7.67  7.670010.10.80.1020200             33.2875 090 99      0.00   0.00   0.00
58660  Laparoscopy lysis                                 A  11.59   6.81NA   6.81    2.25  20.65 20.650090.09.84.0730220       49320 33.2875 090 99      0.00   0.00   0.00
58661  Laparoscopy remove adnexa                         A  11.35   6.38NA   6.38    1.92  19.65 19.650010.10.80.1031220       49320 33.2875 090 99      0.00   0.00   0.00
58662  Laparoscopy excise lesions                        A  12.15   7.27NA   7.27    2.09  21.51 21.510090.09.84.0730220       49320 33.2875 090 99      0.00   0.00   0.00
58670  Laparoscopy tubal cautery                         A   5.91   4.33NA   4.33    1.01  11.25 11.250090.10.80.1030120       49320 33.2875 090 99      0.00   0.00   0.00
58671  Laparoscopy tubal block                           A   5.91   4.33NA   4.33    1.01  11.25 11.250090.10.80.1030120       49320 33.2875 090 99      0.00   0.00   0.00
58672  Laparoscopy fimbrioplasty                         A  12.91   6.90NA   6.90    2.19  22.00 22.000090.10.80.1031200       49320 33.2875 090 99      0.00   0.00   0.00
58673  Laparoscopy salpingostomy                         A  14.04   7.46NA   7.46    2.37  23.87 23.870090.10.80.1031200       49320 33.2875 090 99      0.00   0.00   0.00
58674  Laps abltj uterine fibroids                       A  14.08   8.04NA   8.04    2.37  24.49 24.490090.12.74.1420220             33.2875 090 99      0.00   0.00   0.00
58679  Unlisted laps px ovidct ovry                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
58700  Removal of fallopian tube                         A  12.95   8.82NA   8.82    2.41  24.18 24.180090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58720  Removal of ovary/tube(s)                          A  12.16   8.65NA   8.65    2.15  22.96 22.960090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58740  Adhesiolysis tube ovary                           A  14.90   9.55NA   9.55    2.75  27.20 27.200090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58750  Repair oviduct                                    A  15.64   9.13NA   9.13    2.65  27.42 27.420090.12.74.1421210             33.2875 090 99      0.00   0.00   0.00
58752  Revise ovarian tube(s)                            A  15.64   9.06NA   9.06    2.65  27.35 27.350090.12.74.1421200             33.2875 090 99      0.00   0.00   0.00
58760  Fimbrioplasty                                     A  13.93   8.47NA   8.47    2.35  24.75 24.750090.12.74.1421210             33.2875 090 99      0.00   0.00   0.00
58770  Create new tubal opening                          A  14.77   8.72NA   8.72    2.49  25.98 25.980090.12.74.1421200             33.2875 090 99      0.00   0.00   0.00
58800  Drainage of ovarian cyst(s)                       A   4.62   5.58     4.17    0.78  10.98  9.570090.12.74.1422100             33.2875 090 99      0.00   0.00   0.00
58805  Drainage of ovarian cyst(s)                       A   6.42   5.46NA   5.46    1.10  12.98 12.980090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58820  Drain ovary abscess open                          A   4.70   4.80NA   4.80    0.79  10.29 10.290090.12.74.1421200             33.2875 090 99      0.00   0.00   0.00
58822  Drain ovary abscess percut                        A  11.81   7.77NA   7.77    2.00  21.58 21.580090.12.74.1421210             33.2875 090 99      0.00   0.00   0.00
58825  Transposition ovary(s)                            A  11.78   7.64NA   7.64    2.00  21.42 21.420090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58900  Biopsy of ovary(s)                                A   6.59   5.53NA   5.53    1.13  13.25 13.250090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58920  Partial removal of ovary(s)                       A  11.95   7.59NA   7.59    2.02  21.56 21.560090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58925  Removal of ovarian cyst(s)                        A  12.43   8.40NA   8.40    2.33  23.16 23.160090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58940  Removal of ovary(s)                               A   8.22   7.02NA   7.02    1.56  16.80 16.800090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58943  Removal of ovary(s)                               A  19.52  13.40NA  13.40    3.31  36.23 36.230090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58950  Resect ovarian malignancy                         A  18.37  13.21NA  13.21    3.15  34.73 34.730090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58951  Resect ovarian malignancy                         A  24.26  15.11NA  15.11    4.10  43.47 43.470090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58952  Resect ovarian malignancy                         A  27.29  17.73NA  17.73    4.65  49.67 49.670090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58953  Tah rad dissect for debulk                        A  34.13  20.36NA  20.36    5.79  60.28 60.280090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58954  Tah rad debulk/lymph remove                       A  37.13  21.74NA  21.74    6.36  65.23 65.230090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58956  Bso omentectomy w/tah                             A  22.80  14.36NA  14.36    3.87  41.03 41.030090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58957  Resect recurrent gyn mal                          A  26.22  17.17NA  17.17    4.56  47.95 47.950090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58958  Resect recur gyn mal w/lym                        A  29.22  15.65NA  15.65    4.94  49.81 49.810090.12.74.1422210             33.2875 090 99      0.00   0.00   0.00
58960  Exploration of abdomen                            A  15.79  11.66NA  11.66    2.67  30.12 30.120090.12.74.1420210             33.2875 090 99      0.00   0.00   0.00
58970  Retrieval of oocyte                               A   3.52   3.14     1.76    0.59   7.25  5.870000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
58976  Transfer of embryo                                A   3.82   3.32     1.87    0.64   7.78  6.330000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
58999  Unlisted px fml genital sys                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             33.2875 090 99      0.00   0.00   0.00
59000  Amniocentesis diagnostic                          A   1.30   1.87     0.73    0.40   3.57  2.430000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59001  Amniocentesis therapeutic                         A   3.00   1.43NA   1.43    0.92   5.35  5.350000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59012  Fetal cord puncture prenatal                      A   3.44   1.54NA   1.54    1.07   6.05  6.050000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59015  Chorion biopsy                                    A   2.20   1.90     1.07    0.68   4.78  3.950000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59020  Fetal contract stress test                        A   0.66   1.30     1.30NA  0.19   2.15  2.151000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59020TCFetal contract stress test                        A   0.00   1.04     1.04NA  0.01   1.05  1.051000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
5902026Fetal contract stress test                        A   0.66   0.26     0.26    0.18   1.10  1.101000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59025  Fetal non-stress test                             A   0.53   0.81     0.81NA  0.14   1.48  1.481000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59025TCFetal non-stress test                             A   0.00   0.60     0.60NA  0.01   0.61  0.611000.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
5902526Fetal non-stress test                             A   0.53   0.21     0.21    0.13   0.87  0.871000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59030  Fetal scalp blood sample                          A   1.99   0.77NA   0.77    0.60   3.36  3.360000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
59051  Fetal monitor/interpret only                      A   0.74   0.29NA   0.29    0.23   1.26  1.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59070  Transabdom amnioinfus w/us                        A   5.24   5.19     2.42    1.60  12.03  9.260000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
59072  Umbilical cord occlud w/us                        A   8.99   3.87NA   3.87    2.75  15.61 15.610000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59074  Fetal fluid drainage w/us                         A   5.24   4.73     2.42    1.60  11.57  9.260000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
59076  Fetal shunt placement w/us                        A   8.99   3.87NA   3.87    2.75  15.61 15.610000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
59100  Remove uterus lesion                              A  13.37   8.48NA   8.48    4.10  25.95 25.950090.17.60.2320210             33.2875 090 99      0.00   0.00   0.00
59120  Treat ectopic pregnancy                           A  12.67   8.21NA   8.21    3.88  24.76 24.760090.17.60.2320210             33.2875 090 99      0.00   0.00   0.00
59121  Treat ectopic pregnancy                           A  12.74   8.13NA   8.13    3.90  24.77 24.770090.17.60.2320210             33.2875 090 99      0.00   0.00   0.00
59130  Treat ectopic pregnancy                           A  15.08   9.04NA   9.04    4.61  28.73 28.730090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59136  Treat ectopic pregnancy                           A  14.25   8.64NA   8.64    4.37  27.26 27.260090.17.60.2320200             33.2875 090 99      0.00   0.00   0.00
59140  Treat ectopic pregnancy                           A   5.94   4.94NA   4.94    1.81  12.69 12.690090.17.60.2320200             33.2875 090 99      0.00   0.00   0.00
59150  Treat ectopic pregnancy                           A  12.29   7.97NA   7.97    3.76  24.02 24.020090.17.60.2320200             33.2875 090 99      0.00   0.00   0.00
59151  Treat ectopic pregnancy                           A  12.11   7.68NA   7.68    3.71  23.50 23.500090.17.60.2320200             33.2875 090 99      0.00   0.00   0.00
59160  D & c after delivery                              A   2.76   4.67     2.11    0.85   8.28  5.720010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
59200  Insert cervical dilator                           A   0.79   2.14     0.31    0.23   3.16  1.330000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59300  Episiotomy or vaginal repair                      A   2.41   3.81     1.30    0.74   6.96  4.450000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59320  Revision of cervix                                A   2.48   1.33NA   1.33    0.75   4.56  4.560000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59325  Revision of cervix                                A   4.06   1.93NA   1.93    1.24   7.23  7.230000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59350  Repair of uterus                                  A   4.94   1.90NA   1.90    1.52   8.36  8.360000.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
59400  Obstetrical care                                  A  37.00  25.80NA  25.80   10.20  73.00 73.000MMM.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59409  Obstetrical care                                  A  14.37   5.73NA   5.73    3.91  24.01 24.010MMM.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59410  Obstetrical care                                  A  18.76   8.60NA   8.60    5.15  32.51 32.510MMM.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59412  Antepartum manipulation                           A   1.71   0.86NA   0.86    0.52   3.09  3.090MMM.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59414  Deliver placenta                                  A   1.61   0.62NA   0.62    0.49   2.72  2.720MMM.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59425  Antepartum care only                              A   7.80   7.05     3.07    2.15  17.00 13.020MMM.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59426  Antepartum care only                              A  14.30  12.82     5.63    3.98  31.10 23.910MMM.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
59430  Care after delivery                               A   3.22   3.87     1.27    0.90   7.99  5.390MMM.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59510  Cesarean delivery                                 A  41.05  27.63NA  27.63   12.49  81.17 81.170MMM.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59514  Cesarean delivery only                            A  16.13   6.32NA   6.32    4.78  27.23 27.230MMM.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
59515  Cesarean delivery                                 A  22.79  10.69NA  10.69    6.89  40.37 40.370MMM.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59525  Remove uterus after cesarean                      A   8.53   3.29NA   3.29    2.62  14.44 14.440ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
59610  Vbac delivery                                     A  38.71  25.92NA  25.92   11.90  76.53 76.530MMM.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59612  Vbac delivery only                                A  16.09   6.20NA   6.20    4.92  27.21 27.210MMM.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59614  Vbac care after delivery                          A  20.48   8.40NA   8.40    6.27  35.15 35.150MMM.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59618  Attempted vbac delivery                           A  41.57  27.69NA  27.69   12.78  82.04 82.040MMM.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59620  Attempted vbac delivery only                      A  16.66   6.42NA   6.42    5.11  28.19 28.190MMM.00.00.0020200             33.2875 090 99      0.00   0.00   0.00
59622  Attempted vbac after care                         A  23.32  11.36NA  11.36    7.17  41.85 41.850MMM.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59812  Treatment of miscarriage                          A   4.44   5.23     3.56    1.35  11.02  9.350090.17.60.2320100             33.2875 090 99      0.00   0.00   0.00
59820  Care of miscarriage                               A   4.84   7.06     5.46    1.47  13.37 11.770090.17.60.2320100             33.2875 090 99      0.00   0.00   0.00
59821  Treatment of miscarriage                          A   5.09   6.52     4.85    1.56  13.17 11.500090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59830  Treat uterus infection                            A   6.59   5.50NA   5.50    2.02  14.11 14.110090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59840  Abortion                                          R   3.01   3.67     2.82    0.93   7.61  6.760010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
59841  Abortion                                          R   5.65   5.59     3.94    1.72  12.96 11.310010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
59850  Abortion                                          R   5.90   4.20NA   4.20    1.80  11.90 11.900090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59851  Abortion                                          R   5.92   5.31NA   5.31    1.80  13.03 13.030090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59852  Abortion                                          R   8.23   7.16NA   7.16    2.51  17.90 17.900090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59855  Abortion                                          R   6.43   4.51NA   4.51    1.98  12.92 12.920090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59856  Abortion                                          R   7.79   4.93NA   4.93    2.38  15.10 15.100090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59857  Abortion                                          R   9.33   5.40NA   5.40    2.84  17.57 17.570090.17.60.2320000             33.2875 090 99      0.00   0.00   0.00
59866  Abortion (mpr)                                    R   3.99   1.94NA   1.94    1.23   7.16  7.160000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
59870  Evacuate mole of uterus                           A   6.57   7.74NA   7.74    2.01  16.32 16.320090.17.60.2320200             33.2875 090 99      0.00   0.00   0.00
59871  Remove cerclage suture                            A   2.13   1.23NA   1.23    0.66   4.02  4.020000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
59897  Unlisted fetal invas px w/us                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
59898  Unlstd laps px mat care&dlvr                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
59899  Unlisted px mat care&dlvr                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 090 99      0.00   0.00   0.00
60000  Drain thyroid/tongue cyst                         A   1.81   3.58     2.73    0.26   5.65  4.800010.10.80.1020000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
60100  Biopsy of thyroid                                 A   1.56   1.56     0.53    0.17   3.29  2.260000.00.00.0020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
60200  Remove thyroid lesion                             A  10.02   8.13NA   8.13    2.06  20.21 20.210090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60210  Partial thyroid excision                          A  11.23   7.82NA   7.82    2.28  21.33 21.330090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60212  Partial thyroid excision                          A  16.43  10.21NA  10.21    4.23  30.87 30.870090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60220  Partial removal of thyroid                        A  11.19   7.98NA   7.98    2.14  21.31 21.310090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60225  Partial removal of thyroid                        A  14.79  10.63NA  10.63    2.84  28.26 28.260090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60240  Removal of thyroid                                A  15.04   9.50NA   9.50    3.05  27.59 27.590090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60252  Removal of thyroid                                A  22.01  13.27NA  13.27    4.36  39.64 39.640090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60254  Extensive thyroid surgery                         A  28.42  16.12NA  16.12    5.47  50.01 50.010090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60260  Repeat thyroid surgery                            A  18.26  10.96NA  10.96    3.47  32.69 32.690090.09.82.0921210             33.2875 090 99      0.00   0.00   0.00
60270  Removal of thyroid                                A  23.20  13.00NA  13.00    4.68  40.88 40.880090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60271  Removal of thyroid                                A  17.62  10.62NA  10.62    3.45  31.69 31.690090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60280  Remove thyroid duct lesion                        A   6.16   6.67NA   6.67    0.95  13.78 13.780090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60281  Remove thyroid duct lesion                        A   8.82   7.93NA   7.93    1.28  18.03 18.030090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
6030F  Max sterile barriers flwd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
60300  Aspir/inj thyroid cyst                            A   0.97   2.14     0.36    0.10   3.21  1.430000.00.00.0020100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
60500  Explore parathyroid glands                        A  15.60  10.19NA  10.19    3.41  29.20 29.200090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60502  Re-explore parathyroids                           A  21.15  13.21NA  13.21    4.84  39.20 39.200090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60505  Explore parathyroid glands                        A  23.06  14.48NA  14.48    4.56  42.10 42.100090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60512  Autotransplant parathyroid                        A   4.44   1.82NA   1.82    0.93   7.19  7.190ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
60520  Removal of thymus gland                           A  17.16  10.23NA  10.23    4.13  31.52 31.520090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60521  Removal of thymus gland                           A  19.18   9.64NA   9.64    4.61  33.43 33.430090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60522  Removal of thymus gland                           A  23.48  11.24NA  11.24    5.74  40.46 40.460090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60540  Explore adrenal gland                             A  18.02  10.50NA  10.50    3.85  32.37 32.370090.09.82.0921210             33.2875 090 99      0.00   0.00   0.00
60545  Explore adrenal gland                             A  20.93  11.85NA  11.85    4.73  37.51 37.510090.09.82.0921210             33.2875 090 99      0.00   0.00   0.00
60600  Remove carotid body lesion                        A  25.09   9.72NA   9.72    5.84  40.65 40.650090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60605  Remove carotid body lesion                        A  31.96   8.40NA   8.40    7.96  48.32 48.320090.09.82.0920210             33.2875 090 99      0.00   0.00   0.00
60650  Laparoscopy adrenalectomy                         A  20.73  10.48NA  10.48    4.47  35.68 35.680090.09.84.0721210             33.2875 090 99      0.00   0.00   0.00
60659  Unlisted laps px endoc sys                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
60699  Unlisted px endocrine system                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
61000  Remove cranial cavity fluid                       A   1.58   1.21NA   1.21    0.66   3.45  3.450000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
61001  Remove cranial cavity fluid                       A   1.49   1.17NA   1.17    0.61   3.27  3.270000.00.00.0022100             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
61020  Remove brain cavity fluid                         A   1.51   1.17NA   1.17    0.56   3.24  3.240000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
61026  Injection into brain canal                        A   1.69   1.16NA   1.16    0.46   3.31  3.310000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
61050  Remove brain canal fluid                          A   1.51   0.73NA   0.73    0.13   2.37  2.370000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
61055  Injection into brain canal                        A   2.10   1.04NA   1.04    0.35   3.49  3.490000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
61070  Brain canal shunt procedure                       A   0.89   0.63NA   0.63    0.16   1.68  1.680000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
61105  Twist drill hole                                  A   5.45   6.59NA   6.59    2.25  14.29 14.290090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
61107  Drill skull for implantation                      A   4.99   2.38NA   2.38    2.04   9.41  9.410000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
61108  Drill skull for drainage                          A  11.64  11.47NA  11.47    4.63  27.74 27.740090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
61120  Burr hole for puncture                            A   9.60   9.44NA   9.44    3.99  23.03 23.030090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
61140  Pierce skull for biopsy                           A  17.23  14.53NA  14.53    7.16  38.92 38.920090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
61150  Pierce skull for drainage                         A  18.90  14.47NA  14.47    7.86  41.23 41.230090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
61151  Pierce skull for drainage                         A  13.49  11.31NA  11.31    5.61  30.41 30.410090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
61154  Pierce skull & remove clot                        A  17.07  14.97NA  14.97    7.07  39.11 39.110090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61156  Pierce skull for drainage                         A  17.45  13.17NA  13.17    7.23  37.85 37.850090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61210  Pierce skull implant device                       A   5.83   2.80NA   2.80    2.40  11.03 11.030000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
61215  Insert brain-fluid device                         A   5.85   7.63NA   7.63    2.42  15.90 15.900090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
61250  Pierce skull & explore                            A  11.49  10.34NA  10.34    4.77  26.60 26.600090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61253  Pierce skull & explore                            A  13.49  11.31NA  11.31    5.61  30.41 30.410090.11.76.1322200             33.2875 090 99      0.00   0.00   0.00
61304  Open skull for exploration                        A  23.41  17.04NA  17.04    9.54  49.99 49.990090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61305  Open skull for exploration                        A  28.64  20.52NA  20.52   11.93  61.09 61.090090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61312  Open skull for drainage                           A  30.17  20.33NA  20.33   12.49  62.99 62.990090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61313  Open skull for drainage                           A  28.09  20.78NA  20.78   11.65  60.52 60.520090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61314  Open skull for drainage                           A  25.90  19.08NA  19.08   10.65  55.63 55.630090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61315  Open skull for drainage                           A  29.65  21.01NA  21.01   12.37  63.03 63.030090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61316  Implt cran bone flap to abdo                      A   1.39   0.67NA   0.67    0.57   2.63  2.630ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
61320  Open skull for drainage                           A  27.42  18.93NA  18.93   11.29  57.64 57.640090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61321  Open skull for drainage                           A  30.53  21.43NA  21.43   12.72  64.68 64.680090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61322  Decompressive craniotomy                          A  34.26  24.05NA  24.05   14.22  72.53 72.530090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61323  Decompressive lobectomy                           A  35.06  23.09NA  23.09   14.55  72.70 72.700090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61330  Decompress eye socket                             A  25.30  18.86NA  18.86   10.56  54.72 54.720090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61333  Explore orbit/remove lesion                       A  29.27  19.90NA  19.90   12.20  61.37 61.370090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61340  Subtemporal decompression                         A  20.11  15.50NA  15.50    8.36  43.97 43.970090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61343  Incise skull (press relief)                       A  31.86  21.89NA  21.89   12.94  66.69 66.690090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61345  Relieve cranial pressure                          A  29.23  20.81NA  20.81   12.18  62.22 62.220090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61450  Incise skull for surgery                          A  27.69  19.22NA  19.22   11.56  58.47 58.470090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61458  Incise skull for brain wound                      A  28.84  20.48NA  20.48   11.92  61.24 61.240090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61460  Incise skull for surgery                          A  30.24  21.30NA  21.30   12.60  64.14 64.140090.11.76.1320220             33.2875 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             33.2875 090 99      0.00   0.00   0.00
61500  Removal of skull lesion                           A  19.18  14.44NA  14.44    5.82  39.44 39.440090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61501  Remove infected skull bone                        A  16.35  13.25NA  13.25    4.72  34.32 34.320090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61510  Removal of brain lesion                           A  30.83  23.49NA  23.49   12.79  67.11 67.110090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61512  Remove brain lining lesion                        A  37.14  25.10NA  25.10   15.36  77.60 77.600090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61514  Removal of brain abscess                          A  27.23  19.85NA  19.85   11.24  58.32 58.320090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61516  Removal of brain lesion                           A  26.58  19.52NA  19.52   11.04  57.14 57.140090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61517  Implt brain chemotx add-on                        A   1.38   0.67NA   0.67    0.57   2.62  2.620ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
61518  Removal of brain lesion                           A  39.89  27.85NA  27.85   16.53  84.27 84.270090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61519  Remove brain lining lesion                        A  43.43  28.05NA  28.05   17.83  89.31 89.310090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61520  Removal of brain lesion                           A  57.09  34.71NA  34.71   20.70 112.50112.500090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
61521  Removal of brain lesion                           A  46.99  29.91NA  29.91   19.57  96.47 96.470090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61522  Removal of brain abscess                          A  31.54  21.92NA  21.92   13.14  66.60 66.600090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61524  Removal of brain lesion                           A  29.89  21.13NA  21.13   12.46  63.48 63.480090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61526  Removal of brain lesion                           A  54.08  31.12NA  31.12   15.44 100.64100.640090.11.76.1320120             33.2875 090 99      0.00   0.00   0.00
61530  Removal of brain lesion                           A  45.56  28.66NA  28.66   18.98  93.20 93.200090.11.76.1320120             33.2875 090 99      0.00   0.00   0.00
61531  Implant brain electrodes                          A  16.41  14.33NA  14.33    6.81  37.55 37.550090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
61533  Implant brain electrodes                          A  21.46  16.22NA  16.22    8.94  46.62 46.620090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61534  Removal of brain lesion                           A  23.01  17.82NA  17.82    9.59  50.42 50.420090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61535  Remove brain electrodes                           A  13.15  12.24NA  12.24    5.47  30.86 30.860090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61536  Removal of brain lesion                           A  37.72  24.89NA  24.89   15.71  78.32 78.320090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61537  Removal of brain tissue                           A  36.45  22.97NA  22.97   15.18  74.60 74.600090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61538  Removal of brain tissue                           A  39.45  24.86NA  24.86   16.44  80.75 80.750090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61539  Removal of brain tissue                           A  34.28  23.23NA  23.23   14.27  71.78 71.780090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61540  Removal of brain tissue                           A  31.43  21.71NA  21.71   13.11  66.25 66.250090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61541  Incision of brain tissue                          A  30.94  21.63NA  21.63   12.89  65.46 65.460090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61543  Removal of brain tissue                           A  31.31  21.81NA  21.81   13.05  66.17 66.170090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61544  Remove & treat brain lesion                       A  27.36  19.06NA  19.06   11.41  57.83 57.830090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
61545  Excision of brain tumor                           A  46.43  31.04NA  31.04   19.34  96.81 96.810090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61546  Removal of pituitary gland                        A  33.44  22.84NA  22.84   13.94  70.22 70.220090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61548  Removal of pituitary gland                        A  23.37  16.04NA  16.04    8.22  47.63 47.630090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
61550  Release of skull seams                            A  15.59  14.64NA  14.64    6.49  36.72 36.720090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61552  Release of skull seams                            A  20.40  16.57NA  16.57    8.48  45.45 45.450090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61556  Incise skull/sutures                              A  24.09  18.00NA  18.00   10.04  52.13 52.130090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61557  Incise skull/sutures                              A  23.31  18.52NA  18.52    9.71  51.54 51.540090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61558  Excision of skull/sutures                         A  26.50  19.88NA  19.88   11.06  57.44 57.440090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61559  Excision of skull/sutures                         A  34.02  24.90NA  24.90   14.16  73.08 73.080090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61563  Excision of skull tumor                           A  28.44  20.10NA  20.10   11.85  60.39 60.390090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61564  Excision of skull tumor                           A  34.74  24.01NA  24.01   14.47  73.22 73.220090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61566  Removal of brain tissue                           A  32.45  22.20NA  22.20   13.52  68.17 68.170090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61567  Incision of brain tissue                          A  37.00  25.23NA  25.23   15.41  77.64 77.640090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61570  Remove foreign body brain                         A  26.51  19.51NA  19.51   11.06  57.08 57.080090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61571  Incise skull for brain wound                      A  28.42  20.43NA  20.43   11.84  60.69 60.690090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61575  Skull base/brainstem surgery                      A  36.56  24.33NA  24.33   15.23  76.12 76.120090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61576  Skull base/brainstem surgery                      A  55.31  48.19NA  48.19   23.02 126.52126.520090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61580  Craniofacial approach skull                       A  34.51  32.78NA  32.78    7.52  74.81 74.810090.11.76.1321112             33.2875 090 99      0.00   0.00   0.00
61581  Craniofacial approach skull                       A  39.13  36.63NA  36.63    5.71  81.47 81.470090.11.76.1321122             33.2875 090 99      0.00   0.00   0.00
61582  Craniofacial approach skull                       A  35.14  42.81NA  42.81   12.98  90.93 90.930090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61583  Craniofacial approach skull                       A  38.50  35.02NA  35.02   14.95  88.47 88.470090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61584  Orbitocranial approach/skull                      A  37.70  34.90NA  34.90   14.63  87.23 87.230090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61585  Orbitocranial approach/skull                      A  42.57  39.10NA  39.10   17.74  99.41 99.410090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61586  Resect nasopharynx skull                          A  27.48  37.85NA  37.85   11.46  76.79 76.790090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61590  Infratemporal approach/skull                      A  47.04  34.56NA  34.56    9.13  90.73 90.730090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61591  Infratemporal approach/skull                      A  47.02  34.88NA  34.88   10.47  92.37 92.370090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61592  Orbitocranial approach/skull                      A  43.08  36.27NA  36.27   16.72  96.07 96.070090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61595  Transtemporal approach/skull                      A  33.74  29.78NA  29.78    8.64  72.16 72.160090.11.76.1321112             33.2875 090 99      0.00   0.00   0.00
61596  Transcochlear approach/skull                      A  39.43  27.92NA  27.92    5.75  73.10 73.100090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61597  Transcondylar approach/skull                      A  40.82  32.94NA  32.94   16.14  89.90 89.900090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61598  Transpetrosal approach/skull                      A  36.53  34.82NA  34.82   15.22  86.57 86.570090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61600  Resect/excise cranial lesion                      A  30.01  27.38NA  27.38    6.52  63.91 63.910090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61601  Resect/excise cranial lesion                      A  31.14  30.52NA  30.52   12.13  73.79 73.790090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61605  Resect/excise cranial lesion                      A  32.57  27.23NA  27.23    5.26  65.06 65.060090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61606  Resect/excise cranial lesion                      A  42.05  31.63NA  31.63   14.15  87.83 87.830090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61607  Resect/excise cranial lesion                      A  40.93  34.16NA  34.16   17.04  92.13 92.130090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61608  Resect/excise cranial lesion                      A  45.54  35.43NA  35.43   18.44  99.41 99.410090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61611  Transect artery sinus                             A   7.41   3.56NA   3.56    3.07  14.04 14.040ZZZ.00.00.0000212             33.2875 090 99      0.00   0.00   0.00
61613  Remove aneurysm sinus                             A  45.03  35.83NA  35.83   18.74  99.60 99.600090.11.76.1321212             33.2875 090 99      0.00   0.00   0.00
61615  Resect/excise lesion skull                        A  35.77  34.76NA  34.76   14.88  85.41 85.410090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61616  Resect/excise lesion skull                        A  46.74  37.20NA  37.20   17.21 101.15101.150090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61618  Repair dura                                       A  18.69  14.19NA  14.19    6.19  39.07 39.070090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61619  Repair dura                                       A  22.10  15.05NA  15.05    6.19  43.34 43.340090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
61623  Endovasc tempory vessel occl                      A   9.95   4.25NA   4.25    3.04  17.24 17.240000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
61624  Transcath occlusion cns                           A  20.12   8.36NA   8.36    6.29  34.77 34.770000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
61626  Transcath occlusion non-cns                       A  16.60   6.29NA   6.29    4.06  26.95 26.950000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
61630  Intracranial angioplasty                          R  22.07  12.23NA  12.23    6.63  40.93 40.930XXX.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
61635  Intracran angioplsty w/stent                      R  24.28  12.99NA  12.99    7.18  44.45 44.450XXX.00.00.0020210             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
61645  Perq art m-thrombect &/nfs                        A  15.00   5.98NA   5.98    4.19  25.17 25.170000.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
61650  Evasc prlng admn rx agnt 1st                      A  10.00   4.23NA   4.23    3.19  17.42 17.420000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
61651  Evasc prlng admn rx agnt add                      A   4.25   1.81NA   1.81    1.38   7.44  7.440ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
61680  Intracranial vessel surgery                       A  32.55  22.96NA  22.96   13.57  69.08 69.080090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61682  Intracranial vessel surgery                       A  63.41  36.37NA  36.37   26.41 126.19126.190090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61684  Intracranial vessel surgery                       A  41.64  27.33NA  27.33   17.34  86.31 86.310090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61686  Intracranial vessel surgery                       A  67.50  40.26NA  40.26   28.12 135.88135.880090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61690  Intracranial vessel surgery                       A  31.34  22.02NA  22.02   13.07  66.43 66.430090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61692  Intracranial vessel surgery                       A  54.59  33.18NA  33.18   22.73 110.50110.500090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61697  Brain aneurysm repr complx                        A  63.40  38.22NA  38.22   26.24 127.86127.860090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61698  Brain aneurysm repr complx                        A  69.63  41.29NA  41.29   28.99 139.91139.910090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61700  Brain aneurysm repr simple                        A  50.62  31.96NA  31.96   20.86 103.44103.440090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61702  Inner skull vessel surgery                        A  60.04  36.69NA  36.69   24.98 121.71121.710090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61703  Clamp neck artery                                 A  18.80  14.95NA  14.95    7.82  41.57 41.570090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61705  Revise circulation to head                        A  38.10  25.07NA  25.07   15.87  79.04 79.040090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61708  Revise circulation to head                        A  37.20  24.64NA  24.64   15.52  77.36 77.360090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
61710  Revise circulation to head                        A  31.29  20.94NA  20.94   13.04  65.27 65.270090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
61711  Fusion of skull arteries                          A  38.23  25.11NA  25.11   15.86  79.20 79.200090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
61720  Incise skull/brain surgery                        A  17.62  13.93NA  13.93    7.34  38.89 38.890090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
61735  Incise skull/brain surgery                        A  22.35  17.06NA  17.06    9.32  48.73 48.730090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
61736  Litt icr 1 traj 1 smpl les                        A  19.06  10.02NA  10.02    7.39  36.47 36.470000.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
61737  Litt icr mlt trj mlt/cplx ls                      A  22.67  11.82NA  11.82    9.45  43.94 43.940000.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
61750  Incise skull/brain biopsy                         A  19.83  14.94NA  14.94    8.19  42.96 42.960090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
61751  Brain biopsy w/ct/mr guide                        A  18.79  15.86NA  15.86    7.79  42.44 42.440090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
61760  Implant brain electrodes                          A  22.39  16.51NA  16.51    9.20  48.10 48.100090.11.76.1320120             33.2875 090 99      0.00   0.00   0.00
61770  Incise skull for treatment                        A  23.19  16.60NA  16.60    9.66  49.45 49.450090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
61781  Scan proc cranial intra                           A   3.75   1.79NA   1.79    1.54   7.08  7.080ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
61782  Scan proc cranial extra                           A   3.18   1.48NA   1.48    0.47   5.13  5.130ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
61783  Scan proc spinal                                  A   3.75   1.83NA   1.83    1.35   6.93  6.930ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
61790  Treat trigeminal nerve                            A  11.60  10.71NA  10.71    4.70  27.01 27.010090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
61791  Treat trigeminal tract                            A  15.41  12.68NA  12.68    6.40  34.49 34.490090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
61796  Srs cranial lesion simple                         A  13.93  11.48NA  11.48    5.74  31.15 31.150090.11.76.1300200             33.2875 090 99      0.00   0.00   0.00
61797  Srs cran les simple addl                          A   3.48   1.67NA   1.67    1.45   6.60  6.600ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
61798  Srs cranial lesion complex                        A  19.85  14.19NA  14.19    8.06  42.10 42.100090.11.76.1300200             33.2875 090 99      0.00   0.00   0.00
61799  Srs cran les complex addl                         A   4.81   2.31NA   2.31    2.00   9.12  9.120ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
61800  Apply srs headframe add-on                        A   2.25   1.36NA   1.36    0.93   4.54  4.540ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
61850  Implant neuroelectrodes                           A  13.34  11.32NA  11.32    5.55  30.21 30.210090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
61860  Implant neuroelectrodes                           A  22.26  16.16NA  16.16    9.26  47.68 47.680090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
61863  Implant neuroelectrode                            A  20.71  16.68NA  16.68    8.62  46.01 46.010090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61864  Implant neuroelectrde addl                        A   4.49   2.15NA   2.15    1.85   8.49  8.490ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
61867  Implant neuroelectrode                            A  33.03  22.60NA  22.60   13.76  69.39 69.390090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61868  Implant neuroelectrde addl                        A   7.91   3.80NA   3.80    3.29  15.00 15.000ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
61880  Revise/remove neuroelectrode                      A   6.95   8.23NA   8.23    2.86  18.04 18.040090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
61885  Insrt/redo neurostim 1 array                      A   6.05   7.76NA   7.76    2.39  16.20 16.200090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
61886  Implant neurostim arrays                          A   9.93  13.00NA  13.00    4.10  27.03 27.030090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
61888  Revise/remove neuroreceiver                       A   5.23   4.86NA   4.86    2.08  12.17 12.170010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
61889  Ins sk-mnt crnl nstm pg/rcvr                      A  25.75   9.20NA   9.20    2.97  37.92 37.920090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
61891  Rev/rplcmt sk-mnt crnl nstm                       A  11.25   5.38NA   5.38    1.36  17.99 17.990090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
61892  Rmv sk-mnt crnl nstm pg/rcvr                      A  15.00   8.28NA   8.28    1.54  24.82 24.820090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
62000  Treat skull fracture                              A  13.93  11.98NA  11.98    5.78  31.69 31.690090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
62005  Treat skull fracture                              A  17.63  13.94NA  13.94    7.35  38.92 38.920090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62010  Treatment of head injury                          A  21.43  16.62NA  16.62    8.92  46.97 46.970090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62100  Repair brain fluid leakage                        A  23.53  16.34NA  16.34    7.94  47.81 47.810090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62115  Reduction of skull defect                         A  22.91  19.11NA  19.11    9.55  51.57 51.570090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62117  Reduction of skull defect                         A  28.35  19.66NA  19.66   11.81  59.82 59.820090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62120  Repair skull cavity lesion                        A  24.59  28.37NA  28.37   10.25  63.21 63.210090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62121  Incise skull repair                               A  23.03  18.21NA  18.21    5.86  47.10 47.100090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62140  Crnop skull defect<5 cm diam                      A  14.55  11.54NA  11.54    5.06  31.15 31.150090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62141  Crnop skull defect>5 cm diam                      A  16.07  12.75NA  12.75    6.06  34.88 34.880090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62142  Rmvl b1 flp/prostc plate skl                      A  11.83  10.86NA  10.86    4.63  27.32 27.320090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
62143  Rpl b1 flp/prostc plate skl                       A  14.15  12.09NA  12.09    5.68  31.92 31.920090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62145  Repair of skull & brain                           A  20.09  15.00NA  15.00    8.27  43.36 43.360090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62146  Crnop w/autograft<5 cm diam                       A  17.28  13.77NA  13.77    7.19  38.24 38.240090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62147  Crnop w/autograft>5 cm diam                       A  20.67  14.79NA  14.79    7.68  43.14 43.140090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62148  Retr bone flap to fix skull                       A   2.00   0.96NA   0.96    0.82   3.78  3.780ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
62160  Neuroendoscopy add-on                             A   3.00   1.42NA   1.42    1.23   5.65  5.650ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
62161  Dissect brain w/scope                             A  21.23  16.52NA  16.52    8.84  46.59 46.590090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62162  Remove colloid cyst w/scope                       A  26.80  19.64NA  19.64   11.18  57.62 57.620090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62164  Remove brain tumor w/scope                        A  29.43  22.19NA  22.19   12.26  63.88 63.880090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62165  Remove pituit tumor w/scope                       A  23.23  15.95NA  15.95    6.77  45.95 45.950090.11.76.1320010             33.2875 090 99      0.00   0.00   0.00
62180  Establish brain cavity shunt                      A  22.58  16.84NA  16.84    9.41  48.83 48.830090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
62190  Establish brain cavity shunt                      A  12.17  11.31NA  11.31    5.06  28.54 28.540090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
62192  Establish brain cavity shunt                      A  13.35  11.67NA  11.67    5.43  30.45 30.450090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62194  Replace/irrigate catheter                         A   5.78   7.04NA   7.04    2.39  15.21 15.210010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
62200  Establish brain cavity shunt                      A  19.29  14.74NA  14.74    8.02  42.05 42.050090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62201  Brain cavity shunt w/scope                        A  16.04  14.53NA  14.53    6.63  37.20 37.200090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
62220  Establish brain cavity shunt                      A  14.10  10.35NA  10.35    5.29  29.74 29.740090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62223  Establish brain cavity shunt                      A  14.05  12.29NA  12.29    5.22  31.56 31.560090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62225  Replace/irrigate catheter                         A   6.19   7.78NA   7.78    2.53  16.50 16.500090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
62230  Replace/revise brain shunt                        A  11.43   9.83NA   9.83    4.46  25.72 25.720090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62252  Csf shunt reprogram                               A   0.74   1.57     1.57NA  0.28   2.59  2.591XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
62252TCCsf shunt reprogram                               A   0.00   1.21     1.21NA  0.01   1.22  1.221XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
6225226Csf shunt reprogram                               A   0.74   0.36     0.36    0.27   1.37  1.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
62256  Remove brain cavity shunt                         A   7.38   8.41NA   8.41    3.03  18.82 18.820090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
62258  Replace brain cavity shunt                        A  15.64  12.28NA  12.28    6.11  34.03 34.030090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
62263  Epidural lysis mult sessions                      A   5.00  13.92     4.22    0.50  19.42  9.720010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
62264  Epidural lysis on single day                      A   4.42   8.31     2.43    0.44  13.17  7.290010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
62267  Interdiscal perq aspir dx                         A   3.00   4.59     1.25    0.30   7.89  4.550000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
62268  Drain spinal cord cyst                            A   4.73   3.27NA   3.27    1.96   9.96  9.960000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62269  Needle biopsy spinal cord                         A   5.01   2.20NA   2.20    0.44   7.65  7.650000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
62270  Dx lmbr spi pnxr                                  A   1.22   2.90     0.41    0.27   4.39  1.900000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62272  Ther spi pnxr drg csf                             A   1.58   3.52     0.71    0.46   5.56  2.750000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62273  Inject epidural patch                             A   2.15   2.67     1.00    0.22   5.04  3.370000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62280  Treat spinal cord lesion                          A   2.63   6.96     1.88    0.27   9.86  4.780010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
62281  Treat spinal cord lesion                          A   2.66   4.32     1.75    0.23   7.21  4.640010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
62282  Treat spinal canal lesion                         A   2.33   6.78     1.69    0.22   9.33  4.240010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
62284  Injection for myelogram                           A   1.54   3.89     0.75    0.17   5.60  2.460000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62287  Dcmprn px perq 1/mlt lumbar                       A   9.03   8.10NA   8.10    0.96  18.09 18.090090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
62290  Njx px discography lumbar                         A   3.00   7.01     1.36    0.27  10.28  4.630000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62291  Njx px discography crv/thrc                       A   2.91   6.10     1.07    0.24   9.25  4.220000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62292  Njx chemonucleolysis lmbr                         A   9.24   7.24NA   7.24    0.98  17.46 17.460090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
62294  Injection into spinal artery                      A  12.87  10.99NA  10.99    5.35  29.21 29.210090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
62302  Myelography lumbar injection                      A   2.29   5.08     1.00    0.22   7.59  3.510000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62303  Myelography lumbar injection                      A   2.29   5.22     1.01    0.21   7.72  3.510000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62304  Myelography lumbar injection                      A   2.25   5.08     1.00    0.22   7.55  3.470000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62305  Myelography lumbar injection                      A   2.35   5.65     1.03    0.22   8.22  3.600000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62320  Njx interlaminar crv/thrc                         A   1.80   2.87     0.93    0.25   4.92  2.980000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62321  Njx interlaminar crv/thrc                         A   1.95   5.75     1.06    0.19   7.89  3.200000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62322  Njx interlaminar lmbr/sac                         A   1.55   2.34     0.64    0.17   4.06  2.360000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62323  Njx interlaminar lmbr/sac                         A   1.80   5.78     0.98    0.18   7.76  2.960000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62324  Njx interlaminar crv/thrc                         A   1.89   2.06     0.59    0.16   4.11  2.640000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62325  Njx interlaminar crv/thrc                         A   2.20   5.10     0.88    0.20   7.50  3.280000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62326  Njx interlaminar lmbr/sac                         A   1.78   2.18     0.59    0.16   4.12  2.530000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62327  Njx interlaminar lmbr/sac                         A   1.90   6.09     1.10    0.20   8.19  3.200000.00.00.0029100             33.2875 090 99      0.00   0.00   0.00
62328  Dx lmbr spi pnxr w/fluor/ct                       A   1.73   4.74     0.62    0.17   6.64  2.520000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62329  Ther spi pnxr csf fluor/ct                        A   2.03   5.50     0.76    0.30   7.83  3.090000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
62350  Implant spinal canal cath                         A   6.05   4.78NA   4.78    1.21  12.04 12.040010.10.80.1020110             33.2875 090 99      0.00   0.00   0.00
62351  Implant spinal canal cath                         A  11.66  11.87NA  11.87    4.34  27.87 27.870090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
62355  Remove spinal canal catheter                      A   3.55   3.98NA   3.98    0.85   8.38  8.380010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
62360  Insert spine infusion device                      A   4.33   4.10NA   4.10    0.98   9.41  9.410010.10.80.1020010             33.2875 090 99      0.00   0.00   0.00
62361  Implant spine infusion pump                       A   5.00   6.28NA   6.28    2.08  13.36 13.360010.10.80.1020010             33.2875 090 99      0.00   0.00   0.00
62362  Implant spine infusion pump                       A   5.60   4.76NA   4.76    1.32  11.68 11.680010.10.80.1020010             33.2875 090 99      0.00   0.00   0.00
62365  Remove spine infusion device                      A   3.93   4.12NA   4.12    1.01   9.06  9.060010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
62367  Analyze spine infus pump                          A   0.48   0.42     0.20    0.06   0.96  0.740XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
62368  Analyze sp inf pump w/reprog                      A   0.67   0.58     0.27    0.08   1.33  1.020XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
62369  Anal sp inf pmp w/reprg&fill                      A   0.67   2.02     0.29    0.08   2.77  1.040XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
62370  Anl sp inf pmp w/mdreprg&fil                      A   0.90   1.77     0.36    0.10   2.77  1.360XXX.00.00.0000100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
63001  Remove spine lamina 1/2 crvl                      A  17.61  13.42NA  13.42    6.41  37.44 37.440090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63003  Remove spine lamina 1/2 thrc                      A  17.74  13.45NA  13.45    6.39  37.58 37.580090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63005  Remove spine lamina 1/2 lmbr                      A  16.43  14.12NA  14.12    6.05  36.60 36.600090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63011  Remove spine lamina 1/2 scrl                      A  15.91  12.88NA  12.88    4.22  33.01 33.010090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63012  Remove lamina/facets lumbar                       A  16.85  13.74NA  13.74    5.72  36.31 36.310090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63015  Remove spine lamina >2 crvcl                      A  20.85  16.39NA  16.39    7.89  45.13 45.130090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63016  Remove spine lamina >2 thrc                       A  22.03  16.33NA  16.33    8.04  46.40 46.400090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63017  Remove spine lamina >2 lmbr                       A  17.33  14.66NA  14.66    6.60  38.59 38.590090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63020  Neck spine disk surgery                           A  14.91  13.60NA  13.60    4.89  33.40 33.400090.11.76.1321220             33.2875 090 99      0.00   0.00   0.00
63030  Low back disk surgery                             A  12.00  11.95NA  11.95    3.90  27.85 27.850090.11.76.1321220             33.2875 090 99      0.00   0.00   0.00
63035  Spinal disk surgery add-on                        A   3.86   1.91NA   1.91    1.21   6.98  6.980ZZZ.00.00.0001220             33.2875 090 99      0.00   0.00   0.00
63040  Laminotomy single cervical                        A  20.31  15.25NA  15.25    6.18  41.74 41.740090.11.76.1321220             33.2875 090 99      0.00   0.00   0.00
63042  Laminotomy single lumbar                          A  18.76  14.90NA  14.90    5.63  39.29 39.290090.11.76.1321220             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
63045  Lam facetec & foramot crv                         A  17.95  14.83NA  14.83    6.42  39.20 39.200090.11.76.1322220             33.2875 090 99      0.00   0.00   0.00
63046  Lam facetec & foramot thrc                        A  17.25  14.35NA  14.35    5.80  37.40 37.400090.11.76.1322220             33.2875 090 99      0.00   0.00   0.00
63047  Lam facetec & foramot lumbar                      A  15.37  13.32NA  13.32    4.92  33.61 33.610090.11.76.1322220             33.2875 090 99      0.00   0.00   0.00
63048  Lam facetec &foramot ea addl                      A   3.47   1.72NA   1.72    1.11   6.30  6.300ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
63050  Cervical laminoplsty 2/> seg                      A  22.01  16.12NA  16.12    6.25  44.38 44.380090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63051  C-laminoplasty w/graft/plate                      A  25.51  18.04NA  18.04    7.61  51.16 51.160090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63052  Lam facetc/frmt arthrd lum 1                      A   4.25   2.11NA   2.11    1.36   7.72  7.720ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
63053  Lam factc/frmt arthrd lum ea                      A   3.78   1.87NA   1.87    1.21   6.86  6.860ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
63055  Decompress spinal cord thrc                       A  23.55  17.14NA  17.14    8.69  49.38 49.380090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63056  Decompress spinal cord lmbr                       A  21.86  16.05NA  16.05    7.27  45.18 45.180090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63057  Decompress spine cord add-on                      A   5.25   2.58NA   2.58    1.79   9.62  9.620ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
63064  Decompress spinal cord thrc                       A  26.22  18.31NA  18.31    9.38  53.91 53.910090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63066  Decompress spine cord add-on                      A   3.26   1.56NA   1.56    1.35   6.17  6.170ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
63075  Neck spine disk surgery                           A  19.60  15.09NA  15.09    6.35  41.04 41.040090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63076  Neck spine disk surgery                           A   4.04   2.00NA   2.00    1.18   7.22  7.220ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
63077  Spine disk surgery thorax                         A  22.88  16.32NA  16.32    4.71  43.91 43.910090.11.76.1320220             33.2875 090 99      0.00   0.00   0.00
63078  Spine disk surgery thorax                         A   3.28   1.57NA   1.57    1.36   6.21  6.210ZZZ.00.00.0000220             33.2875 090 99      0.00   0.00   0.00
63081  Remove vert body dcmprn crvl                      A  26.10  18.56NA  18.56    8.75  53.41 53.410090.11.76.1320212             33.2875 090 99      0.00   0.00   0.00
63082  Remove vertebral body add-on                      A   4.36   2.16NA   2.16    1.44   7.96  7.960ZZZ.00.00.0000212             33.2875 090 99      0.00   0.00   0.00
63085  Remove vert body dcmprn thrc                      A  29.47  19.43NA  19.43    9.90  58.80 58.800090.11.76.1320222             33.2875 090 99      0.00   0.00   0.00
63086  Remove vertebral body add-on                      A   3.19   1.49NA   1.49    1.05   5.73  5.730ZZZ.00.00.0000222             33.2875 090 99      0.00   0.00   0.00
63087  Remov vertbr dcmprn thrclmbr                      A  37.53  23.43NA  23.43   12.15  73.11 73.110090.11.76.1320222             33.2875 090 99      0.00   0.00   0.00
63088  Remove vertebral body add-on                      A   4.32   1.99NA   1.99    1.44   7.75  7.750ZZZ.00.00.0000222             33.2875 090 99      0.00   0.00   0.00
63090  Remove vert body dcmprn lmbr                      A  30.93  19.29NA  19.29    8.44  58.66 58.660090.11.76.1320222             33.2875 090 99      0.00   0.00   0.00
63091  Remove vertebral body add-on                      A   3.03   1.40NA   1.40    0.80   5.23  5.230ZZZ.00.00.0000222             33.2875 090 99      0.00   0.00   0.00
63101  Remove vert body dcmprn thrc                      A  34.10  24.21NA  24.21   12.20  70.51 70.510090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63102  Remove vert body dcmprn lmbr                      A  34.10  23.89NA  23.89   11.18  69.17 69.170090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63103  Remove vertebral body add-on                      A   4.82   2.39NA   2.39    1.57   8.78  8.780ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
63170  Incise spinal cord tract(s)                       A  22.21  17.25NA  17.25    9.24  48.70 48.700090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63172  Drainage of spinal cyst                           A  19.76  15.20NA  15.20    8.22  43.18 43.180090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63173  Drainage of spinal cyst                           A  24.31  18.25NA  18.25   10.15  52.71 52.710090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63185  Incise spine nrv half segmnt                      A  16.49  14.32NA  14.32    6.84  37.65 37.650090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63190  Incise spine nrv >2 segmnts                       A  18.89  14.57NA  14.57    3.90  37.36 37.360090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63191  Incise spine accessory nerve                      A  18.92  15.48NA  15.48    7.87  42.27 42.270090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
63197  Lam w/cordotomy 1stg thrc                         A  24.08  18.14NA  18.14   10.04  52.26 52.260090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63200  Release spinal cord lumbar                        A  21.44  16.74NA  16.74    8.59  46.77 46.770090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
63250  Revise spinal cord vsls crvl                      A  43.86  27.84NA  27.84   18.26  89.96 89.960090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63251  Revise spinal cord vsls thrc                      A  44.64  28.76NA  28.76   18.58  91.98 91.980090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63252  Revise spine cord vsl thrlmb                      A  44.63  28.76NA  28.76   18.58  91.97 91.970090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63265  Excise intraspinl lesion crv                      A  23.82  17.89NA  17.89    9.15  50.86 50.860090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63266  Excise intrspinl lesion thrc                      A  24.68  18.21NA  18.21    9.31  52.20 52.200090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63267  Excise intrspinl lesion lmbr                      A  19.45  15.52NA  15.52    6.77  41.74 41.740090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63268  Excise intrspinl lesion scrl                      A  20.02  16.39NA  16.39    8.33  44.74 44.740090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63270  Excise intrspinl lesion crvl                      A  29.80  21.08NA  21.08   12.42  63.30 63.300090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63271  Excise intrspinl lesion thrc                      A  29.92  20.98NA  20.98   12.21  63.11 63.110090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63272  Excise intrspinl lesion lmbr                      A  27.50  19.56NA  19.56    9.85  56.91 56.910090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63273  Excise intrspinl lesion scrl                      A  26.47  19.49NA  19.49   11.04  57.00 57.000090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
63275  Bx/exc xdrl spine lesn crvl                       A  25.86  18.98NA  18.98    9.94  54.78 54.780090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63276  Bx/exc xdrl spine lesn thrc                       A  25.69  18.84NA  18.84    9.91  54.44 54.440090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63277  Bx/exc xdrl spine lesn lmbr                       A  22.39  17.04NA  17.04    8.05  47.48 47.480090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63278  Bx/exc xdrl spine lesn scrl                       A  22.12  17.40NA  17.40    9.21  48.73 48.730090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63280  Bx/exc idrl spine lesn crvl                       A  30.29  21.77NA  21.77   12.51  64.57 64.570090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63281  Bx/exc idrl spine lesn thrc                       A  29.99  21.69NA  21.69   12.36  64.04 64.040090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63282  Bx/exc idrl spine lesn lmbr                       A  28.15  20.74NA  20.74   11.47  60.36 60.360090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63283  Bx/exc idrl spine lesn scrl                       A  26.76  20.18NA  20.18   11.16  58.10 58.100090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63285  Bx/exc idrl imed lesn cervl                       A  38.05  25.61NA  25.61   15.85  79.51 79.510090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63286  Bx/exc idrl imed lesn thrc                        A  37.62  25.27NA  25.27   15.32  78.21 78.210090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63287  Bx/exc idrl imed lesn thrlmb                      A  40.08  26.57NA  26.57   16.70  83.35 83.350090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63290  Bx/exc xdrl/idrl lsn any lvl                      A  40.82  26.93NA  26.93   17.00  84.75 84.750090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63295  Repair laminectomy defect                         A   5.25   2.53NA   2.53    2.10   9.88  9.880ZZZ.00.00.0002220             33.2875 090 99      0.00   0.00   0.00
63300  Remove vert xdrl body crvcl                       A  26.80  19.02NA  19.02    9.13  54.95 54.950090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63301  Remove vert xdrl body thrc                        A  31.57  22.49NA  22.49   13.16  67.22 67.220090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63302  Remove vert xdrl body thrlmb                      A  31.15  22.29NA  22.29   12.98  66.42 66.420090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63303  Remov vert xdrl bdy lmbr/sac                      A  33.55  22.89NA  22.89   13.98  70.42 70.420090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63304  Remove vert idrl body crvcl                       A  33.85  23.58NA  23.58   14.09  71.52 71.520090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63305  Remove vert idrl body thrc                        A  36.24  24.73NA  24.73   15.10  76.07 76.070090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63306  Remov vert idrl bdy thrclmbr                      A  35.55  24.40NA  24.40   14.80  74.75 74.750090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63307  Remov vert idrl bdy lmbr/sac                      A  34.96  23.66NA  23.66   14.56  73.18 73.180090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63308  Remove vertebral body add-on                      A   5.24   2.52NA   2.52    1.85   9.61  9.610ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
63600  Remove spinal cord lesion                         A  15.12  12.07NA  12.07    6.28  33.47 33.470090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
63610  Stimulation of spinal cord                        A   8.72   5.18NA   5.18    3.62  17.52 17.520000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
63620  Srs spinal lesion                                 A  15.60  12.33NA  12.33    6.49  34.42 34.420090.11.76.1300200             33.2875 090 99      0.00   0.00   0.00
63621  Srs spinal lesion addl                            A   4.00   1.92NA   1.92    1.66   7.58  7.580ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
63650  Implant neuroelectrodes                           A   7.15  60.33     4.45    0.82  68.30 12.420010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
63655  Implant neuroelectrodes                           A  10.92  10.86NA  10.86    3.82  25.60 25.600090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63661  Remove spine eltrd perq aray                      A   5.08  14.52     3.85    1.02  20.62  9.950010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
63662  Remove spine eltrd plate                          A  11.00  11.06NA  11.06    3.93  25.99 25.990090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63663  Revise spine eltrd perq aray                      A   7.75  18.26     4.67    1.14  27.15 13.560010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
63664  Revise spine eltrd plate                          A  11.52  11.40NA  11.40    4.13  27.05 27.050090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63685  Ins/rplc spi npg/rcvr pocket                      A   5.19   3.98NA   3.98    1.11  10.28 10.280010.10.80.1020210             33.2875 090 99      0.00   0.00   0.00
63688  Rev/rmv imp sp npg/r dtch cn                      A   4.35   3.73NA   3.73    1.01   9.09  9.090010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
63700  Repair of spinal herniation                       A  17.47  15.46NA  15.46    7.28  40.21 40.210090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63702  Repair of spinal herniation                       A  19.41  16.40NA  16.40    8.07  43.88 43.880090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63704  Repair of spinal herniation                       A  22.43  19.26NA  19.26    9.35  51.04 51.040090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63706  Repair of spinal herniation                       A  25.35  20.66NA  20.66   10.58  56.59 56.590090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63707  Repair spinal fluid leakage                       A  12.65  11.64NA  11.64    4.30  28.59 28.590090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63709  Repair spinal fluid leakage                       A  15.65  13.14NA  13.14    5.11  33.90 33.900090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63710  Graft repair of spine defect                      A  15.40  12.95NA  12.95    4.56  32.91 32.910090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63740  Install spinal shunt                              A  12.63  12.39NA  12.39    5.24  30.26 30.260090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63741  Install spinal shunt                              A   9.12   8.45NA   8.45    3.31  20.88 20.880090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63744  Revision of spinal shunt                          A   8.94   8.60NA   8.60    3.43  20.97 20.970090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
63746  Removal of spinal shunt                           A   7.33   8.44NA   8.44    3.04  18.81 18.810090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
64400  Njx aa&/strd trigeminal nrv                       A   0.75   2.46     0.59    0.21   3.42  1.550000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64405  Njx aa&/strd gr ocpl nrv                          A   0.94   1.11     0.42    0.22   2.27  1.580000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64408  Njx aa&/strd vagus nrv                            A   0.75   1.59     0.48    0.11   2.45  1.340000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
64415  Njx aa&/strd brch plxs img                        A   1.50   2.39     0.43    0.13   4.02  2.060000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64416  Njx aa&/strd brch pl nfs img                      A   1.80   0.33NA   0.33    0.15   2.28  2.280000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64417  Njx aa&/strd ax nerve img                         A   1.31   3.37     0.46    0.13   4.81  1.900000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64418  Njx aa&/strd sprscap nrv                          A   1.10   1.37     0.43    0.12   2.59  1.650000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64420  Njx aa&/strd ntrcost nrv 1                        A   1.08   1.76     0.55    0.10   2.94  1.730000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64421  Njx aa&/strd ntrcost nrv ea                       A   0.50   0.45     0.19    0.05   1.00  0.740ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
64425  Njx aa&/strd ii ih nerves                         A   1.00   2.22     0.52    0.10   3.32  1.620000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64430  Njx aa&/strd pudendal nerve                       A   1.00   1.83     0.51    0.12   2.95  1.630000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64435  Njx aa&/strd paracrv nrv                          A   0.75   1.54     0.43    0.13   2.42  1.310000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64445  Njx aa&/strd sciatic nrv img                      A   1.39   3.23     0.61    0.14   4.76  2.140000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64446  Njx aa&/strd sc nrv nfs img                       A   1.75   0.33NA   0.33    0.15   2.23  2.230000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64447  Njx aa&/strd femoral nrv img                      A   1.34   2.03     0.42    0.11   3.48  1.870000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64448  Njx aa&/strd fem nrv nfs img                      A   1.68   0.31NA   0.31    0.14   2.13  2.130000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64449  Njx aa&/strd lmbr plex nfs                        A   1.27   0.48NA   0.48    0.14   1.89  1.890000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64450  Njx aa&/strd other pn/branch                      A   0.75   1.42     0.41    0.09   2.26  1.250000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64451  Njx aa&/strd nrv nrvtg si jt                      A   1.52   5.18     0.77    0.14   6.84  2.430000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64454  Njx aa&/strd gnclr nrv brnch                      A   1.52   5.00     0.79    0.14   6.66  2.450000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64455  Njx aa&/strd pltr com dg nrv                      A   0.75   0.69     0.18    0.06   1.50  0.990000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
64461  Pvb thoracic single inj site                      A   1.75   2.11     0.40    0.16   4.02  2.310000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64462  Pvb thoracic 2nd+ inj site                        A   1.10   0.94     0.24    0.09   2.13  1.430ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
64463  Pvb thoracic cont infusion                        A   1.90   4.77     0.35    0.16   6.83  2.410000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64479  Njx aa&/strd tfrm epi c/t 1                       A   2.29   5.48     1.39    0.21   7.98  3.890000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64480  Njx aa&/strd tfrm epi c/t ea                      A   1.20   2.73     0.50    0.11   4.04  1.810ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
64483  Njx aa&/strd tfrm epi l/s 1                       A   1.90   5.32     1.24    0.18   7.40  3.320000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64484  Njx aa&/strd tfrm epi l/s ea                      A   1.00   2.24     0.43    0.10   3.34  1.530ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
64486  Tap block unil by injection                       A   1.27   1.96     0.25    0.11   3.34  1.630000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64487  Tap block uni by infusion                         A   1.48   4.79     0.27    0.12   6.39  1.870000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64488  Tap block bi injection                            A   1.60   2.39     0.30    0.13   4.12  2.030000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
64489  Tap block bi by infusion                          A   1.80   8.41     0.33    0.15  10.36  2.280000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
64490  Inj paravert f jnt c/t 1 lev                      A   1.82   3.79     1.14    0.18   5.79  3.140000.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
64491  Inj paravert f jnt c/t 2 lev                      A   1.16   1.64     0.48    0.12   2.92  1.760ZZZ.00.00.0001200             33.2875 090 99      0.00   0.00   0.00
64492  Inj paravert f jnt c/t 3 lev                      A   1.16   1.65     0.51    0.12   2.93  1.790ZZZ.00.00.0001200             33.2875 090 99      0.00   0.00   0.00
64493  Inj paravert f jnt l/s 1 lev                      A   1.52   3.66     1.03    0.15   5.33  2.700000.00.00.0021200             33.2875 090 99      0.00   0.00   0.00
64494  Inj paravert f jnt l/s 2 lev                      A   1.00   1.63     0.41    0.10   2.73  1.510ZZZ.00.00.0001200             33.2875 090 99      0.00   0.00   0.00
64495  Inj paravert f jnt l/s 3 lev                      A   1.00   1.63     0.44    0.10   2.73  1.540ZZZ.00.00.0001200             33.2875 090 99      0.00   0.00   0.00
64505  N block spenopalatine gangl                       A   1.36   2.64     1.44    0.37   4.37  3.170000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64510  N block stellate ganglion                         A   1.22   3.06     0.96    0.12   4.40  2.300000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64517  N block inj hypogas plxs                          A   2.20   3.45     1.37    0.19   5.84  3.760000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
64520  N block lumbar/thoracic                           A   1.35   5.44     1.06    0.13   6.92  2.540000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
64530  N block inj celiac pelus                          A   1.58   5.13     1.09    0.15   6.86  2.820000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
64553  Implant neuroelectrodes                           A   6.13 107.37     5.06    2.55 116.05 13.740010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
64555  Implant neuroelectrodes                           A   5.76  57.28     3.30    0.62  63.66  9.680010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64561  Implant neuroelectrodes                           A   5.44  15.82     2.88    0.74  22.00  9.060010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64566  Neuroeltrd stim post tibial                       A   0.60   2.82     0.22    0.08   3.50  0.900000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
64568  Opn impltj crnl nrv nea&pg                        A   9.00   7.31NA   7.31    1.92  18.23 18.230090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
64569  Revise/repl vagus n eltrd                         A  11.00   8.68NA   8.68    3.80  23.48 23.480090.11.76.1321011             33.2875 090 99      0.00   0.00   0.00
64570  Remove vagus n eltrd                              A   9.10   9.72NA   9.72    3.78  22.60 22.600090.11.76.1321011             33.2875 090 99      0.00   0.00   0.00
64575  Opn impltj nea perph nerve                        A   4.42   4.30NA   4.30    0.76   9.48  9.480090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
64580  Opn impltj nea neuromuscular                      A   4.19   4.26NA   4.26    1.09   9.54  9.540090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
64581  Opn impltj nea sacral nerve                       A  12.20   5.74NA   5.74    1.68  19.62 19.620090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
64582  Opn mpltj hpglsl nstm ary pg                      A  14.00   9.09NA   9.09    2.04  25.13 25.130090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
64583  Rev/rplct hpglsl nstm ary pg                      A  14.50   9.32NA   9.32    2.12  25.94 25.940090.11.76.1321011             33.2875 090 99      0.00   0.00   0.00
64584  Rmvl hpglsl nstim ary pg                          A  12.00   8.15NA   8.15    1.74  21.89 21.890090.11.76.1321011             33.2875 090 99      0.00   0.00   0.00
64585  Rev/rmv perph nstim eltrd ra                      A   2.11   4.87     1.92    0.30   7.28  4.330010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64590  Ins/rpl prph sac/gstr npg/r                       A   5.10   7.44     3.00    0.73  13.27  8.830010.10.80.1020110             33.2875 090 99      0.00   0.00   0.00
64595  Rev/rmv prph sac/gstr npg/r                       A   3.79   6.59     2.54    0.56  10.94  6.890010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64596  Ins/rplcmt prq eltrd ra pn 1                      C   0.00   0.00     0.00    0.00   0.00  0.000010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64597  Ins/rplcm prq eltrd ra pn ea                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
64598  Revj/rmvl nea pn w/int nstim                      C   0.00   0.00     0.00    0.00   0.00  0.000010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64600  Injection treatment of nerve                      A   3.49  10.08     2.85    0.81  14.38  7.150010.10.80.1022100             33.2875 090 99      0.00   0.00   0.00
64605  Injection treatment of nerve                      A   5.65  19.31     4.93    2.34  27.30 12.920010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
64610  Injection treatment of nerve                      A   7.20  13.76     5.00    2.33  23.29 14.530010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64611  Chemodenerv saliv glands                          A   1.03   2.58     2.00    0.40   4.01  3.430010.10.80.1022000             33.2875 090 99      0.00   0.00   0.00
64612  Destroy nerve face muscle                         A   1.41   2.45     1.89    0.30   4.16  3.600010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64615  Chemodenerv musc migraine                         A   1.85   2.16     1.22    0.63   4.64  3.700010.10.80.1022100             33.2875 090 99      0.00   0.00   0.00
64616  Chemodenerv musc neck dyston                      A   1.53   2.14     1.26    0.52   4.19  3.310010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64617  Chemodener muscle larynx emg                      A   1.90   2.70     1.07    0.27   4.87  3.240010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64620  Injection treatment of nerve                      A   2.89   3.09     2.09    0.34   6.32  5.320010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64624  Dstrj nulyt agt gnclr nrv                         A   2.50   8.93     1.63    0.23  11.66  4.360010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
64625  Rf abltj nrv nrvtg si jt                          A   3.39  10.48     2.13    0.32  14.19  5.840010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64628  Trml dstrj ios bvn 1st 2 l/s                      A   7.15   4.32NA   4.32    0.90  12.37 12.370010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64629  Trml dstrj ios bvn ea addl                        A   3.77   1.58NA   1.58    0.50   5.85  5.850ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
64630  Injection treatment of nerve                      A   3.05   4.16     2.19    0.50   7.71  5.740010.10.80.1020000             33.2875 090 99      0.00   0.00   0.00
64632  N block inj common digit                          A   1.23   1.40     0.68    0.10   2.73  2.010010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
64633  Destroy cerv/thor facet jnt                       A   3.32   9.51     2.10    0.32  13.15  5.740010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64634  Destroy c/th facet jnt addl                       A   1.32   6.22     0.54    0.13   7.67  1.990ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
64635  Destroy lumb/sac facet jnt                        A   3.32   9.62     2.11    0.32  13.26  5.750010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64636  Destroy l/s facet jnt addl                        A   1.16   5.93     0.47    0.11   7.20  1.740ZZZ.00.00.0001100             33.2875 090 99      0.00   0.00   0.00
64640  Injection treatment of nerve                      A   1.98   5.27     1.37    0.21   7.46  3.560010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
64642  Chemodenerv 1 extremity 1-4                       A   1.65   2.57     1.17    0.40   4.62  3.220000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
64643  Chemodenerv 1 extrem 1-4 ea                       A   1.22   1.35     0.63    0.24   2.81  2.090ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
64644  Chemodenerv 1 extrem 5/> mus                      A   1.82   3.14     1.26    0.40   5.36  3.480000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
64645  Chemodenerv 1 extrem 5/> ea                       A   1.39   1.91     0.71    0.33   3.63  2.430ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
64646  Chemodenerv trunk musc 1-5                        A   1.80   2.58     1.20    0.49   4.87  3.490000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
64647  Chemodenerv trunk musc 6/>                        A   2.11   2.85     1.32    0.59   5.55  4.020000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
64650  Chemodenerv eccrine glands                        A   0.70   1.85     0.40    0.12   2.67  1.220000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
64653  Chemodenerv eccrine glands                        A   0.88   2.07     0.48    0.19   3.14  1.550000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
64680  Injection treatment of nerve                      A   2.67   7.30     1.86    0.26  10.23  4.790010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64681  Injection treatment of nerve                      A   3.78   9.42     2.39    0.35  13.55  6.520010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
64702  Revise finger/toe nerve                           A   6.26   8.27NA   8.27    1.14  15.67 15.670090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
64704  Revise hand/foot nerve                            A   4.69   4.60NA   4.60    0.55   9.84  9.840090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64708  Revise arm/leg nerve                              A   6.36   8.08NA   8.08    1.03  15.47 15.470090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64712  Revision of sciatic nerve                         A   8.07   8.28NA   8.28    1.71  18.06 18.060090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64713  Revision of arm nerve(s)                          A  11.40  10.17NA  10.17    2.72  24.29 24.290090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64714  Revise low back nerve(s)                          A  10.55  10.20NA  10.20    2.47  23.22 23.220090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64716  Revision of cranial nerve                         A   6.99   7.32NA   7.32    1.18  15.49 15.490090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64718  Revise ulnar nerve at elbow                       A   7.26   9.67NA   9.67    1.48  18.41 18.410090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
64719  Revise ulnar nerve at wrist                       A   4.97   6.52NA   6.52    0.97  12.46 12.460090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
64721  Carpal tunnel surgery                             A   4.97   7.62     7.39    1.01  13.60 13.370090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
64722  Relieve pressure on nerve(s)                      A   4.82   5.42NA   5.42    1.06  11.30 11.300090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64726  Release foot/toe nerve                            A   4.27   3.46NA   3.46    0.40   8.13  8.130090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
64727  Internal nerve revision                           A   3.10   1.89NA   1.89    0.33   5.32  5.320ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
64732  Incision of brow nerve                            A   4.89   7.08NA   7.08    2.03  14.00 14.000090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64734  Incision of cheek nerve                           A   5.55   7.95NA   7.95    2.30  15.80 15.800090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
64736  Incision of chin nerve                            A   5.23   4.24NA   4.24    0.50   9.97  9.970090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64738  Incision of jaw nerve                             A   6.36   6.48NA   6.48    0.66  13.50 13.500090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64740  Incision of tongue nerve                          A   6.22   6.93NA   6.93    0.63  13.78 13.780090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64742  Incision of facial nerve                          A   6.85   7.45NA   7.45    0.53  14.83 14.830090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64744  Incise nerve back of head                         A   5.72   7.48NA   7.48    2.37  15.57 15.570090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
64746  Incise diaphragm nerve                            A   6.56   4.80NA   4.80    1.62  12.98 12.980090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64755  Incision of stomach nerves                        A  15.05   8.79NA   8.79    3.87  27.71 27.710090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64760  Incision of vagus nerve                           A   7.59   6.23NA   6.23    1.95  15.77 15.770090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64763  Incise hip/thigh nerve                            A   7.56   6.11NA   6.11    1.93  15.60 15.600090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64766  Incise hip/thigh nerve                            A   9.47   7.34NA   7.34    2.43  19.24 19.240090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64771  Sever cranial nerve                               A   8.15   7.81NA   7.81    1.55  17.51 17.510090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
64772  Incision of spinal nerve                          A   7.84   7.57NA   7.57    1.52  16.93 16.930090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64774  Remove skin nerve lesion                          A   5.80   6.05NA   6.05    1.16  13.01 13.010090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
64776  Remove digit nerve lesion                         A   5.60   5.77NA   5.77    0.94  12.31 12.310090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
64778  Digit nerve surgery add-on                        A   3.11   1.60NA   1.60    0.64   5.35  5.350ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
64782  Remove limb nerve lesion                          A   6.86   5.96NA   5.96    0.97  13.79 13.790090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
64783  Limb nerve surgery add-on                         A   3.71   1.91NA   1.91    0.76   6.38  6.380ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
64784  Remove nerve lesion                               A  10.62   9.19NA   9.19    2.08  21.89 21.890090.11.76.1320000             33.2875 090 99      0.00   0.00   0.00
64786  Remove sciatic nerve lesion                       A  16.25   9.82NA   9.82    4.18  30.25 30.250090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64787  Implant nerve end                                 A   4.29   1.91NA   1.91    0.74   6.94  6.940ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
64788  Remove skin nerve lesion                          A   5.24   6.13NA   6.13    1.07  12.44 12.440090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
64790  Removal of nerve lesion                           A  12.10  10.51NA  10.51    3.15  25.76 25.760090.11.76.1320010             33.2875 090 99      0.00   0.00   0.00
64792  Removal of nerve lesion                           A  15.86  12.60NA  12.60    4.07  32.53 32.530090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64795  Biopsy of nerve                                   A   3.01   1.98NA   1.98    0.87   5.86  5.860000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
64802  Sympathectomy cervical                            A  10.37  11.31NA  11.31    4.31  25.99 25.990090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64804  Remove sympathetic nerves                         A  15.91  13.97NA  13.97    6.62  36.50 36.500090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64809  Remove sympathetic nerves                         A  14.71  12.53NA  12.53    6.12  33.36 33.360090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64818  Remove sympathetic nerves                         A  11.34   9.85NA   9.85    2.33  23.52 23.520090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64820  Sympathectomy digital artery                      A  10.74  10.49NA  10.49    2.00  23.23 23.230090.11.76.1320100             33.2875 090 99      0.00   0.00   0.00
64821  Remove sympathetic nerves                         A   9.33   9.99NA   9.99    1.92  21.24 21.240090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
64822  Remove sympathetic nerves                         A   9.33   9.99NA   9.99    1.92  21.24 21.240090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
64823  Sympathectomy supfc palmar                        A  10.94  10.83NA  10.83    2.25  24.02 24.020090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
64831  Repair of digit nerve                             A   9.16  10.18NA  10.18    1.71  21.05 21.050090.11.76.1321100             33.2875 090 99      0.00   0.00   0.00
64832  Repair nerve add-on                               A   5.65   3.14NA   3.14    1.08   9.87  9.870ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
64834  Repair of hand or foot nerve                      A  10.81   9.85NA   9.85    1.85  22.51 22.510090.11.76.1321000             33.2875 090 99      0.00   0.00   0.00
64835  Repair of hand or foot nerve                      A  11.73  10.55NA  10.55    2.41  24.69 24.690090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64836  Repair of hand or foot nerve                      A  11.73  10.55NA  10.55    2.41  24.69 24.690090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64837  Repair nerve add-on                               A   6.25   3.23NA   3.23    1.29  10.77 10.770ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
64840  Repair of leg nerve                               A  14.02  12.14NA  12.14    2.88  29.04 29.040090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64856  Repair/transpose nerve                            A  15.07  12.11NA  12.11    3.12  30.30 30.300090.11.76.1320110             33.2875 090 99      0.00   0.00   0.00
64857  Repair arm/leg nerve                              A  15.82  12.67NA  12.67    3.18  31.67 31.670090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64858  Repair sciatic nerve                              A  17.82  13.83NA  13.83    3.69  35.34 35.340090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64859  Nerve surgery                                     A   4.25   2.19NA   2.19    0.88   7.32  7.320ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
64861  Repair of arm nerves                              A  20.89  16.91NA  16.91    8.69  46.49 46.490090.11.76.1321210             33.2875 090 99      0.00   0.00   0.00
64862  Repair of low back nerves                         A  21.09  15.78NA  15.78    4.35  41.22 41.220090.11.76.1321200             33.2875 090 99      0.00   0.00   0.00
64864  Repair of facial nerve                            A  13.41  10.19NA  10.19    2.19  25.79 25.790090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64865  Repair of facial nerve                            A  16.09  14.16NA  14.16    2.34  32.59 32.590090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64866  Fusion of facial/other nerve                      A  16.83  17.32NA  17.32    3.12  37.27 37.270090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64868  Fusion of facial/other nerve                      A  14.90  12.83NA  12.83    2.17  29.90 29.900090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64872  Subsequent repair of nerve                        A   1.99   1.03NA   1.03    0.40   3.42  3.420ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
64874  Repair & revise nerve add-on                      A   2.98   1.54NA   1.54    0.61   5.13  5.130ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
64876  Repair nerve/shorten bone                         A   3.37   1.74NA   1.74    0.70   5.81  5.810ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
64885  Nerve graft head/neck <4 cm                       A  17.60  12.08NA  12.08    2.57  32.25 32.250090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64886  Nerve graft head/neck >4 cm                       A  20.82  14.57NA  14.57    3.21  38.60 38.600090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64890  Nrv grf 1strnd hnd/foot <4cm                      A  16.24  12.87NA  12.87    3.36  32.47 32.470090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
64891  Nrv grf 1strnd hnd/foot >4cm                      A  17.35  13.58NA  13.58    3.59  34.52 34.520090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
64892  Nrv grf 1strnd arm/leg <4cm                       A  15.74  12.61NA  12.61    3.26  31.61 31.610090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64893  Nrv grf 1strnd arm/leg >4 cm                      A  16.87  13.33NA  13.33    3.49  33.69 33.690090.11.76.1320200             33.2875 090 99      0.00   0.00   0.00
64895  Nrv grf mltst hnd/foot <4 cm                      A  20.39  15.15NA  15.15    4.20  39.74 39.740090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64896  Nrv grf mltst hnd/foot >4 cm                      A  21.96  16.37NA  16.37    4.54  42.87 42.870090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64897  Nrv grf mltst arm/leg <4 cm                       A  19.38  14.63NA  14.63    4.00  38.01 38.010090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64898  Nrv grf mltst arm/leg >4 cm                       A  20.97  15.86NA  15.86    4.33  41.16 41.160090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64901  Nerve graft add-on                                A  10.20   5.27NA   5.27    2.11  17.58 17.580ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
64902  Nerve graft add-on                                A  11.81   6.10NA   6.10    2.43  20.34 20.340ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
64905  Nerve pedicle transfer                            A  15.11  12.04NA  12.04    2.96  30.11 30.110090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64907  Nerve pedicle transfer                            A  20.03  14.84NA  14.84    4.13  39.00 39.000090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64910  Nerve repair w/allograft                          A  10.52  10.64NA  10.64    1.82  22.98 22.980090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64911  Neurorraphy w/vein autograft                      A  14.00  13.96NA  13.96    2.87  30.83 30.830090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64912  Nrv rpr w/nrv algrft 1st                          A  12.00  12.64NA  12.64    2.32  26.96 26.960090.11.76.1320210             33.2875 090 99      0.00   0.00   0.00
64913  Nrv rpr w/nrv algrft ea addl                      A   3.00   1.59NA   1.59    0.53   5.12  5.120ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
64999  Unlisted px nervous system                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
65091  Revise eye                                        A   7.26  14.41NA  14.41    0.56  22.23 22.230090.10.70.2021010             33.2875 090 99      0.00   0.00   0.00
65093  Revise eye with implant                           A   7.04  14.45NA  14.45    0.56  22.05 22.050090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65101  Removal of eye                                    A   8.30  16.49NA  16.49    0.66  25.45 25.450090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65103  Remove eye/insert implant                         A   8.84  16.72NA  16.72    0.71  26.27 26.270090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65105  Remove eye/attach implant                         A   9.93  17.85NA  17.85    0.78  28.56 28.560090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65110  Removal of eye                                    A  15.70  22.44NA  22.44    1.23  39.37 39.370090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65112  Remove eye/revise socket                          A  18.51  25.12NA  25.12    1.46  45.09 45.090090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65114  Remove eye/revise socket                          A  19.65  25.85NA  25.85    1.54  47.04 47.040090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65125  Revise ocular implant                             A   3.27  10.09     5.27    0.25  13.61  8.790090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65130  Insert ocular implant                             A   8.42  16.45NA  16.45    0.67  25.54 25.540090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65135  Insert ocular implant                             A   8.60  16.57NA  16.57    0.68  25.85 25.850090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65140  Attach ocular implant                             A   9.46  17.56NA  17.56    0.74  27.76 27.760090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65150  Revise ocular implant                             A   6.43  14.06NA  14.06    0.50  20.99 20.990090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
65155  Reinsert ocular implant                           A  10.10  17.97NA  17.97    0.79  28.86 28.860090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65175  Removal of ocular implant                         A   7.40  15.35NA  15.35    0.57  23.32 23.320090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65205  Remove foreign body from eye                      A   0.49   0.33     0.34    0.03   0.85  0.860000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
65210  Remove foreign body from eye                      A   0.61   0.50     0.42    0.03   1.14  1.060000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
65220  Remove foreign body from eye                      A   0.71   1.02     0.43    0.09   1.82  1.230000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
65222  Remove foreign body from eye                      A   0.84   1.14     0.60    0.05   2.03  1.490000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
65235  Remove foreign body from eye                      A   9.01  12.08NA  12.08    0.72  21.81 21.810090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
65260  Remove foreign body from eye                      A  12.54  15.64NA  15.64    0.99  29.17 29.170090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
65265  Remove foreign body from eye                      A  14.34  17.35NA  17.35    1.14  32.83 32.830090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65270  Repair of eye wound                               A   1.95   6.40     2.07    0.15   8.50  4.170010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
65272  Repair of eye wound                               A   4.62  10.80     5.51    0.36  15.78 10.490090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65273  Repair of eye wound                               A   5.16   5.71NA   5.71    0.40  11.27 11.270090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65275  Repair of eye wound                               A   6.29  10.82     6.89    0.49  17.60 13.670090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
65280  Repair of eye wound                               A   9.10  10.08NA  10.08    0.72  19.90 19.900090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
65285  Repair of eye wound                               A  15.36  16.20NA  16.20    1.22  32.78 32.780090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65286  Repair of eye wound                               A   6.63  13.67     7.56    0.52  20.82 14.710090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65290  Repair of eye socket wound                        A   6.53   7.51NA   7.51    0.51  14.55 14.550090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65400  Removal of eye lesion                             A   7.50  12.61     9.85    0.59  20.70 17.940090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65410  Biopsy of cornea                                  A   1.47   2.69     1.45    0.12   4.28  3.040000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
65420  Removal of eye lesion                             A   4.36  11.42     6.65    0.34  16.12 11.350090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65426  Removal of eye lesion                             A   6.05  13.48     7.72    0.47  20.00 14.240090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65430  Corneal smear                                     A   1.47   1.85     1.42    0.11   3.43  3.000000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
65435  Curette/treat cornea                              A   0.92   1.47     1.08    0.07   2.46  2.070000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
65436  Curette/treat cornea                              A   4.82   6.37     5.80    0.38  11.57 11.000090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65450  Treatment of corneal lesion                       A   3.47   6.14     5.93    0.26   9.87  9.660090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65600  Revision of cornea                                A   4.20   8.56     5.64    0.32  13.08 10.160090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65710  Corneal transplant                                A  14.45  18.28NA  18.28    1.12  33.85 33.850090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65730  Corneal transplant                                A  16.35  19.56NA  19.56    1.28  37.19 37.190090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65750  Corneal transplant                                A  16.90  19.19NA  19.19    1.31  37.40 37.400090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65755  Corneal transplant                                A  16.79  19.18NA  19.18    1.32  37.29 37.290090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65756  Corneal trnspl endothelial                        A  16.84  16.85NA  16.85    1.32  35.01 35.010090.10.70.2021210             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
65770  Revise cornea with implant                        A  19.74  20.43NA  20.43    1.55  41.72 41.720090.10.70.2021200             33.2875 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             33.2875 090 99      0.00   0.00   0.00
65772  Correction of astigmatism                         A   5.09   8.14     6.58    0.40  13.63 12.070090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65775  Correction of astigmatism                         A   6.91   9.65NA   9.65    0.54  17.10 17.100090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65778  Cover eye w/membrane                              A   0.84  31.76     0.42    0.04  32.64  1.300000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
65779  Cover eye w/membrane suture                       A   1.75  32.78     1.60    0.14  34.67  3.490000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
65780  Ocular reconst transplant                         A   7.03  10.04NA  10.04    0.54  17.61 17.610090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65781  Ocular reconst transplant                         A  18.14  19.76NA  19.76    1.43  39.33 39.330090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
65782  Ocular reconst transplant                         A  15.43  17.33NA  17.33    1.22  33.98 33.980090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65785  Impltj ntrstrml crnl rng seg                      A   5.39  57.74     7.40    0.42  63.55 13.210090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65800  Drainage of eye                                   A   1.53   1.91     0.98    0.12   3.56  2.630000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
65810  Drainage of eye                                   A   5.82   7.55NA   7.55    0.45  13.82 13.820090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65815  Drainage of eye                                   A   6.00  12.71     7.72    0.46  19.17 14.180090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65820  Relieve inner eye pressure                        A   8.91  14.93NA  14.93    0.70  24.54 24.540090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
65850  Incision of eye                                   A  11.39  12.75NA  12.75    0.90  25.04 25.040090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65855  Trabeculoplasty laser surg                        A   3.00   4.07     2.85    0.24   7.31  6.090010.10.80.1021111             33.2875 090 99      0.00   0.00   0.00
65860  Incise inner eye adhesions                        A   3.59   5.30     3.50    0.29   9.18  7.380090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
65865  Incise inner eye adhesions                        A   5.77   8.03NA   8.03    0.45  14.25 14.250090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65870  Incise inner eye adhesions                        A   7.39   9.73NA   9.73    0.57  17.69 17.690090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65875  Incise inner eye adhesions                        A   7.81  10.47NA  10.47    0.61  18.89 18.890090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65880  Incise inner eye adhesions                        A   8.36  10.82NA  10.82    0.66  19.84 19.840090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
65900  Remove eye lesion                                 A  12.51  15.96NA  15.96    0.99  29.46 29.460090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
65920  Remove implant of eye                             A   9.99  12.78NA  12.78    0.78  23.55 23.550090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
65930  Remove blood clot from eye                        A   8.39  10.04NA  10.04    0.66  19.09 19.090090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
66020  Injection treatment of eye                        A   1.64   4.13     2.14    0.13   5.90  3.910010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
66030  Injection treatment of eye                        A   1.30   3.92     1.92    0.10   5.32  3.320010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
66130  Remove eye lesion                                 A   7.83  12.58     8.32    0.61  21.02 16.760090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
66150  Glaucoma surgery                                  A  10.53  14.78NA  14.78    0.82  26.13 26.130090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
66155  Glaucoma surgery                                  A  10.52  14.78NA  14.78    0.82  26.12 26.120090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66160  Glaucoma surgery                                  A  12.39  15.97NA  15.97    0.98  29.34 29.340090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
66170  Glaucoma surgery                                  A  13.94  17.49NA  17.49    1.11  32.54 32.540090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
66172  Incision of eye                                   A  14.84  19.52NA  19.52    1.18  35.54 35.540090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
66174  Trluml dil aq o/f can w/o st                      A   7.62  10.36NA  10.36    0.59  18.57 18.570090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
66175  Trluml dil aq o/f can w/st                        A   9.34  11.48NA  11.48    0.74  21.56 21.560090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
66179  Aqueous shunt eye w/o graft                       A  14.00  17.01NA  17.01    1.12  32.13 32.130090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
66180  Aqueous shunt eye w/graft                         A  15.00  17.65NA  17.65    1.19  33.84 33.840090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
66183  Insert ant drainage device                        A  13.20  16.37NA  16.37    1.05  30.62 30.620090.10.80.1021200             33.2875 090 99      0.00   0.00   0.00
66184  Revision of aqueous shunt                         A   9.58  13.25NA  13.25    0.75  23.58 23.580090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
66185  Revise aqueous shunt eye                          A  10.58  13.90NA  13.90    0.83  25.31 25.310090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
66225  Repair/graft eye lesion                           A  12.63  14.15NA  14.15    1.01  27.79 27.790090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
66250  Follow-up surgery of eye                          A   7.10  14.77     8.89    0.56  22.43 16.550090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66500  Incision of iris                                  A   3.83   7.66NA   7.66    0.30  11.79 11.790090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
66505  Incision of iris                                  A   4.22   8.27NA   8.27    0.33  12.82 12.820090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66600  Remove iris and lesion                            A  10.12  16.05NA  16.05    0.79  26.96 26.960090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66605  Removal of iris                                   A  14.22  17.00NA  17.00    1.13  32.35 32.350090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66625  Removal of iris                                   A   5.30   7.06NA   7.06    0.41  12.77 12.770090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66630  Removal of iris                                   A   7.28   9.02NA   9.02    0.57  16.87 16.870090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66635  Removal of iris                                   A   7.37   9.08NA   9.08    0.57  17.02 17.020090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66680  Repair iris & ciliary body                        A   6.39   8.64NA   8.64    0.49  15.52 15.520090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
66682  Repair iris & ciliary body                        A   7.33  13.34NA  13.34    0.57  21.24 21.240090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66700  Destruction ciliary body                          A   5.14   7.98     6.11    0.40  13.52 11.650090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
66710  Ciliary transsleral therapy                       A   5.14   7.67     6.10    0.40  13.21 11.640090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66711  Ecp ciliary body destruction                      A   5.62   9.05NA   9.05    0.43  15.10 15.100090.10.70.2031100       66710 33.2875 090 99      0.00   0.00   0.00
66720  Destruction ciliary body                          A   4.75   8.88     7.14    0.38  14.01 12.270090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66740  Destruction ciliary body                          A   5.14   7.59     6.11    0.40  13.13 11.650090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66761  Revision of iris                                  A   3.00   5.69     3.79    0.24   8.93  7.030010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
66762  Revision of iris                                  A   5.38   8.46     6.84    0.41  14.25 12.630090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66770  Removal of inner eye lesion                       A   6.13   9.21     7.72    0.47  15.81 14.320090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66820  Incision secondary cataract                       A   4.01   9.69NA   9.69    0.31  14.01 14.010090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66821  After cataract laser surgery                      A   3.42   6.31     5.62    0.25   9.98  9.290090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66825  Reposition intraocular lens                       A   9.01  15.10NA  15.10    0.71  24.82 24.820090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
66830  Removal of lens lesion                            A   9.47  10.87NA  10.87    0.74  21.08 21.080090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66840  Removal of lens material                          A   9.18  10.68NA  10.68    0.72  20.58 20.580090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66850  Removal of lens material                          A  10.55  12.03NA  12.03    0.82  23.40 23.400090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66852  Removal of lens material                          A  11.41  12.58NA  12.58    0.90  24.89 24.890090.10.70.2021010             33.2875 090 99      0.00   0.00   0.00
66920  Extraction of lens                                A  10.13  11.30NA  11.30    0.79  22.22 22.220090.10.70.2021010             33.2875 090 99      0.00   0.00   0.00
66930  Extraction of lens                                A  11.61  12.91NA  12.91    0.92  25.44 25.440090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
66940  Extraction of lens                                A  10.37  12.12NA  12.12    0.81  23.30 23.300090.10.70.2021010             33.2875 090 99      0.00   0.00   0.00
66982  Xcapsl ctrc rmvl cplx wo ecp                      A  10.25  11.07NA  11.07    0.79  22.11 22.110090.10.70.2021100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
66984  Xcapsl ctrc rmvl w/o ecp                          A   7.35   8.24NA   8.24    0.55  16.14 16.140090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66985  Insert lens prosthesis                            A   9.98  12.10NA  12.10    0.77  22.85 22.850090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
66986  Exchange lens prosthesis                          A  12.26  13.55NA  13.55    0.96  26.77 26.770090.10.70.2021110             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
66989  Xcpsl ctrc rmvl cplx insj 1+                      A  12.13  12.29NA  12.29    0.95  25.37 25.370090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66990  Ophthalmic endoscope add-on                       A   1.51   0.97NA   0.97    0.12   2.60  2.600ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
66991  Xcapsl ctrc rmvl insj 1+                          A   9.23  10.35NA  10.35    0.70  20.28 20.280090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
66999  Unlisted px ant segment eye                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
67005  Partial removal of eye fluid                      A   5.89   7.87NA   7.87    0.45  14.21 14.210090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67010  Partial removal of eye fluid                      A   7.06   8.63NA   8.63    0.55  16.24 16.240090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67015  Release of eye fluid                              A   7.14  10.31NA  10.31    0.55  18.00 18.000090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67025  Replace eye fluid                                 A   8.11  13.34    10.00    0.63  22.08 18.740090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67027  Implant eye drug system                           A  11.62  12.59NA  12.59    0.92  25.13 25.130090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67028  Injection eye drug                                A   1.44   1.82     1.16    0.11   3.37  2.710000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
67030  Incise inner eye strands                          A   6.11  10.05NA  10.05    0.47  16.63 16.630090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67031  Laser surgery eye strands                         A   4.47   6.77     5.70    0.34  11.58 10.510090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67036  Removal of inner eye fluid                        A  12.13  13.50NA  13.50    0.96  26.59 26.590090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67039  Laser treatment of retina                         A  13.20  14.19NA  14.19    1.05  28.44 28.440090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67040  Laser treatment of retina                         A  14.50  15.02NA  15.02    1.16  30.68 30.680090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67041  Vit for macular pucker                            A  16.33  16.20NA  16.20    1.28  33.81 33.810090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67042  Vit for macular hole                              A  16.33  16.20NA  16.20    1.28  33.81 33.810090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67043  Vit for membrane dissect                          A  17.40  16.89NA  16.89    1.36  35.65 35.650090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67101  Repair detached retina crtx                       A   3.50   6.23     4.70    0.27  10.00  8.470010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67105  Repair detached retina pc                         A   3.39   5.19     4.52    0.26   8.84  8.170010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67107  Repair detached retina                            A  16.00  15.99NA  15.99    1.25  33.24 33.240090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67108  Repair detached retina                            A  17.13  16.71NA  16.71    1.34  35.18 35.180090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67110  Repair detached retina                            A  10.25  15.46    13.12    0.80  26.51 24.170090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67113  Repair retinal detach cplx                        A  19.00  18.83NA  18.83    1.50  39.33 39.330090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67115  Release encircling material                       A   6.11   8.27NA   8.27    0.47  14.85 14.850090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67120  Remove eye implant material                       A   7.10  12.34     8.85    0.55  19.99 16.500090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67121  Remove eye implant material                       A  12.25  13.58NA  13.58    0.97  26.80 26.800090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67141  Proph rta dtchmnt crtx dthrm                      A   2.53   5.33     3.72    0.20   8.06  6.450010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67145  Proph rta dtchmnt pc                              A   2.53   4.53     3.72    0.20   7.26  6.450010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67208  Treatment of retinal lesion                       A   7.65   9.68     8.89    0.59  17.92 17.130090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67210  Treatment of retinal lesion                       A   6.36   8.48     7.95    0.50  15.34 14.810090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67218  Treatment of retinal lesion                       A  20.36  19.18NA  19.18    1.60  41.14 41.140090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67220  Treatment of choroid lesion                       A   6.36   8.94     7.96    0.49  15.79 14.810090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67221  Ocular photodynamic ther                          R   3.45   4.37     2.43    0.26   8.08  6.140000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
67225  Eye photodynamic ther add-on                      A   0.47   0.35     0.30    0.04   0.86  0.810ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
67227  Dstrj extensive retinopathy                       A   3.50   5.03     3.78    0.27   8.80  7.550010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67228  Treatment x10sv retinopathy                       A   4.39   5.37     4.24    0.35  10.11  8.980010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67229  Tr retinal les preterm inf                        A  16.30  16.70NA  16.70    1.28  34.28 34.280090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67250  Reinforce eye wall                                A   9.61  16.62NA  16.62    0.75  26.98 26.980090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67255  Reinforce/graft eye wall                          A   8.38  11.47NA  11.47    0.66  20.51 20.510090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67299  Unlisted px posterior segmnt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
67311  Revise eye muscle                                 A   5.93   7.16NA   7.16    0.46  13.55 13.550090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67312  Revise two eye muscles                            A   9.50   9.47NA   9.47    0.74  19.71 19.710090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67314  Revise eye muscle                                 A   5.93   7.16NA   7.16    0.46  13.55 13.550090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67316  Revise two eye muscles                            A  10.31  10.02NA  10.02    0.80  21.13 21.130090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
67318  Revise eye muscle(s)                              A   9.80   9.88NA   9.88    0.76  20.44 20.440090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67320  Revise eye muscle(s) add-on                       A   3.00   1.91NA   1.91    0.24   5.15  5.150ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
67331  Eye surgery follow-up add-on                      A   2.00   2.45NA   2.45    0.16   4.61  4.610ZZZ.00.00.0001110             33.2875 090 99      0.00   0.00   0.00
67332  Rerevise eye muscles add-on                       A   3.50   2.22NA   2.22    0.27   5.99  5.990ZZZ.00.00.0001110             33.2875 090 99      0.00   0.00   0.00
67334  Revise eye muscle w/suture                        A   2.06   2.32NA   2.32    0.16   4.54  4.540ZZZ.00.00.0001110             33.2875 090 99      0.00   0.00   0.00
67335  Eye suture during surgery                         A   3.23   2.03NA   2.03    0.24   5.50  5.500ZZZ.00.00.0001110             33.2875 090 99      0.00   0.00   0.00
67340  Revise eye muscle add-on                          A   5.00   3.21NA   3.21    0.39   8.60  8.600ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
67343  Release eye tissue                                A   8.47  10.87NA  10.87    0.70  20.04 20.040090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67345  Destroy nerve of eye muscle                       A   3.01   3.81     2.99    0.44   7.26  6.440010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67346  Biopsy eye muscle                                 A   2.87   2.60NA   2.60    0.23   5.70  5.700000.00.00.0021000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
67400  Explore/biopsy eye socket                         A  11.20  18.83NA  18.83    0.91  30.94 30.940090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67405  Explore/drain eye socket                          A   9.20  17.12NA  17.12    0.73  27.05 27.050090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67412  Explore/treat eye socket                          A  10.30  18.36NA  18.36    0.86  29.52 29.520090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67413  Explore/treat eye socket                          A  10.24  17.69NA  17.69    0.83  28.76 28.760090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
67414  Explr/decompress eye socket                       A  17.94  23.63NA  23.63    1.72  43.29 43.290090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67415  Aspiration orbital contents                       A   1.76   1.13NA   1.13    0.14   3.03  3.030000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
67420  Explore/treat eye socket                          A  21.87  27.74NA  27.74    2.10  51.71 51.710090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67430  Explore/treat eye socket                          A  15.29  24.84NA  24.84    1.21  41.34 41.340090.10.70.2021200             33.2875 090 99      0.00   0.00   0.00
67440  Explore/drain eye socket                          A  14.84  24.08NA  24.08    1.18  40.10 40.100090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67445  Explr/decompress eye socket                       A  19.12  24.71NA  24.71    1.67  45.50 45.500090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67450  Explore/biopsy eye socket                         A  15.41  24.91NA  24.91    1.22  41.54 41.540090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67500  Inject/treat eye socket                           A   1.18   1.03     0.63    0.10   2.31  1.910000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
67505  Inject/treat eye socket                           A   1.18   1.29     0.86    0.09   2.56  2.130000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
67515  Inject/treat eye socket                           A   0.75   0.72     0.58    0.06   1.53  1.390000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
67516  Sprchoroidal spc njx rx agt                       A   1.53   1.93     1.22    0.12   3.58  2.870000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
67550  Insert eye socket implant                         A  11.77  19.62NA  19.62    0.97  32.36 32.360090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67560  Revise eye socket implant                         A  12.18  19.87NA  19.87    1.04  33.09 33.090090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
67570  Decompress optic nerve                            A  14.40  22.40NA  22.40    1.15  37.95 37.950090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67599  Unlisted procedure orbit                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             33.2875 090 99      0.00   0.00   0.00
67700  Drainage of eyelid abscess                        A   1.40   6.97     1.96    0.11   8.48  3.470010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67710  Incision of eyelid                                A   1.07   6.09     1.77    0.09   7.25  2.930010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67715  Incision of eyelid fold                           A   1.27   6.37     1.78    0.16   7.80  3.210010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67800  Remove eyelid lesion                              A   1.41   2.34     1.52    0.11   3.86  3.040010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
67801  Remove eyelid lesions                             A   1.91   2.82     1.84    0.15   4.88  3.900010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
67805  Remove eyelid lesions                             A   2.27   3.65     2.40    0.18   6.10  4.850010.10.80.1020100             33.2875 090 99      0.00   0.00   0.00
67808  Remove eyelid lesion(s)                           A   4.60   5.98NA   5.98    0.38  10.96 10.960090.10.70.2020100             33.2875 090 99      0.00   0.00   0.00
67810  Biopsy eyelid & lid margin                        A   1.18   4.21     0.72    0.11   5.50  2.010000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
67820  Revise eyelashes                                  A   0.32   0.22     0.32    0.02   0.56  0.660000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
67825  Revise eyelashes                                  A   1.43   2.49     2.10    0.11   4.03  3.640010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67830  Revise eyelashes                                  A   1.75   6.17     2.20    0.14   8.06  4.090010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67835  Revise eyelashes                                  A   5.70   6.98NA   6.98    0.44  13.12 13.120090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
67840  Remove eyelid lesion                              A   2.09   6.11     2.41    0.17   8.37  4.670010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67850  Dstrj lesion lid margin <1cm                      A   1.74   4.57     2.01    0.16   6.47  3.910010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67875  Closure of eyelid by suture                       A   1.35   3.97     1.37    0.12   5.44  2.840000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
67880  Revision of eyelid                                A   4.60   9.01     5.98    0.38  13.99 10.960090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67882  Revision of eyelid                                A   6.02  10.58     7.50    0.48  17.08 14.000090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67900  Repair brow defect                                A   6.82  12.03     7.58    0.62  19.47 15.020090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67901  Repair eyelid defect                              A   7.59  15.53     9.30    0.63  23.75 17.520090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67902  Repair eyelid defect                              A   9.82  10.95NA  10.95    0.77  21.54 21.540090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67903  Repair eyelid defect                              A   6.51  11.00     7.23    0.52  18.03 14.260090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67904  Repair eyelid defect                              A   7.97  13.47     9.04    0.68  22.12 17.690090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67906  Repair eyelid defect                              A   6.93   7.51NA   7.51    0.54  14.98 14.980090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67908  Repair eyelid defect                              A   5.30  10.49     7.15    0.41  16.20 12.860090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67909  Revise eyelid defect                              A   5.57  10.37     6.98    0.46  16.40 13.010090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67911  Revise eyelid defect                              A   7.50   8.50NA   8.50    0.62  16.62 16.620090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67912  Correction eyelid w/implant                       A   6.36  19.82     7.41    0.69  26.87 14.460090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67914  Repair eyelid defect                              A   3.75  10.54     5.74    0.34  14.63  9.830090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67915  Repair eyelid defect                              A   2.03   7.28     3.79    0.16   9.47  5.980090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67916  Repair eyelid defect                              A   5.48  12.29     6.85    0.45  18.22 12.780090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67917  Repair eyelid defect                              A   5.93  12.22     7.14    0.49  18.64 13.560090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67921  Repair eyelid defect                              A   3.47  10.56     5.59    0.27  14.30  9.330090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67922  Repair eyelid defect                              A   2.03   7.01     3.79    0.16   9.20  5.980090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67923  Repair eyelid defect                              A   5.48  12.31     6.87    0.44  18.23 12.790090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67924  Repair eyelid defect                              A   5.93  12.99     7.15    0.48  19.40 13.560090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67930  Repair eyelid wound                               A   3.65   7.13     3.02    0.32  11.10  6.990010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67935  Repair eyelid wound                               A   6.36  10.98     6.06    0.58  17.92 13.000090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67938  Remove eyelid foreign body                        A   1.38   6.61     2.04    0.09   8.08  3.510010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
67950  Revision of eyelid                                A   5.99  10.98     7.23    0.52  17.49 13.740090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67961  Revision of eyelid                                A   5.86  11.26     7.16    0.48  17.60 13.500090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
67966  Revision of eyelid                                A   8.97  13.49     9.68    0.75  23.21 19.400090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67971  Reconstruction of eyelid                          A  10.01  10.48NA  10.48    0.82  21.31 21.310090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
67973  Reconstruction of eyelid                          A  13.13  13.17NA  13.17    1.11  27.41 27.410090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67974  Reconstruction of eyelid                          A  13.10  13.18NA  13.18    1.06  27.34 27.340090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
67975  Reconstruction of eyelid                          A   9.35  10.06NA  10.06    0.78  20.19 20.190090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
67999  Unlisted procedure eyelids                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
68020  Incise/drain eyelid lining                        A   1.42   2.11     1.76    0.10   3.63  3.280010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68040  Treatment of eyelid lesions                       A   0.85   0.97     0.52    0.04   1.86  1.410000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
68100  Biopsy of eyelid lining                           A   1.35   3.91     1.37    0.11   5.37  2.830000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
68110  Remove eyelid lining lesion                       A   1.82   5.11     2.46    0.14   7.07  4.420010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68115  Remove eyelid lining lesion                       A   2.41   7.33     2.84    0.19   9.93  5.440010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68130  Remove eyelid lining lesion                       A   5.10  11.02     6.80    0.40  16.52 12.300090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
68135  Remove eyelid lining lesion                       A   1.89   2.67     2.41    0.15   4.71  4.450010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68200  Treat eyelid by injection                         A   0.49   0.71     0.48    0.04   1.24  1.010000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
68320  Revise/graft eyelid lining                        A   6.64  15.04     8.90    0.53  22.21 16.070090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
68325  Revise/graft eyelid lining                        A   8.63  10.17NA  10.17    0.68  19.48 19.480090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
68326  Revise/graft eyelid lining                        A   8.42  10.03NA  10.03    0.69  19.14 19.140090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
68328  Revise/graft eyelid lining                        A   9.45  10.70NA  10.70    0.74  20.89 20.890090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
68330  Revise eyelid lining                              A   5.78  12.39     7.46    0.45  18.62 13.690090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
68335  Revise/graft eyelid lining                        A   8.46  10.05NA  10.05    0.68  19.19 19.190090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
68340  Separate eyelid adhesions                         A   4.97  12.59     6.41    0.46  18.02 11.840090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
68360  Revise eyelid lining                              A   5.17  10.65     6.64    0.40  16.22 12.210090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
68362  Revise eyelid lining                              A   8.61  10.16NA  10.16    0.68  19.45 19.450090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
68371  Harvest eye tissue alograft                       A   5.09   6.78NA   6.78    0.40  12.27 12.270010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68399  Unlisted px conjunctiva                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
68400  Incise/drain tear gland                           A   1.74   7.00     2.03    0.14   8.88  3.910010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68420  Incise/drain tear sac                             A   2.35   7.36     2.40    0.20   9.91  4.950010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68440  Incise tear duct opening                          A   0.99   2.07     1.93    0.08   3.14  3.000010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68500  Removal of tear gland                             A  12.77  17.86NA  17.86    1.02  31.65 31.650090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
68505  Partial removal tear gland                        A  12.69  17.81NA  17.81    1.01  31.51 31.510090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
68510  Biopsy of tear gland                              A   4.60   8.49     3.52    0.36  13.45  8.480000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
68520  Removal of tear sac                               A   8.78  12.52NA  12.52    0.71  22.01 22.010090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
68525  Biopsy of tear sac                                A   4.42   2.78NA   2.78    0.40   7.60  7.600000.00.00.0021110             33.2875 090 99      0.00   0.00   0.00
68530  Clearance of tear duct                            A   3.70   8.96     3.53    0.30  12.96  7.530010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68540  Remove tear gland lesion                          A  12.18  16.15NA  16.15    0.96  29.29 29.290090.10.70.2021110             33.2875 090 99      0.00   0.00   0.00
68550  Remove tear gland lesion                          A  15.16  20.09NA  20.09    1.21  36.46 36.460090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
68700  Repair tear ducts                                 A   7.87   9.41NA   9.41    0.62  17.90 17.900090.10.70.2021100             33.2875 090 99      0.00   0.00   0.00
68705  Revise tear duct opening                          A   2.11   5.53     2.65    0.17   7.81  4.930010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68720  Create tear sac drain                             A   9.96  13.36NA  13.36    0.82  24.14 24.140090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
68745  Create tear duct drain                            A   9.90  13.60NA  13.60    0.77  24.27 24.270090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
68750  Create tear duct drain                            A  10.10  14.69NA  14.69    0.86  25.65 25.650090.10.70.2021210             33.2875 090 99      0.00   0.00   0.00
68760  Close tear duct opening                           A   1.78   4.64     2.43    0.14   6.56  4.350010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68761  Close tear duct opening                           A   1.41   2.87     2.00    0.08   4.36  3.490010.10.80.1021000             33.2875 090 99      0.00   0.00   0.00
68770  Close tear system fistula                         A   8.29   9.68NA   9.68    0.64  18.61 18.610090.10.70.2021000             33.2875 090 99      0.00   0.00   0.00
68801  Dilate tear duct opening                          A   0.82   2.02     1.51    0.05   2.89  2.380010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68810  Probe nasolacrimal duct                           A   1.54   3.16     2.15    0.12   4.82  3.810010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68811  Probe nasolacrimal duct                           A   1.74   2.13NA   2.13    0.15   4.02  4.020010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68815  Probe nasolacrimal duct                           A   2.70   8.29     3.70    0.22  11.21  6.620010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68816  Probe nl duct w/balloon                           A   2.10  23.03     2.40    0.17  25.30  4.670010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68840  Explore/irrigate tear ducts                       A   1.30   2.59     2.10    0.10   3.99  3.500010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
68841  Insj rx elut implt lac canal                      A   0.49   0.61     0.43    0.04   1.14  0.960000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
68850  Injection for tear sac x-ray                      A   0.80   0.87     0.66    0.07   1.74  1.530000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
68899  Unlisted px lacrimal system                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
69000  Drain external ear lesion                         A   1.50   3.89     2.07    0.23   5.62  3.800010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69005  Drain external ear lesion                         A   2.16   4.14     2.40    0.33   6.63  4.890010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69020  Drain outer ear canal lesion                      A   1.53   5.26     2.61    0.22   7.01  4.360010.10.80.1021100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
69100  Biopsy of external ear                            A   0.81   1.97     0.48    0.09   2.87  1.380000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
69105  Biopsy of external ear canal                      A   0.85   3.38     0.95    0.12   4.35  1.920000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
69110  Remove external ear partial                       A   3.53  10.12     5.86    0.52  14.17  9.910090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69120  Removal of external ear                           A   4.14   6.99NA   6.99    0.58  11.71 11.710090.07.79.1420100             33.2875 090 99      0.00   0.00   0.00
69140  Remove ear canal lesion(s)                        A   8.14  17.86NA  17.86    1.21  27.21 27.210090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69145  Remove ear canal lesion(s)                        A   2.70   9.31     4.71    0.40  12.41  7.810090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69150  Extensive ear canal surgery                       A  13.61  14.65NA  14.65    2.06  30.32 30.320090.07.79.1420110             33.2875 090 99      0.00   0.00   0.00
69155  Extensive ear/neck surgery                        A  23.35  22.23NA  22.23    3.41  48.99 48.990090.07.79.1420210             33.2875 090 99      0.00   0.00   0.00
69200  Clear outer ear canal                             A   0.77   1.54     0.54    0.11   2.42  1.420000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
69205  Clear outer ear canal                             A   1.21   1.50NA   1.50    0.17   2.88  2.880010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69209  Remove impacted ear wax uni                       A   0.00   0.47     0.47NA  0.01   0.48  0.485000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
69210  Remove impacted ear wax uni                       A   0.61   0.75     0.28    0.08   1.44  0.970000.00.00.0022100             33.2875 090 99      0.00   0.00   0.00
69220  Clean out mastoid cavity                          A   0.83   1.41     0.59    0.12   2.36  1.540000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
69222  Clean out mastoid cavity                          A   1.45   4.87     2.48    0.21   6.53  4.140010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69300  Revise external ear                               R   6.44  12.28     6.84    0.94  19.66 14.220YYY.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
69310  Rebuild outer ear canal                           A  10.97  21.00NA  21.00    1.67  33.64 33.640090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69320  Rebuild outer ear canal                           A  17.18  27.25NA  27.25    2.50  46.93 46.930090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69399  Unlisted px external ear                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             33.2875 090 99      0.00   0.00   0.00
69420  Incision of eardrum                               A   1.38   4.19     2.08    0.20   5.77  3.660010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69421  Incision of eardrum                               A   1.78   2.56NA   2.56    0.25   4.59  4.590010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69424  Remove ventilating tube                           A   0.85   2.89     0.87    0.10   3.84  1.820000.00.00.0021100             33.2875 090 99      0.00   0.00   0.00
69433  Create eardrum opening                            A   1.57   4.31     2.22    0.23   6.11  4.020010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69436  Create eardrum opening                            A   2.01   2.54NA   2.54    0.29   4.84  4.840010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69440  Exploration of middle ear                         A   7.71  12.08NA  12.08    1.15  20.94 20.940090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69450  Eardrum revision                                  A   5.69  10.05NA  10.05    0.85  16.59 16.590090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69501  Mastoidectomy                                     A   9.21  10.91NA  10.91    1.34  21.46 21.460090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69502  Mastoidectomy                                     A  12.56  14.10NA  14.10    1.83  28.49 28.490090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69505  Remove mastoid structures                         A  13.17  21.91NA  21.91    1.91  36.99 36.990090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69511  Extensive mastoid surgery                         A  13.70  22.16NA  22.16    2.00  37.86 37.860090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69530  Extensive mastoid surgery                         A  20.38  27.03NA  27.03    2.96  50.37 50.370090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69535  Remove part of temporal bone                      A  37.42  37.11NA  37.11    5.41  79.94 79.940090.07.79.1421110             33.2875 090 99      0.00   0.00   0.00
69540  Remove ear lesion                                 A   1.25   4.94     2.51    0.19   6.38  3.950010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69550  Remove ear lesion                                 A  11.15  19.25NA  19.25    1.62  32.02 32.020090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69552  Remove ear lesion                                 A  19.81  25.01NA  25.01    2.87  47.69 47.690090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69554  Remove ear lesion                                 A  35.97  34.80NA  34.80    5.24  76.01 76.010090.07.79.1421210             33.2875 090 99      0.00   0.00   0.00
69601  Mastoid surgery revision                          A  13.45  15.29NA  15.29    1.96  30.70 30.700090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69602  Mastoid surgery revision                          A  13.76  17.08NA  17.08    2.01  32.85 32.850090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69603  Mastoid surgery revision                          A  14.20  22.39NA  22.39    2.07  38.66 38.660090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69604  Mastoid surgery revision                          A  14.20  17.28NA  17.28    2.07  33.55 33.550090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69610  Repair of eardrum                                 A   4.47   6.45     3.54    0.66  11.58  8.670010.10.80.1021100             33.2875 090 99      0.00   0.00   0.00
69620  Repair of eardrum                                 A   6.03  15.47     8.05    0.89  22.39 14.970090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69631  Repair eardrum structures                         A  10.05  15.35NA  15.35    1.49  26.89 26.890090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69632  Rebuild eardrum structures                        A  12.96  17.80NA  17.80    1.85  32.61 32.610090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69633  Rebuild eardrum structures                        A  12.31  17.59NA  17.59    1.87  31.77 31.770090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69635  Repair eardrum structures                         A  13.51  22.61NA  22.61    2.45  38.57 38.570090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69636  Rebuild eardrum structures                        A  15.43  24.71NA  24.71    2.24  42.38 42.380090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69637  Rebuild eardrum structures                        A  15.32  24.66NA  24.66    2.23  42.21 42.210090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69641  Revise middle ear & mastoid                       A  12.89  16.67NA  16.67    1.87  31.43 31.430090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69642  Revise middle ear & mastoid                       A  17.06  20.80NA  20.80    2.48  40.34 40.340090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69643  Revise middle ear & mastoid                       A  15.59  19.01NA  19.01    2.26  36.86 36.860090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69644  Revise middle ear & mastoid                       A  17.23  25.57NA  25.57    2.50  45.30 45.300090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69645  Revise middle ear & mastoid                       A  16.71  25.30NA  25.30    2.44  44.45 44.450090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69646  Revise middle ear & mastoid                       A  18.37  26.16NA  26.16    2.76  47.29 47.290090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69650  Release middle ear bone                           A   9.80  13.03NA  13.03    1.44  24.27 24.270090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69660  Revise middle ear bone                            A  12.03  14.09NA  14.09    1.76  27.88 27.880090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69661  Revise middle ear bone                            A  15.92  18.08NA  18.08    2.31  36.31 36.310090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69662  Revise middle ear bone                            A  15.60  16.91NA  16.91    2.37  34.88 34.880090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69666  Repair middle ear structures                      A   9.89  13.08NA  13.08    1.45  24.42 24.420090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69667  Repair middle ear structures                      A   9.90  13.11NA  13.11    1.49  24.50 24.500090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69670  Remove mastoid air cells                          A  11.73  15.04NA  15.04    1.71  28.48 28.480090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69676  Remove middle ear nerve                           A   9.69  14.09NA  14.09    1.42  25.20 25.200090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69700  Close mastoid fistula                             A   8.37  10.52NA  10.52    1.23  20.12 20.120090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69705  Nps surg dilat eust tube uni                      A   3.00  77.12     1.76    0.43  80.55  5.190000.00.00.0030000       31231 33.2875 090 99      0.00   0.00   0.00
69706  Nps surg dilat eust tube bi                       A   4.27  78.32     2.36    0.62  83.21  7.250000.00.00.0032000       31231 33.2875 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             33.2875 090 99      0.00   0.00   0.00
69711  Remove/repair hearing aid                         A  10.62  13.14NA  13.14    1.55  25.31 25.310090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69714  Impl oi implt skull perq esp                      A   6.68   7.26NA   7.26    0.99  14.93 14.930090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69716  Impl oi implt sk tc esp<100                       A   9.03   8.34NA   8.34    1.31  18.68 18.680090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69717  Rplcmt oi implt skl prq esp                       A   7.91   7.83NA   7.83    1.17  16.91 16.910090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69719  Rplcm oi implt sk tc esp<100                      A   9.46   8.56NA   8.56    1.38  19.40 19.400090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69720  Release facial nerve                              A  14.71  18.62NA  18.62    2.15  35.48 35.480090.07.79.1421010             33.2875 090 99      0.00   0.00   0.00
69725  Release facial nerve                              A  27.64  24.49NA  24.49    4.03  56.16 56.160090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69726  Rmv ntr oi implt skl prq esp                      A   6.36   7.10NA   7.10    0.93  14.39 14.390090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69727  Rmv ntr oi imp sk tc esp<100                      A   7.38   7.58NA   7.58    1.09  16.05 16.050090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69728  Rmv ntr oi imp sk tc>=100                         A   8.50   8.26NA   8.26    1.39  18.15 18.150090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69729  Impl oi implt sk tc esp>=100                      A   9.97   8.80NA   8.80    1.49  20.26 20.260090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69730  Rplc oi implt sk tc esp>=100                      A  10.25   9.08NA   9.08    1.68  21.01 21.010090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69740  Repair facial nerve                               A  16.27  16.31NA  16.31    2.36  34.94 34.940090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69745  Repair facial nerve                               A  17.02  17.75NA  17.75    2.47  37.24 37.240090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69799  Unlisted px middle ear                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
69801  Incise inner ear                                  A   2.06   4.51     1.37    0.30   6.87  3.730000.00.00.0021000             33.2875 090 99      0.00   0.00   0.00
69805  Explore inner ear                                 A  14.71  14.14NA  14.14    2.15  31.00 31.000090.07.79.1421200             33.2875 090 99      0.00   0.00   0.00
69806  Explore inner ear                                 A  12.63  13.31NA  13.31    1.83  27.77 27.770090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69905  Remove inner ear                                  A  11.26  14.82NA  14.82    1.64  27.72 27.720090.07.79.1421100             33.2875 090 99      0.00   0.00   0.00
69910  Remove inner ear & mastoid                        A  13.91  13.91NA  13.91    2.03  29.85 29.850090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69915  Incise inner ear nerve                            A  22.77  19.07NA  19.07    3.33  45.17 45.170090.07.79.1421210             33.2875 090 99      0.00   0.00   0.00
69930  Implant cochlear device                           A  17.73  16.23NA  16.23    2.60  36.56 36.560090.07.79.1421000             33.2875 090 99      0.00   0.00   0.00
69949  Unlisted px inner ear                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
69950  Incise inner ear nerve                            A  27.63  20.74NA  20.74    4.03  52.40 52.400090.07.79.1421210             33.2875 090 99      0.00   0.00   0.00
69955  Release facial nerve                              A  29.42  25.35NA  25.35    4.29  59.06 59.060090.07.79.1421210             33.2875 090 99      0.00   0.00   0.00
69960  Release inner ear canal                           A  29.42  22.86NA  22.86    4.29  56.57 56.570090.07.79.1421210             33.2875 090 99      0.00   0.00   0.00
69970  Remove inner ear lesion                           A  32.41  26.72NA  26.72    4.71  63.84 63.840090.07.79.1421210             33.2875 090 99      0.00   0.00   0.00
69979  Unlisted px temporal bone                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             33.2875 090 99      0.00   0.00   0.00
69990  Microsurgery add-on                               R   3.46   1.66NA   1.66    1.40   6.52  6.520ZZZ.00.00.0000200             33.2875 090 99      0.00   0.00   0.00
70010  Contrast x-ray of brain                           A   1.19   0.42NA   0.42    0.11   1.72  1.720XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70015  Contrast x-ray of brain                           A   1.19   3.72     3.72NA  0.07   4.98  4.981XXX.00.00.0000000             33.2875 090 99     23.65  23.65   0.13
70015TCContrast x-ray of brain                           A   0.00   3.30     3.30NA  0.01   3.31  3.311XXX.00.00.0000000             33.2875 030 99     23.23  23.23   0.07
7001526Contrast x-ray of brain                           A   1.19   0.42     0.42    0.06   1.67  1.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70030  X-ray eye for foreign body                        A   0.18   0.78     0.78NA  0.02   0.98  0.981XXX.00.00.0003000             33.2875 090 99      2.67   2.67   0.05
70030TCX-ray eye for foreign body                        A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.04
7003026X-ray eye for foreign body                        A   0.18   0.06     0.06    0.01   0.25  0.251XXX.00.00.0003000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
70100  X-ray exam of jaw <4views                         A   0.18   0.97     0.97NA  0.02   1.17  1.171XXX.00.00.0000000             33.2875 090 99      2.68   2.68   0.04
70100TCX-ray exam of jaw <4views                         A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7010026X-ray exam of jaw <4views                         A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70110  X-ray exam of jaw 4/> views                       A   0.25   1.04     1.04NA  0.02   1.31  1.311XXX.00.00.0000000             33.2875 090 99      3.26   3.26   0.04
70110TCX-ray exam of jaw 4/> views                       A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7011026X-ray exam of jaw 4/> views                       A   0.25   0.09     0.09    0.01   0.35  0.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70120  X-ray exam of mastoids                            A   0.18   0.95     0.95NA  0.02   1.15  1.151XXX.00.00.0003000             33.2875 090 99      3.23   3.23   0.05
70120TCX-ray exam of mastoids                            A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.0003000             33.2875 010 99      3.16   3.16   0.04
7012026X-ray exam of mastoids                            A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
70130  X-ray exam of mastoids                            A   0.34   1.49     1.49NA  0.03   1.86  1.861XXX.00.00.0003000             33.2875 090 99      3.30   3.30   0.04
70130TCX-ray exam of mastoids                            A   0.00   1.37     1.37NA  0.01   1.38  1.381XXX.00.00.0003000             33.2875 010 99      3.18   3.18   0.02
7013026X-ray exam of mastoids                            A   0.34   0.12     0.12    0.02   0.48  0.481XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
70134  X-ray exam of middle ear                          A   0.34   1.50     1.50NA  0.02   1.86  1.861XXX.00.00.0000000             33.2875 090 99     16.09  16.09   0.13
70134TCX-ray exam of middle ear                          A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.0000000             33.2875 010 99     15.93  15.93   0.12
7013426X-ray exam of middle ear                          A   0.34   0.16     0.16    0.01   0.51  0.511XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70140  X-ray exam of facial bones                        A   0.19   0.75     0.75NA  0.02   0.96  0.961XXX.00.00.0000000             33.2875 090 99      2.69   2.69   0.05
70140TCX-ray exam of facial bones                        A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7014026X-ray exam of facial bones                        A   0.19   0.08     0.08    0.01   0.28  0.281XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70150  X-ray exam of facial bones                        A   0.26   1.14     1.14NA  0.02   1.42  1.421XXX.00.00.0000000             33.2875 090 99      3.27   3.27   0.04
70150TCX-ray exam of facial bones                        A   0.00   1.04     1.04NA  0.01   1.05  1.051XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7015026X-ray exam of facial bones                        A   0.26   0.10     0.10    0.01   0.37  0.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70160  X-ray exam of nasal bones                         A   0.17   0.94     0.94NA  0.02   1.13  1.131XXX.00.00.0000000             33.2875 090 99      2.67   2.67   0.04
70160TCX-ray exam of nasal bones                         A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7016026X-ray exam of nasal bones                         A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             33.2875 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             33.2875 090 99      7.23   7.23   0.03
70170TCX-ray exam of tear duct                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      7.12   7.12   0.01
7017026X-ray exam of tear duct                           A   0.30   0.11     0.11    0.02   0.43  0.431XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70190  X-ray exam of eye sockets                         A   0.21   0.90     0.90NA  0.02   1.13  1.131XXX.00.00.0003000             33.2875 090 99      2.71   2.71   0.04
70190TCX-ray exam of eye sockets                         A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.03
7019026X-ray exam of eye sockets                         A   0.21   0.10     0.10    0.01   0.32  0.321XXX.00.00.0003000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
70200  X-ray exam of eye sockets                         A   0.28   1.14     1.14NA  0.02   1.44  1.441XXX.00.00.0000000             33.2875 090 99      3.28   3.28   0.04
70200TCX-ray exam of eye sockets                         A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7020026X-ray exam of eye sockets                         A   0.28   0.11     0.11    0.01   0.40  0.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70210  X-ray exam of sinuses                             A   0.17   0.78     0.78NA  0.02   0.97  0.971XXX.00.00.0000000             33.2875 090 99      2.68   2.68   0.05
70210TCX-ray exam of sinuses                             A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7021026X-ray exam of sinuses                             A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70220  X-ray exam of sinuses                             A   0.22   0.89     0.89NA  0.02   1.13  1.131XXX.00.00.0000000             33.2875 090 99      2.69   2.69   0.04
70220TCX-ray exam of sinuses                             A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7022026X-ray exam of sinuses                             A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70240  X-ray exam pituitary saddle                       A   0.19   0.78     0.78NA  0.02   0.99  0.991XXX.00.00.0000000             33.2875 090 99      2.68   2.68   0.05
70240TCX-ray exam pituitary saddle                       A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7024026X-ray exam pituitary saddle                       A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7025F  Pt infosys alarm 4 nxt mammo                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
70250  X-ray exam of skull                               A   0.18   0.88     0.88NA  0.02   1.08  1.081XXX.00.00.0000000             33.2875 090 99      3.23   3.23   0.05
70250TCX-ray exam of skull                               A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7025026X-ray exam of skull                               A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70260  X-ray exam of skull                               A   0.28   1.04     1.04NA  0.02   1.34  1.341XXX.00.00.0000000             33.2875 090 99      3.27   3.27   0.04
70260TCX-ray exam of skull                               A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.03
7026026X-ray exam of skull                               A   0.28   0.11     0.11    0.01   0.40  0.401XXX.00.00.0000000             33.2875 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             33.2875 090 99      2.57   2.57   0.12
70300TCX-ray exam of teeth                               A   0.00   0.23     0.23NA  0.01   0.24  0.241XXX.00.00.0000000             33.2875 010 99      2.53   2.53   0.11
7030026X-ray exam of teeth                               A   0.10   0.04     0.04    0.01   0.15  0.151XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70310  X-ray exam of teeth                               A   0.16   1.04     1.04NA  0.02   1.22  1.221XXX.00.00.0000000             33.2875 090 99      7.13   7.13   0.08
70310TCX-ray exam of teeth                               A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.0000000             33.2875 010 99      7.06   7.06   0.07
7031026X-ray exam of teeth                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70320  Full mouth x-ray of teeth                         A   0.22   1.36     1.36NA  0.02   1.60  1.601XXX.00.00.0000000             33.2875 090 99      7.16   7.16   0.07
70320TCFull mouth x-ray of teeth                         A   0.00   1.27     1.27NA  0.01   1.28  1.281XXX.00.00.0000000             33.2875 010 99      7.07   7.07   0.06
7032026Full mouth x-ray of teeth                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70328  X-ray exam of jaw joint                           A   0.18   0.84     0.84NA  0.02   1.04  1.041XXX.00.00.0000000             33.2875 090 99      2.68   2.68   0.04
70328TCX-ray exam of jaw joint                           A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7032826X-ray exam of jaw joint                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70330  X-ray exam of jaw joints                          A   0.24   1.33     1.33NA  0.02   1.59  1.591XXX.00.00.0002000             33.2875 090 99      2.71   2.71   0.03
70330TCX-ray exam of jaw joints                          A   0.00   1.24     1.24NA  0.01   1.25  1.251XXX.00.00.0002000             33.2875 010 99      2.62   2.62   0.02
7033026X-ray exam of jaw joints                          A   0.24   0.09     0.09    0.01   0.34  0.341XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
70332  X-ray exam of jaw joint                           A   0.54   1.90     1.90NA  0.04   2.48  2.481XXX.00.00.0003000             33.2875 090 99      7.28   7.28   0.07
70332TCX-ray exam of jaw joint                           A   0.00   1.71     1.71NA  0.01   1.72  1.721XXX.00.00.0003000             33.2875 030 99      7.09   7.09   0.04
7033226X-ray exam of jaw joint                           A   0.54   0.19     0.19    0.03   0.76  0.761XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
70336  Magnetic image jaw joint                          A   1.48   6.57     6.57NA  0.10   8.15  8.151XXX.00.00.0042000             33.2875 090 88      7.62   7.62   0.10
70336TCMagnetic image jaw joint                          A   0.00   6.06     6.06NA  0.02   6.08  6.081XXX.00.00.0042000             33.2875 010 88      7.11   7.11   0.02
7033626Magnetic image jaw joint                          A   1.48   0.51     0.51    0.08   2.07  2.071XXX.00.00.0042000             33.2875 090 88      0.00   0.00   0.00
70350  X-ray head for orthodontia                        A   0.17   0.31     0.31NA  0.02   0.50  0.501XXX.00.00.0000000             33.2875 090 99      2.61   2.61   0.12
70350TCX-ray head for orthodontia                        A   0.00   0.24     0.24NA  0.01   0.25  0.251XXX.00.00.0000000             33.2875 010 99      2.54   2.54   0.11
7035026X-ray head for orthodontia                        A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70355  Panoramic x-ray of jaws                           A   0.20   0.33     0.33NA  0.02   0.55  0.551XXX.00.00.0000000             33.2875 090 99      2.62   2.62   0.11
70355TCPanoramic x-ray of jaws                           A   0.00   0.25     0.25NA  0.01   0.26  0.261XXX.00.00.0000000             33.2875 010 99      2.54   2.54   0.10
7035526Panoramic x-ray of jaws                           A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70360  X-ray exam of neck                                A   0.18   0.74     0.74NA  0.02   0.94  0.941XXX.00.00.0000000             33.2875 090 99      2.68   2.68   0.05
70360TCX-ray exam of neck                                A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7036026X-ray exam of neck                                A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70370  Throat x-ray & fluoroscopy                        A   0.32   2.80     2.80NA  0.03   3.15  3.151XXX.00.00.0000000             33.2875 090 99      2.74   2.74   0.03
70370TCThroat x-ray & fluoroscopy                        A   0.00   2.69     2.69NA  0.01   2.70  2.701XXX.00.00.0000000             33.2875 030 99      2.63   2.63   0.01
7037026Throat x-ray & fluoroscopy                        A   0.32   0.11     0.11    0.02   0.45  0.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70371  Speech evaluation complex                         A   0.84   2.39     2.39NA  0.05   3.28  3.281XXX.00.00.0000000             33.2875 090 99      7.45   7.45   0.07
70371TCSpeech evaluation complex                         A   0.00   2.04     2.04NA  0.01   2.05  2.051XXX.00.00.0000000             33.2875 030 99      7.10   7.10   0.03
7037126Speech evaluation complex                         A   0.84   0.35     0.35    0.04   1.23  1.231XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70380  X-ray exam of salivary gland                      A   0.17   0.94     0.94NA  0.02   1.13  1.131XXX.00.00.0000000             33.2875 090 99      2.67   2.67   0.04
70380TCX-ray exam of salivary gland                      A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7038026X-ray exam of salivary gland                      A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70390  X-ray exam of salivary duct                       A   0.38   3.06     3.06NA  0.03   3.47  3.471XXX.00.00.0000000             33.2875 090 99      7.24   7.24   0.04
70390TCX-ray exam of salivary duct                       A   0.00   2.93     2.93NA  0.01   2.94  2.941XXX.00.00.0000000             33.2875 030 99      7.11   7.11   0.02
7039026X-ray exam of salivary duct                       A   0.38   0.13     0.13    0.02   0.53  0.531XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
70450  Ct head/brain w/o dye                             A   0.85   2.36     2.36NA  0.05   3.26  3.261XXX.00.00.0040000             33.2875 090 88      3.48   3.48   0.06
70450TCCt head/brain w/o dye                             A   0.00   2.06     2.06NA  0.01   2.07  2.071XXX.00.00.0040000             33.2875 010 88      3.18   3.18   0.02
7045026Ct head/brain w/o dye                             A   0.85   0.30     0.30    0.04   1.19  1.191XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70460  Ct head/brain w/dye                               A   1.13   3.36     3.36NA  0.07   4.56  4.561XXX.00.00.0040000             33.2875 090 88      5.73   5.73   0.08
70460TCCt head/brain w/dye                               A   0.00   2.96     2.96NA  0.01   2.97  2.971XXX.00.00.0040000             33.2875 020 88      5.33   5.33   0.02
7046026Ct head/brain w/dye                               A   1.13   0.40     0.40    0.06   1.59  1.591XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70470  Ct head/brain w/o & w/dye                         A   1.27   3.98     3.98NA  0.09   5.34  5.341XXX.00.00.0040000             33.2875 090 88      5.77   5.77   0.10
70470TCCt head/brain w/o & w/dye                         A   0.00   3.53     3.53NA  0.02   3.55  3.551XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7047026Ct head/brain w/o & w/dye                         A   1.27   0.45     0.45    0.07   1.79  1.791XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70480  Ct orbit/ear/fossa w/o dye                        A   1.28   3.52     3.52NA  0.09   4.89  4.891XXX.00.00.0040000             33.2875 090 88      3.64   3.64   0.09
70480TCCt orbit/ear/fossa w/o dye                        A   0.00   3.06     3.06NA  0.02   3.08  3.081XXX.00.00.0040000             33.2875 010 88      3.18   3.18   0.02
7048026Ct orbit/ear/fossa w/o dye                        A   1.28   0.46     0.46    0.07   1.81  1.811XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70481  Ct orbit/ear/fossa w/dye                          A   1.13   4.35     4.35NA  0.08   5.56  5.561XXX.00.00.0040000             33.2875 090 88      5.72   5.72   0.09
70481TCCt orbit/ear/fossa w/dye                          A   0.00   3.95     3.95NA  0.02   3.97  3.971XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7048126Ct orbit/ear/fossa w/dye                          A   1.13   0.40     0.40    0.06   1.59  1.591XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70482  Ct orbit/ear/fossa w/o&w/dye                      A   1.27   5.13     5.13NA  0.09   6.49  6.491XXX.00.00.0040000             33.2875 090 88      5.76   5.76   0.09
70482TCCt orbit/ear/fossa w/o&w/dye                      A   0.00   4.69     4.69NA  0.02   4.71  4.711XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7048226Ct orbit/ear/fossa w/o&w/dye                      A   1.27   0.44     0.44    0.07   1.78  1.781XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70486  Ct maxillofacial w/o dye                          A   0.85   3.04     3.04NA  0.05   3.94  3.941XXX.00.00.0040000             33.2875 090 88      3.50   3.50   0.05
70486TCCt maxillofacial w/o dye                          A   0.00   2.73     2.73NA  0.01   2.74  2.741XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7048626Ct maxillofacial w/o dye                          A   0.85   0.31     0.31    0.04   1.20  1.201XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70487  Ct maxillofacial w/dye                            A   1.13   3.47     3.47NA  0.08   4.68  4.681XXX.00.00.0040000             33.2875 090 88      5.70   5.70   0.09
70487TCCt maxillofacial w/dye                            A   0.00   3.08     3.08NA  0.02   3.10  3.101XXX.00.00.0040000             33.2875 020 88      5.31   5.31   0.03
7048726Ct maxillofacial w/dye                            A   1.13   0.39     0.39    0.06   1.58  1.581XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70488  Ct maxillofacial w/o & w/dye                      A   1.27   4.31     4.31NA  0.09   5.67  5.671XXX.00.00.0040000             33.2875 090 88      5.76   5.76   0.10
70488TCCt maxillofacial w/o & w/dye                      A   0.00   3.87     3.87NA  0.02   3.89  3.891XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7048826Ct maxillofacial w/o & w/dye                      A   1.27   0.44     0.44    0.07   1.78  1.781XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70490  Ct soft tissue neck w/o dye                       A   1.28   3.25     3.25NA  0.08   4.61  4.611XXX.00.00.0040000             33.2875 090 88      3.64   3.64   0.08
70490TCCt soft tissue neck w/o dye                       A   0.00   2.80     2.80NA  0.01   2.81  2.811XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7049026Ct soft tissue neck w/o dye                       A   1.28   0.45     0.45    0.07   1.80  1.801XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70491  Ct soft tissue neck w/dye                         A   1.38   4.20     4.20NA  0.09   5.67  5.671XXX.00.00.0040000             33.2875 090 88      5.81   5.81   0.10
70491TCCt soft tissue neck w/dye                         A   0.00   3.71     3.71NA  0.02   3.73  3.731XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7049126Ct soft tissue neck w/dye                         A   1.38   0.49     0.49    0.07   1.94  1.941XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70492  Ct sft tsue nck w/o & w/dye                       A   1.62   5.08     5.08NA  0.10   6.80  6.801XXX.00.00.0040000             33.2875 090 88      5.88   5.88   0.10
70492TCCt sft tsue nck w/o & w/dye                       A   0.00   4.52     4.52NA  0.02   4.54  4.541XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7049226Ct sft tsue nck w/o & w/dye                       A   1.62   0.56     0.56    0.08   2.26  2.261XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70496  Ct angiography head                               A   1.75   6.62     6.62NA  0.12   8.49  8.491XXX.00.00.0040000             33.2875 090 88      5.93   5.93   0.12
70496TCCt angiography head                               A   0.00   6.01     6.01NA  0.03   6.04  6.041XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7049626Ct angiography head                               A   1.75   0.61     0.61    0.09   2.45  2.451XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70498  Ct angiography neck                               A   1.75   6.61     6.61NA  0.12   8.48  8.481XXX.00.00.0040000             33.2875 090 88      5.93   5.93   0.12
70498TCCt angiography neck                               A   0.00   6.00     6.00NA  0.03   6.03  6.031XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7049826Ct angiography neck                               A   1.75   0.61     0.61    0.09   2.45  2.451XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70540  Mri orbit/face/neck w/o dye                       A   1.35   5.54     5.54NA  0.09   6.98  6.981XXX.00.00.0040000             33.2875 090 88      7.57   7.57   0.10
70540TCMri orbit/face/neck w/o dye                       A   0.00   5.07     5.07NA  0.02   5.09  5.091XXX.00.00.0040000             33.2875 010 88      7.10   7.10   0.03
7054026Mri orbit/face/neck w/o dye                       A   1.35   0.47     0.47    0.07   1.89  1.891XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70542  Mri orbit/face/neck w/dye                         A   1.62   6.55     6.55NA  0.11   8.28  8.281XXX.00.00.0040000             33.2875 090 88     11.70  11.70   0.14
70542TCMri orbit/face/neck w/dye                         A   0.00   5.98     5.98NA  0.03   6.01  6.011XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7054226Mri orbit/face/neck w/dye                         A   1.62   0.57     0.57    0.08   2.27  2.271XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70543  Mri orbt/fac/nck w/o &w/dye                       A   2.15   8.16     8.16NA  0.14  10.45 10.451XXX.00.00.0040000             33.2875 090 88     11.90  11.90   0.16
70543TCMri orbt/fac/nck w/o &w/dye                       A   0.00   7.41     7.41NA  0.03   7.44  7.441XXX.00.00.0040000             33.2875 020 88     11.15  11.15   0.05
7054326Mri orbt/fac/nck w/o &w/dye                       A   2.15   0.75     0.75    0.11   3.01  3.011XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70544  Mr angiography head w/o dye                       A   1.20   5.36     5.36NA  0.09   6.65  6.651XXX.00.00.0040000             33.2875 090 88      7.51   7.51   0.10
70544TCMr angiography head w/o dye                       A   0.00   4.94     4.94NA  0.03   4.97  4.971XXX.00.00.0040000             33.2875 010 88      7.09   7.09   0.04
7054426Mr angiography head w/o dye                       A   1.20   0.42     0.42    0.06   1.68  1.681XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70545  Mr angiography head w/dye                         A   1.20   5.72     5.72NA  0.09   7.01  7.011XXX.00.00.0040000             33.2875 090 88     11.55  11.55   0.12
70545TCMr angiography head w/dye                         A   0.00   5.30     5.30NA  0.03   5.33  5.331XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7054526Mr angiography head w/dye                         A   1.20   0.42     0.42    0.06   1.68  1.681XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70546  Mr angiograph head w/o&w/dye                      A   1.48   8.58     8.58NA  0.12  10.18 10.181XXX.00.00.0040000             33.2875 090 88     11.65  11.65   0.14
70546TCMr angiograph head w/o&w/dye                      A   0.00   8.06     8.06NA  0.04   8.10  8.101XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7054626Mr angiograph head w/o&w/dye                      A   1.48   0.52     0.52    0.08   2.08  2.081XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70547  Mr angiography neck w/o dye                       A   1.20   5.37     5.37NA  0.09   6.66  6.661XXX.00.00.0040000             33.2875 090 88      7.51   7.51   0.10
70547TCMr angiography neck w/o dye                       A   0.00   4.95     4.95NA  0.03   4.98  4.981XXX.00.00.0040000             33.2875 010 88      7.09   7.09   0.04
7054726Mr angiography neck w/o dye                       A   1.20   0.42     0.42    0.06   1.68  1.681XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70548  Mr angiography neck w/dye                         A   1.50   5.98     5.98NA  0.11   7.59  7.591XXX.00.00.0040000             33.2875 090 88     11.66  11.66   0.14
70548TCMr angiography neck w/dye                         A   0.00   5.45     5.45NA  0.03   5.48  5.481XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7054826Mr angiography neck w/dye                         A   1.50   0.53     0.53    0.08   2.11  2.111XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70549  Mr angiograph neck w/o&w/dye                      A   1.80   8.73     8.73NA  0.13  10.66 10.661XXX.00.00.0040000             33.2875 090 88     11.77  11.77   0.15
70549TCMr angiograph neck w/o&w/dye                      A   0.00   8.10     8.10NA  0.04   8.14  8.141XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.06
7054926Mr angiograph neck w/o&w/dye                      A   1.80   0.63     0.63    0.09   2.52  2.521XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70551  Mri brain stem w/o dye                            A   1.48   4.47     4.47NA  0.10   6.05  6.051XXX.00.00.0040000             33.2875 090 88      7.61   7.61   0.12
70551TCMri brain stem w/o dye                            A   0.00   3.95     3.95NA  0.02   3.97  3.971XXX.00.00.0040000             33.2875 010 88      7.09   7.09   0.04
7055126Mri brain stem w/o dye                            A   1.48   0.52     0.52    0.08   2.08  2.081XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70552  Mri brain stem w/dye                              A   1.78   6.44     6.44NA  0.12   8.34  8.341XXX.00.00.0040000             33.2875 090 88     11.76  11.76   0.15
70552TCMri brain stem w/dye                              A   0.00   5.81     5.81NA  0.03   5.84  5.841XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7055226Mri brain stem w/dye                              A   1.78   0.63     0.63    0.09   2.50  2.501XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70553  Mri brain stem w/o & w/dye                        A   2.29   7.38     7.38NA  0.15   9.82  9.821XXX.00.00.0040000             33.2875 090 88     11.94  11.94   0.17
70553TCMri brain stem w/o & w/dye                        A   0.00   6.58     6.58NA  0.03   6.61  6.611XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7055326Mri brain stem w/o & w/dye                        A   2.29   0.80     0.80    0.12   3.21  3.211XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
70554  Fmri brain by tech                                A   2.11   9.46     9.46NA  0.16  11.73 11.731XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
70554TCFmri brain by tech                                A   0.00   8.71     8.71NA  0.04   8.75  8.751XXX.00.00.0043000             33.2875 020 88      0.00   0.00   0.00
7055426Fmri brain by tech                                A   2.11   0.75     0.75    0.12   2.98  2.981XXX.00.00.0043000             33.2875 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             33.2875 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             33.2875 020 99      0.00   0.00   0.00
7055526Fmri brain by phys/psych                          A   2.54   0.84     0.84    0.12   3.50  3.501XXX.00.00.0003000             33.2875 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             33.2875 090 99     17.51  17.51   0.14
70557TCMri brain w/o dye                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     16.04  16.04   0.01
7055726Mri brain w/o dye                                 A   2.90   1.47     1.47    0.13   4.50  4.501XXX.00.00.0000000             33.2875 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             33.2875 090 99      6.96   6.96   0.15
70558TCMri brain w/dye                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 020 99      5.34   5.34   0.01
7055826Mri brain w/dye                                   A   3.20   1.62     1.62    0.14   4.96  4.961XXX.00.00.0000000             33.2875 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             33.2875 090 99      6.54   6.54   0.27
70559TCMri brain w/o & w/dye                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 020 99      5.34   5.34   0.01
7055926Mri brain w/o & w/dye                             A   3.20   1.20     1.20    0.26   4.66  4.661XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71045  X-ray exam chest 1 view                           A   0.18   0.57     0.57NA  0.02   0.77  0.771XXX.00.00.0000000             33.2875 090 99      2.65   2.65   0.06
71045TCX-ray exam chest 1 view                           A   0.00   0.51     0.51NA  0.01   0.52  0.521XXX.00.00.0000000             33.2875 010 99      2.59   2.59   0.05
7104526X-ray exam chest 1 view                           A   0.18   0.06     0.06    0.01   0.25  0.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71046  X-ray exam chest 2 views                          A   0.22   0.77     0.77NA  0.02   1.01  1.011XXX.00.00.0000000             33.2875 090 99      2.69   2.69   0.05
71046TCX-ray exam chest 2 views                          A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7104626X-ray exam chest 2 views                          A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71047  X-ray exam chest 3 views                          A   0.27   0.98     0.98NA  0.02   1.27  1.271XXX.00.00.0000000             33.2875 090 99      2.72   2.72   0.04
71047TCX-ray exam chest 3 views                          A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7104726X-ray exam chest 3 views                          A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71048  X-ray exam chest 4+ views                         A   0.31   1.04     1.04NA  0.02   1.37  1.371XXX.00.00.0000000             33.2875 090 99      3.27   3.27   0.04
71048TCX-ray exam chest 4+ views                         A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.03
7104826X-ray exam chest 4+ views                         A   0.31   0.11     0.11    0.01   0.43  0.431XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71100  X-ray exam ribs uni 2 views                       A   0.22   0.86     0.86NA  0.02   1.10  1.101XXX.00.00.0000000             33.2875 090 99      2.69   2.69   0.04
71100TCX-ray exam ribs uni 2 views                       A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7110026X-ray exam ribs uni 2 views                       A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71101  X-ray exam unilat ribs/chest                      A   0.27   0.98     0.98NA  0.02   1.27  1.271XXX.00.00.0000000             33.2875 090 99      3.26   3.26   0.05
71101TCX-ray exam unilat ribs/chest                      A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7110126X-ray exam unilat ribs/chest                      A   0.27   0.10     0.10    0.01   0.38  0.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71110  X-ray exam ribs bil 3 views                       A   0.29   1.01     1.01NA  0.02   1.32  1.321XXX.00.00.0002000             33.2875 090 99      3.27   3.27   0.05
71110TCX-ray exam ribs bil 3 views                       A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0002000             33.2875 010 99      3.16   3.16   0.04
7111026X-ray exam ribs bil 3 views                       A   0.29   0.11     0.11    0.01   0.41  0.411XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
71111  X-ray exam ribs/chest4/> vws                      A   0.32   1.23     1.23NA  0.03   1.58  1.581XXX.00.00.0002000             33.2875 090 99      3.29   3.29   0.05
71111TCX-ray exam ribs/chest4/> vws                      A   0.00   1.11     1.11NA  0.01   1.12  1.121XXX.00.00.0002000             33.2875 010 99      3.17   3.17   0.03
7111126X-ray exam ribs/chest4/> vws                      A   0.32   0.12     0.12    0.02   0.46  0.461XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
71120  X-ray exam breastbone 2/>vws                      A   0.20   0.79     0.79NA  0.02   1.01  1.011XXX.00.00.0000000             33.2875 090 99      2.68   2.68   0.05
71120TCX-ray exam breastbone 2/>vws                      A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7112026X-ray exam breastbone 2/>vws                      A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71130  X-ray strenoclavic jt 3/>vws                      A   0.22   1.00     1.00NA  0.02   1.24  1.241XXX.00.00.0000000             33.2875 090 99      2.70   2.70   0.04
71130TCX-ray strenoclavic jt 3/>vws                      A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.0000000             33.2875 010 99      2.62   2.62   0.03
7113026X-ray strenoclavic jt 3/>vws                      A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
71250  Ct thorax dx c-                                   A   1.08   2.94     2.94NA  0.07   4.09  4.091XXX.00.00.0040000             33.2875 090 88      3.57   3.57   0.07
71250TCCt thorax dx c-                                   A   0.00   2.56     2.56NA  0.01   2.57  2.571XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7125026Ct thorax dx c-                                   A   1.08   0.38     0.38    0.06   1.52  1.521XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71260  Ct thorax dx c+                                   A   1.16   3.90     3.90NA  0.08   5.14  5.141XXX.00.00.0040000             33.2875 090 88      5.74   5.74   0.09
71260TCCt thorax dx c+                                   A   0.00   3.48     3.48NA  0.02   3.50  3.501XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7126026Ct thorax dx c+                                   A   1.16   0.42     0.42    0.06   1.64  1.641XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71270  Ct thorax dx c-/c+                                A   1.25   4.71     4.71NA  0.08   6.04  6.041XXX.00.00.0040000             33.2875 090 88      5.76   5.76   0.09
71270TCCt thorax dx c-/c+                                A   0.00   4.27     4.27NA  0.02   4.29  4.291XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7127026Ct thorax dx c-/c+                                A   1.25   0.44     0.44    0.06   1.75  1.751XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71271  Ct thorax lung cancer scr c-                      A   1.08   3.07     3.07NA  0.08   4.23  4.231XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71271TCCt thorax lung cancer scr c-                      A   0.00   2.69     2.69NA  0.02   2.71  2.711XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
7127126Ct thorax lung cancer scr c-                      A   1.08   0.38     0.38    0.06   1.52  1.521XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71275  Ct angiography chest                              A   1.82   6.71     6.71NA  0.13   8.66  8.661XXX.00.00.0040000             33.2875 090 88      5.95   5.95   0.13
71275TCCt angiography chest                              A   0.00   6.08     6.08NA  0.03   6.11  6.111XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7127526Ct angiography chest                              A   1.82   0.63     0.63    0.10   2.55  2.551XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71550  Mri chest w/o dye                                 A   1.46   8.86     8.86NA  0.11  10.43 10.431XXX.00.00.0040000             33.2875 090 88      7.61   7.61   0.11
71550TCMri chest w/o dye                                 A   0.00   8.35     8.35NA  0.03   8.38  8.381XXX.00.00.0040000             33.2875 010 88      7.10   7.10   0.03
7155026Mri chest w/o dye                                 A   1.46   0.51     0.51    0.08   2.05  2.051XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71551  Mri chest w/dye                                   A   1.73   9.68     9.68NA  0.12  11.53 11.531XXX.00.00.0040000             33.2875 090 88     23.83  23.83   0.17
71551TCMri chest w/dye                                   A   0.00   9.07     9.07NA  0.03   9.10  9.101XXX.00.00.0040000             33.2875 020 88     23.22  23.22   0.08
7155126Mri chest w/dye                                   A   1.73   0.61     0.61    0.09   2.43  2.431XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71552  Mri chest w/o & w/dye                             A   2.26  12.13    12.13NA  0.16  14.55 14.551XXX.00.00.0040000             33.2875 090 88     11.94  11.94   0.16
71552TCMri chest w/o & w/dye                             A   0.00  11.34    11.34NA  0.04  11.38 11.381XXX.00.00.0040000             33.2875 020 88     11.15  11.15   0.04
7155226Mri chest w/o & w/dye                             A   2.26   0.79     0.79    0.12   3.17  3.171XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
71555  Mri angio chest w or w/o dye                      R   1.81   8.36     8.36NA  0.13  10.30 10.301XXX.00.00.0040000             33.2875 090 88     11.74  11.74   0.15
71555TCMri angio chest w or w/o dye                      R   0.00   7.75     7.75NA  0.04   7.79  7.791XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7155526Mri angio chest w or w/o dye                      R   1.81   0.61     0.61    0.09   2.51  2.511XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72020  X-ray exam of spine 1 view                        A   0.16   0.55     0.55NA  0.02   0.73  0.731XXX.00.00.0000000             33.2875 090 99      2.65   2.65   0.06
72020TCX-ray exam of spine 1 view                        A   0.00   0.49     0.49NA  0.01   0.50  0.501XXX.00.00.0000000             33.2875 010 99      2.59   2.59   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             33.2875 090 99      0.00   0.00   0.00
72040  X-ray exam neck spine 2-3 vw                      A   0.22   0.95     0.95NA  0.02   1.19  1.191XXX.00.00.0000000             33.2875 090 99      2.70   2.70   0.04
72040TCX-ray exam neck spine 2-3 vw                      A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.0000000             33.2875 010 99      2.61   2.61   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             33.2875 090 99      0.00   0.00   0.00
72050  X-ray exam neck spine 4/5vws                      A   0.27   1.32     1.32NA  0.02   1.61  1.611XXX.00.00.0000000             33.2875 090 99      3.27   3.27   0.04
72050TCX-ray exam neck spine 4/5vws                      A   0.00   1.22     1.22NA  0.01   1.23  1.231XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7205026X-ray exam neck spine 4/5vws                      A   0.27   0.10     0.10    0.01   0.38  0.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72052  X-ray exam neck spine 6/>vws                      A   0.30   1.55     1.55NA  0.03   1.88  1.881XXX.00.00.0000000             33.2875 090 99      3.29   3.29   0.04
72052TCX-ray exam neck spine 6/>vws                      A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7205226X-ray exam neck spine 6/>vws                      A   0.30   0.11     0.11    0.02   0.43  0.431XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72070  X-ray exam thorac spine 2vws                      A   0.20   0.77     0.77NA  0.02   0.99  0.991XXX.00.00.0000000             33.2875 090 99      3.23   3.23   0.06
72070TCX-ray exam thorac spine 2vws                      A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.0000000             33.2875 010 99      3.15   3.15   0.05
7207026X-ray exam thorac spine 2vws                      A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72072  X-ray exam thorac spine 3vws                      A   0.23   0.94     0.94NA  0.02   1.19  1.191XXX.00.00.0000000             33.2875 090 99      3.24   3.24   0.05
72072TCX-ray exam thorac spine 3vws                      A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7207226X-ray exam thorac spine 3vws                      A   0.23   0.08     0.08    0.01   0.32  0.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72074  X-ray exam thorac spine4/>vw                      A   0.25   1.07     1.07NA  0.02   1.34  1.341XXX.00.00.0000000             33.2875 090 99      3.26   3.26   0.04
72074TCX-ray exam thorac spine4/>vw                      A   0.00   0.98     0.98NA  0.01   0.99  0.991XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7207426X-ray exam thorac spine4/>vw                      A   0.25   0.09     0.09    0.01   0.35  0.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72080  X-ray exam thoracolmb 2/> vw                      A   0.21   0.81     0.81NA  0.02   1.04  1.041XXX.00.00.0000000             33.2875 090 99      2.69   2.69   0.05
72080TCX-ray exam thoracolmb 2/> vw                      A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7208026X-ray exam thoracolmb 2/> vw                      A   0.21   0.08     0.08    0.01   0.30  0.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72081  X-ray exam entire spi 1 vw                        A   0.26   1.00     1.00NA  0.02   1.28  1.281XXX.00.00.0000000             33.2875 090 99      2.71   2.71   0.04
72081TCX-ray exam entire spi 1 vw                        A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7208126X-ray exam entire spi 1 vw                        A   0.26   0.10     0.10    0.01   0.37  0.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72082  X-ray exam entire spi 2/3 vw                      A   0.31   1.77     1.77NA  0.03   2.11  2.111XXX.00.00.0000000             33.2875 090 99      3.30   3.30   0.04
72082TCX-ray exam entire spi 2/3 vw                      A   0.00   1.65     1.65NA  0.01   1.66  1.661XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7208226X-ray exam entire spi 2/3 vw                      A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72083  X-ray exam entire spi 4/5 vw                      A   0.35   2.01     2.01NA  0.02   2.38  2.381XXX.00.00.0000000             33.2875 090 99      3.33   3.33   0.03
72083TCX-ray exam entire spi 4/5 vw                      A   0.00   1.86     1.86NA  0.01   1.87  1.871XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7208326X-ray exam entire spi 4/5 vw                      A   0.35   0.15     0.15    0.01   0.51  0.511XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72084  X-ray exam entire spi 6/> vw                      A   0.41   2.51     2.51NA  0.04   2.96  2.961XXX.00.00.0000000             33.2875 090 99      3.33   3.33   0.05
72084TCX-ray exam entire spi 6/> vw                      A   0.00   2.35     2.35NA  0.02   2.37  2.371XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7208426X-ray exam entire spi 6/> vw                      A   0.41   0.16     0.16    0.02   0.59  0.591XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72100  X-ray exam l-s spine 2/3 vws                      A   0.22   0.96     0.96NA  0.02   1.20  1.201XXX.00.00.0000000             33.2875 090 99      3.25   3.25   0.05
72100TCX-ray exam l-s spine 2/3 vws                      A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.0000000             33.2875 010 99      3.16   3.16   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             33.2875 090 99      0.00   0.00   0.00
72110  X-ray exam l-2 spine 4/>vws                       A   0.26   1.28     1.28NA  0.02   1.56  1.561XXX.00.00.0000000             33.2875 090 99      3.27   3.27   0.04
72110TCX-ray exam l-2 spine 4/>vws                       A   0.00   1.18     1.18NA  0.01   1.19  1.191XXX.00.00.0000000             33.2875 010 99      3.17   3.17   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             33.2875 090 99      0.00   0.00   0.00
72114  X-ray exam l-s spine bending                      A   0.30   1.51     1.51NA  0.03   1.84  1.841XXX.00.00.0000000             33.2875 090 99      3.29   3.29   0.04
72114TCX-ray exam l-s spine bending                      A   0.00   1.40     1.40NA  0.01   1.41  1.411XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7211426X-ray exam l-s spine bending                      A   0.30   0.11     0.11    0.02   0.43  0.431XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72120  X-ray bend only l-s spine                         A   0.22   0.98     0.98NA  0.02   1.22  1.221XXX.00.00.0000000             33.2875 090 99      3.25   3.25   0.05
72120TCX-ray bend only l-s spine                         A   0.00   0.89     0.89NA  0.01   0.90  0.901XXX.00.00.0000000             33.2875 010 99      3.16   3.16   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             33.2875 090 99      0.00   0.00   0.00
72125  Ct neck spine w/o dye                             A   1.00   2.94     2.94NA  0.06   4.00  4.001XXX.00.00.0040000             33.2875 090 88      3.54   3.54   0.06
72125TCCt neck spine w/o dye                             A   0.00   2.59     2.59NA  0.01   2.60  2.601XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7212526Ct neck spine w/o dye                             A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72126  Ct neck spine w/dye                               A   1.22   3.89     3.89NA  0.08   5.19  5.191XXX.00.00.0040000             33.2875 090 88     11.56  11.56   0.12
72126TCCt neck spine w/dye                               A   0.00   3.46     3.46NA  0.02   3.48  3.481XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7212626Ct neck spine w/dye                               A   1.22   0.43     0.43    0.06   1.71  1.711XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72127  Ct neck spine w/o & w/dye                         A   1.27   4.72     4.72NA  0.09   6.08  6.081XXX.00.00.0040000             33.2875 090 88      5.76   5.76   0.09
72127TCCt neck spine w/o & w/dye                         A   0.00   4.28     4.28NA  0.02   4.30  4.301XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7212726Ct neck spine w/o & w/dye                         A   1.27   0.44     0.44    0.07   1.78  1.781XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72128  Ct chest spine w/o dye                            A   1.00   2.93     2.93NA  0.06   3.99  3.991XXX.00.00.0040000             33.2875 090 88      3.54   3.54   0.06
72128TCCt chest spine w/o dye                            A   0.00   2.58     2.58NA  0.01   2.59  2.591XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7212826Ct chest spine w/o dye                            A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72129  Ct chest spine w/dye                              A   1.22   3.92     3.92NA  0.09   5.23  5.231XXX.00.00.0040000             33.2875 090 88      5.75   5.75   0.10
72129TCCt chest spine w/dye                              A   0.00   3.49     3.49NA  0.02   3.51  3.511XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7212926Ct chest spine w/dye                              A   1.22   0.43     0.43    0.07   1.72  1.721XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72130  Ct chest spine w/o & w/dye                        A   1.27   4.76     4.76NA  0.09   6.12  6.121XXX.00.00.0040000             33.2875 090 88      5.77   5.77   0.09
72130TCCt chest spine w/o & w/dye                        A   0.00   4.31     4.31NA  0.02   4.33  4.331XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7213026Ct chest spine w/o & w/dye                        A   1.27   0.45     0.45    0.07   1.79  1.791XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72131  Ct lumbar spine w/o dye                           A   1.00   2.91     2.91NA  0.06   3.97  3.971XXX.00.00.0040000             33.2875 090 88      3.54   3.54   0.06
72131TCCt lumbar spine w/o dye                           A   0.00   2.56     2.56NA  0.01   2.57  2.571XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7213126Ct lumbar spine w/o dye                           A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72132  Ct lumbar spine w/dye                             A   1.22   3.90     3.90NA  0.08   5.20  5.201XXX.00.00.0040000             33.2875 090 88     11.56  11.56   0.12
72132TCCt lumbar spine w/dye                             A   0.00   3.47     3.47NA  0.02   3.49  3.491XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7213226Ct lumbar spine w/dye                             A   1.22   0.43     0.43    0.06   1.71  1.711XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72133  Ct lumbar spine w/o & w/dye                       A   1.27   4.73     4.73NA  0.09   6.09  6.091XXX.00.00.0040000             33.2875 090 88      5.76   5.76   0.09
72133TCCt lumbar spine w/o & w/dye                       A   0.00   4.29     4.29NA  0.02   4.31  4.311XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7213326Ct lumbar spine w/o & w/dye                       A   1.27   0.44     0.44    0.07   1.78  1.781XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72141  Mri neck spine w/o dye                            A   1.48   4.30     4.30NA  0.10   5.88  5.881XXX.00.00.0040000             33.2875 090 88      7.61   7.61   0.12
72141TCMri neck spine w/o dye                            A   0.00   3.78     3.78NA  0.02   3.80  3.801XXX.00.00.0040000             33.2875 010 88      7.09   7.09   0.04
7214126Mri neck spine w/o dye                            A   1.48   0.52     0.52    0.08   2.08  2.081XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72142  Mri neck spine w/dye                              A   1.78   6.59     6.59NA  0.13   8.50  8.501XXX.00.00.0040000             33.2875 090 88     11.77  11.77   0.16
72142TCMri neck spine w/dye                              A   0.00   5.95     5.95NA  0.03   5.98  5.981XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7214226Mri neck spine w/dye                              A   1.78   0.64     0.64    0.10   2.52  2.521XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72146  Mri chest spine w/o dye                           A   1.48   4.29     4.29NA  0.10   5.87  5.871XXX.00.00.0040000             33.2875 090 88      7.61   7.61   0.12
72146TCMri chest spine w/o dye                           A   0.00   3.77     3.77NA  0.02   3.79  3.791XXX.00.00.0040000             33.2875 010 88      7.09   7.09   0.04
7214626Mri chest spine w/o dye                           A   1.48   0.52     0.52    0.08   2.08  2.081XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72147  Mri chest spine w/dye                             A   1.78   6.52     6.52NA  0.12   8.42  8.421XXX.00.00.0040000             33.2875 090 88     11.76  11.76   0.15
72147TCMri chest spine w/dye                             A   0.00   5.89     5.89NA  0.03   5.92  5.921XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7214726Mri chest spine w/dye                             A   1.78   0.63     0.63    0.09   2.50  2.501XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72148  Mri lumbar spine w/o dye                          A   1.48   4.32     4.32NA  0.10   5.90  5.901XXX.00.00.0040000             33.2875 090 88      7.62   7.62   0.12
72148TCMri lumbar spine w/o dye                          A   0.00   3.79     3.79NA  0.02   3.81  3.811XXX.00.00.0040000             33.2875 010 88      7.09   7.09   0.04
7214826Mri lumbar spine w/o dye                          A   1.48   0.53     0.53    0.08   2.09  2.091XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72149  Mri lumbar spine w/dye                            A   1.78   6.44     6.44NA  0.13   8.35  8.351XXX.00.00.0040000             33.2875 090 88     11.76  11.76   0.16
72149TCMri lumbar spine w/dye                            A   0.00   5.81     5.81NA  0.03   5.84  5.841XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7214926Mri lumbar spine w/dye                            A   1.78   0.63     0.63    0.10   2.51  2.511XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72156  Mri neck spine w/o & w/dye                        A   2.29   7.43     7.43NA  0.15   9.87  9.871XXX.00.00.0040000             33.2875 090 88     11.95  11.95   0.17
72156TCMri neck spine w/o & w/dye                        A   0.00   6.62     6.62NA  0.03   6.65  6.651XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7215626Mri neck spine w/o & w/dye                        A   2.29   0.81     0.81    0.12   3.22  3.221XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72157  Mri chest spine w/o & w/dye                       A   2.29   7.45     7.45NA  0.15   9.89  9.891XXX.00.00.0040000             33.2875 090 88     11.95  11.95   0.17
72157TCMri chest spine w/o & w/dye                       A   0.00   6.64     6.64NA  0.03   6.67  6.671XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7215726Mri chest spine w/o & w/dye                       A   2.29   0.81     0.81    0.12   3.22  3.221XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72158  Mri lumbar spine w/o & w/dye                      A   2.29   7.41     7.41NA  0.15   9.85  9.851XXX.00.00.0040000             33.2875 090 88     11.95  11.95   0.17
72158TCMri lumbar spine w/o & w/dye                      A   0.00   6.60     6.60NA  0.03   6.63  6.631XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7215826Mri lumbar spine w/o & w/dye                      A   2.29   0.81     0.81    0.12   3.22  3.221XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72159  Mr angio spine w/o&w/dye                          R   1.80   8.73     8.73NA  0.13  10.66 10.661XXX.00.00.0040000             33.2875 090 88     11.78  11.78   0.15
72159TCMr angio spine w/o&w/dye                          R   0.00   8.09     8.09NA  0.04   8.13  8.131XXX.00.00.0040900             33.2875 020 88     11.14  11.14   0.06
7215926Mr angio spine w/o&w/dye                          R   1.80   0.64     0.64    0.09   2.53  2.531XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72170  X-ray exam of pelvis                              A   0.17   0.65     0.65NA  0.02   0.84  0.841XXX.00.00.0000000             33.2875 090 99      3.21   3.21   0.06
72170TCX-ray exam of pelvis                              A   0.00   0.58     0.58NA  0.01   0.59  0.591XXX.00.00.0000000             33.2875 010 99      3.14   3.14   0.05
7217026X-ray exam of pelvis                              A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72190  X-ray exam of pelvis                              A   0.25   1.00     1.00NA  0.02   1.27  1.271XXX.00.00.0000000             33.2875 090 99      3.26   3.26   0.05
72190TCX-ray exam of pelvis                              A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7219026X-ray exam of pelvis                              A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72191  Ct angiograph pelv w/o&w/dye                      A   1.81   7.43     7.43NA  0.13   9.37  9.371XXX.00.00.0040000             33.2875 090 88      5.92   5.92   0.12
72191TCCt angiograph pelv w/o&w/dye                      A   0.00   6.83     6.83NA  0.03   6.86  6.861XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7219126Ct angiograph pelv w/o&w/dye                      A   1.81   0.60     0.60    0.10   2.51  2.511XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72192  Ct pelvis w/o dye                                 A   1.09   2.93     2.93NA  0.07   4.09  4.091XXX.00.00.0040000             33.2875 090 88      3.57   3.57   0.07
72192TCCt pelvis w/o dye                                 A   0.00   2.55     2.55NA  0.01   2.56  2.561XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7219226Ct pelvis w/o dye                                 A   1.09   0.38     0.38    0.06   1.53  1.531XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72193  Ct pelvis w/dye                                   A   1.16   5.81     5.81NA  0.08   7.05  7.051XXX.00.00.0040000             33.2875 090 88      5.74   5.74   0.08
72193TCCt pelvis w/dye                                   A   0.00   5.40     5.40NA  0.02   5.42  5.421XXX.00.00.0040000             33.2875 020 88      5.33   5.33   0.02
7219326Ct pelvis w/dye                                   A   1.16   0.41     0.41    0.06   1.63  1.631XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72194  Ct pelvis w/o & w/dye                             A   1.22   6.48     6.48NA  0.08   7.78  7.781XXX.00.00.0040000             33.2875 090 88      5.75   5.75   0.08
72194TCCt pelvis w/o & w/dye                             A   0.00   6.06     6.06NA  0.02   6.08  6.081XXX.00.00.0040000             33.2875 020 88      5.33   5.33   0.02
7219426Ct pelvis w/o & w/dye                             A   1.22   0.42     0.42    0.06   1.70  1.701XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72195  Mri pelvis w/o dye                                A   1.46   5.51     5.51NA  0.10   7.07  7.071XXX.00.00.0040000             33.2875 090 88      7.62   7.62   0.11
72195TCMri pelvis w/o dye                                A   0.00   4.99     4.99NA  0.02   5.01  5.011XXX.00.00.0040000             33.2875 010 88      7.10   7.10   0.03
7219526Mri pelvis w/o dye                                A   1.46   0.52     0.52    0.08   2.06  2.061XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72196  Mri pelvis w/dye                                  A   1.73   6.43     6.43NA  0.12   8.28  8.281XXX.00.00.0040000             33.2875 090 88     11.73  11.73   0.15
72196TCMri pelvis w/dye                                  A   0.00   5.83     5.83NA  0.03   5.86  5.861XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7219626Mri pelvis w/dye                                  A   1.73   0.60     0.60    0.09   2.42  2.421XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72197  Mri pelvis w/o & w/dye                            A   2.20   8.05     8.05NA  0.14  10.39 10.391XXX.00.00.0040000             33.2875 090 88     11.91  11.91   0.16
72197TCMri pelvis w/o & w/dye                            A   0.00   7.28     7.28NA  0.03   7.31  7.311XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7219726Mri pelvis w/o & w/dye                            A   2.20   0.77     0.77    0.11   3.08  3.081XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72198  Mr angio pelvis w/o & w/dye                       A   1.80   8.50     8.50NA  0.13  10.43 10.431XXX.00.00.0040000             33.2875 090 88     11.74  11.74   0.15
72198TCMr angio pelvis w/o & w/dye                       A   0.00   7.89     7.89NA  0.04   7.93  7.931XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7219826Mr angio pelvis w/o & w/dye                       A   1.80   0.61     0.61    0.09   2.50  2.501XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
72200  X-ray exam si joints                              A   0.17   0.81     0.81NA  0.02   1.00  1.001XXX.00.00.0000000             33.2875 090 99      3.22   3.22   0.05
72200TCX-ray exam si joints                              A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7220026X-ray exam si joints                              A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72202  X-ray exam si joints 3/> vws                      A   0.23   0.93     0.93NA  0.02   1.18  1.181XXX.00.00.0000000             33.2875 090 99      3.24   3.24   0.05
72202TCX-ray exam si joints 3/> vws                      A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7220226X-ray exam si joints 3/> vws                      A   0.23   0.08     0.08    0.01   0.32  0.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72220  X-ray exam sacrum tailbone                        A   0.17   0.79     0.79NA  0.02   0.98  0.981XXX.00.00.0000000             33.2875 090 99      2.68   2.68   0.05
72220TCX-ray exam sacrum tailbone                        A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7222026X-ray exam sacrum tailbone                        A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72240  Myelography neck spine                            A   0.91   2.38     2.38NA  0.07   3.36  3.361XXX.00.00.0000000             33.2875 090 99     23.51  23.51   0.17
72240TCMyelography neck spine                            A   0.00   2.06     2.06NA  0.01   2.07  2.071XXX.00.00.0000000             33.2875 030 99     23.19  23.19   0.11
7224026Myelography neck spine                            A   0.91   0.32     0.32    0.06   1.29  1.291XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72255  Myelography thoracic spine                        A   0.91   2.26     2.26NA  0.06   3.23  3.231XXX.00.00.0000000             33.2875 090 99     23.50  23.50   0.17
72255TCMyelography thoracic spine                        A   0.00   1.94     1.94NA  0.01   1.95  1.951XXX.00.00.0000000             33.2875 030 99     23.18  23.18   0.12
7225526Myelography thoracic spine                        A   0.91   0.32     0.32    0.05   1.28  1.281XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72265  Myelography l-s spine                             A   0.83   2.39     2.39NA  0.05   3.27  3.271XXX.00.00.0000000             33.2875 090 99     23.50  23.50   0.15
72265TCMyelography l-s spine                             A   0.00   2.08     2.08NA  0.01   2.09  2.091XXX.00.00.0000000             33.2875 030 99     23.19  23.19   0.11
7226526Myelography l-s spine                             A   0.83   0.31     0.31    0.04   1.18  1.181XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72270  Myelogphy 2/> spine regions                       A   1.33   3.16     3.16NA  0.09   4.58  4.581XXX.00.00.0000000             33.2875 090 99     23.73  23.73   0.17
72270TCMyelogphy 2/> spine regions                       A   0.00   2.64     2.64NA  0.01   2.65  2.651XXX.00.00.0000000             33.2875 030 99     23.21  23.21   0.09
7227026Myelogphy 2/> spine regions                       A   1.33   0.52     0.52    0.08   1.93  1.931XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72285  Discography cerv/thor spine                       A   1.16   2.75     2.75NA  0.05   3.96  3.961XXX.00.00.0000000             33.2875 090 99     56.39  56.39   0.28
72285TCDiscography cerv/thor spine                       A   0.00   2.30     2.30NA  0.01   2.31  2.311XXX.00.00.0000000             33.2875 030 99     55.94  55.94   0.24
7228526Discography cerv/thor spine                       A   1.16   0.45     0.45    0.04   1.65  1.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
72295  X-ray of lower spine disk                         A   0.83   2.46     2.46NA  0.05   3.34  3.341XXX.00.00.0000000             33.2875 090 99     56.22  56.22   0.30
72295TCX-ray of lower spine disk                         A   0.00   2.16     2.16NA  0.01   2.17  2.171XXX.00.00.0000000             33.2875 030 99     55.92  55.92   0.26
7229526X-ray of lower spine disk                         A   0.83   0.30     0.30    0.04   1.17  1.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
73000  X-ray exam of collar bone                         A   0.16   0.80     0.80NA  0.02   0.98  0.981XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.05
73000TCX-ray exam of collar bone                         A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.04
7300026X-ray exam of collar bone                         A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73010  X-ray exam of shoulder blade                      A   0.17   0.53     0.53NA  0.02   0.72  0.721XXX.00.00.0003000             33.2875 090 99      3.21   3.21   0.08
73010TCX-ray exam of shoulder blade                      A   0.00   0.45     0.45NA  0.01   0.46  0.461XXX.00.00.0003000             33.2875 010 99      3.13   3.13   0.07
7301026X-ray exam of shoulder blade                      A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73020  X-ray exam of shoulder                            A   0.15   0.48     0.48NA  0.02   0.65  0.651XXX.00.00.0003000             33.2875 090 99      2.64   2.64   0.07
73020TCX-ray exam of shoulder                            A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.0003000             33.2875 010 99      2.58   2.58   0.06
7302026X-ray exam of shoulder                            A   0.15   0.06     0.06    0.01   0.22  0.221XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73030  X-ray exam of shoulder                            A   0.18   0.85     0.85NA  0.02   1.05  1.051XXX.00.00.0003000             33.2875 090 99      2.69   2.69   0.04
73030TCX-ray exam of shoulder                            A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.03
7303026X-ray exam of shoulder                            A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73040  Contrast x-ray of shoulder                        A   0.54   3.37     3.37NA  0.04   3.95  3.951XXX.00.00.0003000             33.2875 090 99     11.37  11.37   0.07
73040TCContrast x-ray of shoulder                        A   0.00   3.15     3.15NA  0.01   3.16  3.161XXX.00.00.0003000             33.2875 030 99     11.15  11.15   0.04
7304026Contrast x-ray of shoulder                        A   0.54   0.22     0.22    0.03   0.79  0.791XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73050  X-ray exam of shoulders                           A   0.18   0.67     0.67NA  0.02   0.87  0.871XXX.00.00.0002000             33.2875 090 99      2.68   2.68   0.05
73050TCX-ray exam of shoulders                           A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0002000             33.2875 010 99      2.60   2.60   0.04
7305026X-ray exam of shoulders                           A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
73060  X-ray exam of humerus                             A   0.16   0.78     0.78NA  0.02   0.96  0.961XXX.00.00.0000000             33.2875 090 99      2.67   2.67   0.05
73060TCX-ray exam of humerus                             A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.04
7306026X-ray exam of humerus                             A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
73070  X-ray exam of elbow                               A   0.16   0.70     0.70NA  0.02   0.88  0.881XXX.00.00.0003000             33.2875 090 99      2.67   2.67   0.05
73070TCX-ray exam of elbow                               A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0003000             33.2875 010 99      2.60   2.60   0.04
7307026X-ray exam of elbow                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73080  X-ray exam of elbow                               A   0.17   0.80     0.80NA  0.02   0.99  0.991XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.05
73080TCX-ray exam of elbow                               A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.04
7308026X-ray exam of elbow                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73085  Contrast x-ray of elbow                           A   0.54   2.42     2.42NA  0.04   3.00  3.001XXX.00.00.0003000             33.2875 090 99     11.33  11.33   0.08
73085TCContrast x-ray of elbow                           A   0.00   2.23     2.23NA  0.01   2.24  2.241XXX.00.00.0003000             33.2875 030 99     11.14  11.14   0.05
7308526Contrast x-ray of elbow                           A   0.54   0.19     0.19    0.03   0.76  0.761XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73090  X-ray exam of forearm                             A   0.16   0.70     0.70NA  0.02   0.88  0.881XXX.00.00.0003000             33.2875 090 99      2.66   2.66   0.05
73090TCX-ray exam of forearm                             A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0003000             33.2875 010 99      2.60   2.60   0.04
7309026X-ray exam of forearm                             A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73092  X-ray exam of arm infant                          A   0.16   0.77     0.77NA  0.02   0.95  0.951XXX.00.00.0003000             33.2875 090 99      3.21   3.21   0.05
73092TCX-ray exam of arm infant                          A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0003000             33.2875 010 99      3.15   3.15   0.04
7309226X-ray exam of arm infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73100  X-ray exam of wrist                               A   0.16   0.84     0.84NA  0.02   1.02  1.021XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.04
73100TCX-ray exam of wrist                               A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.03
7310026X-ray exam of wrist                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73110  X-ray exam of wrist                               A   0.17   1.05     1.05NA  0.02   1.24  1.241XXX.00.00.0003000             33.2875 090 99      2.69   2.69   0.04
73110TCX-ray exam of wrist                               A   0.00   0.98     0.98NA  0.01   0.99  0.991XXX.00.00.0003000             33.2875 010 99      2.62   2.62   0.03
7311026X-ray exam of wrist                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73115  Contrast x-ray of wrist                           A   0.54   3.47     3.47NA  0.04   4.05  4.051XXX.00.00.0003000             33.2875 090 99     11.39  11.39   0.06
73115TCContrast x-ray of wrist                           A   0.00   3.24     3.24NA  0.01   3.25  3.251XXX.00.00.0003000             33.2875 030 99     11.16  11.16   0.03
7311526Contrast x-ray of wrist                           A   0.54   0.23     0.23    0.03   0.80  0.801XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73120  X-ray exam of hand                                A   0.16   0.77     0.77NA  0.02   0.95  0.951XXX.00.00.0003000             33.2875 090 99      3.22   3.22   0.06
73120TCX-ray exam of hand                                A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0003000             33.2875 010 99      3.15   3.15   0.05
7312026X-ray exam of hand                                A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73130  X-ray exam of hand                                A   0.17   0.93     0.93NA  0.02   1.12  1.121XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.04
73130TCX-ray exam of hand                                A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.03
7313026X-ray exam of hand                                A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73140  X-ray exam of finger(s)                           A   0.13   1.00     1.00NA  0.02   1.15  1.151XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.04
73140TCX-ray exam of finger(s)                           A   0.00   0.94     0.94NA  0.01   0.95  0.951XXX.00.00.0003000             33.2875 010 99      2.62   2.62   0.03
7314026X-ray exam of finger(s)                           A   0.13   0.06     0.06    0.01   0.20  0.201XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73200  Ct upper extremity w/o dye                        A   1.00   3.90     3.90NA  0.06   4.96  4.961XXX.00.00.0043000             33.2875 090 88      3.54   3.54   0.06
73200TCCt upper extremity w/o dye                        A   0.00   3.55     3.55NA  0.01   3.56  3.561XXX.00.00.0043000             33.2875 010 88      3.19   3.19   0.01
7320026Ct upper extremity w/o dye                        A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73201  Ct upper extremity w/dye                          A   1.16   4.94     4.94NA  0.08   6.18  6.181XXX.00.00.0043000             33.2875 090 88     11.55  11.55   0.11
73201TCCt upper extremity w/dye                          A   0.00   4.53     4.53NA  0.02   4.55  4.551XXX.00.00.0043000             33.2875 020 88     11.14  11.14   0.05
7320126Ct upper extremity w/dye                          A   1.16   0.41     0.41    0.06   1.63  1.631XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73202  Ct uppr extremity w/o&w/dye                       A   1.22   6.36     6.36NA  0.08   7.66  7.661XXX.00.00.0043000             33.2875 090 88      5.75   5.75   0.08
73202TCCt uppr extremity w/o&w/dye                       A   0.00   5.94     5.94NA  0.02   5.96  5.961XXX.00.00.0043000             33.2875 020 88      5.33   5.33   0.02
7320226Ct uppr extremity w/o&w/dye                       A   1.22   0.42     0.42    0.06   1.70  1.701XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73206  Ct angio upr extrm w/o&w/dye                      A   1.81   7.20     7.20NA  0.13   9.14  9.141XXX.00.00.0040000             33.2875 090 88      5.92   5.92   0.12
73206TCCt angio upr extrm w/o&w/dye                      A   0.00   6.60     6.60NA  0.03   6.63  6.631XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7320626Ct angio upr extrm w/o&w/dye                      A   1.81   0.60     0.60    0.10   2.51  2.511XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
73218  Mri upper extremity w/o dye                       A   1.35   7.92     7.92NA  0.10   9.37  9.371XXX.00.00.0043000             33.2875 090 88      7.59   7.59   0.10
73218TCMri upper extremity w/o dye                       A   0.00   7.43     7.43NA  0.03   7.46  7.461XXX.00.00.0043000             33.2875 010 88      7.10   7.10   0.03
7321826Mri upper extremity w/o dye                       A   1.35   0.49     0.49    0.07   1.91  1.911XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73219  Mri upper extremity w/dye                         A   1.62   8.50     8.50NA  0.11  10.23 10.231XXX.00.00.0043000             33.2875 090 88     11.73  11.73   0.12
73219TCMri upper extremity w/dye                         A   0.00   7.92     7.92NA  0.03   7.95  7.951XXX.00.00.0043000             33.2875 020 88     11.15  11.15   0.04
7321926Mri upper extremity w/dye                         A   1.62   0.58     0.58    0.08   2.28  2.281XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73220  Mri uppr extremity w/o&w/dye                      A   2.15  10.36    10.36NA  0.14  12.65 12.651XXX.00.00.0043000             33.2875 090 88     11.92  11.92   0.15
73220TCMri uppr extremity w/o&w/dye                      A   0.00   9.60     9.60NA  0.03   9.63  9.631XXX.00.00.0043000             33.2875 020 88     11.16  11.16   0.04
7322026Mri uppr extremity w/o&w/dye                      A   2.15   0.76     0.76    0.11   3.02  3.021XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73221  Mri joint upr extrem w/o dye                      A   1.35   4.82     4.82NA  0.09   6.26  6.261XXX.00.00.0043000             33.2875 090 88      7.59   7.59   0.10
73221TCMri joint upr extrem w/o dye                      A   0.00   4.33     4.33NA  0.02   4.35  4.351XXX.00.00.0043000             33.2875 010 88      7.10   7.10   0.03
7322126Mri joint upr extrem w/o dye                      A   1.35   0.49     0.49    0.07   1.91  1.911XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73222  Mri joint upr extrem w/dye                        A   1.62   7.94     7.94NA  0.11   9.67  9.671XXX.00.00.0043000             33.2875 090 88     23.79  23.79   0.18
73222TCMri joint upr extrem w/dye                        A   0.00   7.35     7.35NA  0.03   7.38  7.381XXX.00.00.0043000             33.2875 020 88     23.20  23.20   0.10
7322226Mri joint upr extrem w/dye                        A   1.62   0.59     0.59    0.08   2.29  2.291XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73223  Mri joint upr extr w/o&w/dye                      A   2.15   9.66     9.66NA  0.14  11.95 11.951XXX.00.00.0043000             33.2875 090 88     11.92  11.92   0.15
73223TCMri joint upr extr w/o&w/dye                      A   0.00   8.89     8.89NA  0.03   8.92  8.921XXX.00.00.0043000             33.2875 020 88     11.15  11.15   0.04
7322326Mri joint upr extr w/o&w/dye                      A   2.15   0.77     0.77    0.11   3.03  3.031XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73225  Mr angio upr extr w/o&w/dye                       R   1.73   8.70     8.70NA  0.13  10.56 10.561XXX.00.00.0040000             33.2875 090 88     11.75  11.75   0.15
73225TCMr angio upr extr w/o&w/dye                       R   0.00   8.09     8.09NA  0.04   8.13  8.131XXX.00.00.0040900             33.2875 020 88     11.14  11.14   0.06
7322526Mr angio upr extr w/o&w/dye                       R   1.73   0.61     0.61    0.09   2.43  2.431XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
73501  X-ray exam hip uni 1 view                         A   0.18   0.79     0.79NA  0.02   0.99  0.991XXX.00.00.0000000             33.2875 090 99      2.69   2.69   0.05
73501TCX-ray exam hip uni 1 view                         A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0000000             33.2875 010 99      2.61   2.61   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             33.2875 090 99      0.00   0.00   0.00
73502  X-ray exam hip uni 2-3 views                      A   0.22   1.19     1.19NA  0.02   1.43  1.431XXX.00.00.0000000             33.2875 090 99      2.71   2.71   0.03
73502TCX-ray exam hip uni 2-3 views                      A   0.00   1.10     1.10NA  0.01   1.11  1.111XXX.00.00.0000000             33.2875 010 99      2.62   2.62   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             33.2875 090 99      0.00   0.00   0.00
73503  X-ray exam hip uni 4/> views                      A   0.27   1.51     1.51NA  0.02   1.80  1.801XXX.00.00.0000000             33.2875 090 99      3.29   3.29   0.03
73503TCX-ray exam hip uni 4/> views                      A   0.00   1.40     1.40NA  0.01   1.41  1.411XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7350326X-ray exam hip uni 4/> views                      A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
73521  X-ray exam hips bi 2 views                        A   0.22   1.00     1.00NA  0.02   1.24  1.241XXX.00.00.0000000             33.2875 090 99      3.25   3.25   0.04
73521TCX-ray exam hips bi 2 views                        A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.03
7352126X-ray exam hips bi 2 views                        A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
73522  X-ray exam hips bi 3-4 views                      A   0.29   1.31     1.31NA  0.02   1.62  1.621XXX.00.00.0000000             33.2875 090 99      3.29   3.29   0.04
73522TCX-ray exam hips bi 3-4 views                      A   0.00   1.19     1.19NA  0.01   1.20  1.201XXX.00.00.0000000             33.2875 010 99      3.17   3.17   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             33.2875 090 99      0.00   0.00   0.00
73523  X-ray exam hips bi 5/> views                      A   0.31   1.52     1.52NA  0.03   1.86  1.861XXX.00.00.0000000             33.2875 090 99      3.30   3.30   0.04
73523TCX-ray exam hips bi 5/> views                      A   0.00   1.40     1.40NA  0.01   1.41  1.411XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7352326X-ray exam hips bi 5/> views                      A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
73525  Contrast x-ray of hip                             A   0.54   3.27     3.27NA  0.06   3.87  3.871XXX.00.00.0003000             33.2875 090 99     11.40  11.40   0.09
73525TCContrast x-ray of hip                             A   0.00   3.02     3.02NA  0.01   3.03  3.031XXX.00.00.0003000             33.2875 030 99     11.15  11.15   0.04
7352526Contrast x-ray of hip                             A   0.54   0.25     0.25    0.05   0.84  0.841XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73551  X-ray exam of femur 1                             A   0.16   0.70     0.70NA  0.02   0.88  0.881XXX.00.00.0003000             33.2875 090 99      2.67   2.67   0.05
73551TCX-ray exam of femur 1                             A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0003000             33.2875 010 99      2.60   2.60   0.04
7355126X-ray exam of femur 1                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73552  X-ray exam of femur 2/>                           A   0.18   0.87     0.87NA  0.02   1.07  1.071XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.04
73552TCX-ray exam of femur 2/>                           A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.03
7355226X-ray exam of femur 2/>                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73560  X-ray exam of knee 1 or 2                         A   0.16   0.85     0.85NA  0.02   1.03  1.031XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.04
73560TCX-ray exam of knee 1 or 2                         A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0003000             33.2875 010 99      2.61   2.61   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             33.2875 090 99      0.00   0.00   0.00
73562  X-ray exam of knee 3                              A   0.18   1.03     1.03NA  0.02   1.23  1.231XXX.00.00.0003000             33.2875 090 99      2.70   2.70   0.04
73562TCX-ray exam of knee 3                              A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0003000             33.2875 090 99      2.62   2.62   0.03
7356226X-ray exam of knee 3                              A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73564  X-ray exam knee 4 or more                         A   0.22   1.18     1.18NA  0.02   1.42  1.421XXX.00.00.0003000             33.2875 090 99      3.27   3.27   0.04
73564TCX-ray exam knee 4 or more                         A   0.00   1.08     1.08NA  0.01   1.09  1.091XXX.00.00.0003000             33.2875 010 99      3.17   3.17   0.03
7356426X-ray exam knee 4 or more                         A   0.22   0.10     0.10    0.01   0.33  0.331XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73565  X-ray exam of knees                               A   0.16   1.02     1.02NA  0.02   1.20  1.201XXX.00.00.0002000             33.2875 090 99      2.69   2.69   0.04
73565TCX-ray exam of knees                               A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0002000             33.2875 010 99      2.62   2.62   0.03
7356526X-ray exam of knees                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
73580  Contrast x-ray of knee joint                      A   0.59   2.66     2.66NA  0.07   3.32  3.321XXX.00.00.0003000             33.2875 090 99     11.40  11.40   0.11
73580TCContrast x-ray of knee joint                      A   0.00   2.40     2.40NA  0.01   2.41  2.411XXX.00.00.0003000             33.2875 030 99     11.14  11.14   0.05
7358026Contrast x-ray of knee joint                      A   0.59   0.26     0.26    0.06   0.91  0.911XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73590  X-ray exam of lower leg                           A   0.16   0.77     0.77NA  0.02   0.95  0.951XXX.00.00.0003000             33.2875 090 99      2.67   2.67   0.05
73590TCX-ray exam of lower leg                           A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.04
7359026X-ray exam of lower leg                           A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73592  X-ray exam of leg infant                          A   0.16   0.77     0.77NA  0.02   0.95  0.951XXX.00.00.0003000             33.2875 090 99      2.67   2.67   0.05
73592TCX-ray exam of leg infant                          A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.04
7359226X-ray exam of leg infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73600  X-ray exam of ankle                               A   0.16   0.79     0.79NA  0.02   0.97  0.971XXX.00.00.0003000             33.2875 090 99      2.67   2.67   0.05
73600TCX-ray exam of ankle                               A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.04
7360026X-ray exam of ankle                               A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73610  X-ray exam of ankle                               A   0.17   0.91     0.91NA  0.02   1.10  1.101XXX.00.00.0003000             33.2875 090 99      2.68   2.68   0.04
73610TCX-ray exam of ankle                               A   0.00   0.84     0.84NA  0.01   0.85  0.851XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.03
7361026X-ray exam of ankle                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73615  Contrast x-ray of ankle                           A   0.54   3.26     3.26NA  0.04   3.84  3.841XXX.00.00.0003000             33.2875 090 99     11.39  11.39   0.07
73615TCContrast x-ray of ankle                           A   0.00   3.02     3.02NA  0.01   3.03  3.031XXX.00.00.0003000             33.2875 030 99     11.15  11.15   0.04
7361526Contrast x-ray of ankle                           A   0.54   0.24     0.24    0.03   0.81  0.811XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73620  X-ray exam of foot                                A   0.16   0.68     0.68NA  0.02   0.86  0.861XXX.00.00.0003000             33.2875 090 99      2.65   2.65   0.05
73620TCX-ray exam of foot                                A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0003000             33.2875 010 99      2.60   2.60   0.04
7362026X-ray exam of foot                                A   0.16   0.05     0.05    0.01   0.22  0.221XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73630  X-ray exam of foot                                A   0.17   0.84     0.84NA  0.02   1.03  1.031XXX.00.00.0003000             33.2875 090 99      2.67   2.67   0.04
73630TCX-ray exam of foot                                A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.03
7363026X-ray exam of foot                                A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73650  X-ray exam of heel                                A   0.16   0.68     0.68NA  0.02   0.86  0.861XXX.00.00.0003000             33.2875 090 99      2.66   2.66   0.05
73650TCX-ray exam of heel                                A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0003000             33.2875 010 99      2.60   2.60   0.04
7365026X-ray exam of heel                                A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73660  X-ray exam of toe(s)                              A   0.13   0.73     0.73NA  0.02   0.88  0.881XXX.00.00.0003000             33.2875 090 99      2.66   2.66   0.05
73660TCX-ray exam of toe(s)                              A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.0003000             33.2875 010 99      2.61   2.61   0.04
7366026X-ray exam of toe(s)                              A   0.13   0.05     0.05    0.01   0.19  0.191XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
73700  Ct lower extremity w/o dye                        A   1.00   2.92     2.92NA  0.06   3.98  3.981XXX.00.00.0043000             33.2875 090 88      3.54   3.54   0.06
73700TCCt lower extremity w/o dye                        A   0.00   2.57     2.57NA  0.01   2.58  2.581XXX.00.00.0043000             33.2875 010 88      3.19   3.19   0.01
7370026Ct lower extremity w/o dye                        A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73701  Ct lower extremity w/dye                          A   1.16   3.89     3.89NA  0.08   5.13  5.131XXX.00.00.0043000             33.2875 090 88      5.73   5.73   0.09
73701TCCt lower extremity w/dye                          A   0.00   3.48     3.48NA  0.02   3.50  3.501XXX.00.00.0043000             33.2875 020 88      5.32   5.32   0.03
7370126Ct lower extremity w/dye                          A   1.16   0.41     0.41    0.06   1.63  1.631XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73702  Ct lwr extremity w/o&w/dye                        A   1.22   4.71     4.71NA  0.08   6.01  6.011XXX.00.00.0043000             33.2875 090 88      5.74   5.74   0.08
73702TCCt lwr extremity w/o&w/dye                        A   0.00   4.29     4.29NA  0.02   4.31  4.311XXX.00.00.0043000             33.2875 020 88      5.32   5.32   0.02
7370226Ct lwr extremity w/o&w/dye                        A   1.22   0.42     0.42    0.06   1.70  1.701XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73706  Ct angio lwr extr w/o&w/dye                       A   1.90   7.90     7.90NA  0.14   9.94  9.941XXX.00.00.0043000             33.2875 090 88      5.96   5.96   0.13
73706TCCt angio lwr extr w/o&w/dye                       A   0.00   7.26     7.26NA  0.04   7.30  7.301XXX.00.00.0043000             33.2875 020 88      5.32   5.32   0.03
7370626Ct angio lwr extr w/o&w/dye                       A   1.90   0.64     0.64    0.10   2.64  2.641XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73718  Mri lower extremity w/o dye                       A   1.35   5.45     5.45NA  0.09   6.89  6.891XXX.00.00.0043000             33.2875 090 88      7.57   7.57   0.10
73718TCMri lower extremity w/o dye                       A   0.00   4.98     4.98NA  0.02   5.00  5.001XXX.00.00.0043000             33.2875 010 88      7.10   7.10   0.03
7371826Mri lower extremity w/o dye                       A   1.35   0.47     0.47    0.07   1.89  1.891XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73719  Mri lower extremity w/dye                         A   1.62   6.39     6.39NA  0.11   8.12  8.121XXX.00.00.0043000             33.2875 090 88     11.70  11.70   0.14
73719TCMri lower extremity w/dye                         A   0.00   5.82     5.82NA  0.03   5.85  5.851XXX.00.00.0043000             33.2875 020 88     11.13  11.13   0.06
7371926Mri lower extremity w/dye                         A   1.62   0.57     0.57    0.08   2.27  2.271XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73720  Mri lwr extremity w/o&w/dye                       A   2.15   8.11     8.11NA  0.14  10.40 10.401XXX.00.00.0043000             33.2875 090 88     11.89  11.89   0.16
73720TCMri lwr extremity w/o&w/dye                       A   0.00   7.36     7.36NA  0.03   7.39  7.391XXX.00.00.0043000             33.2875 020 88     11.14  11.14   0.05
7372026Mri lwr extremity w/o&w/dye                       A   2.15   0.75     0.75    0.11   3.01  3.011XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73721  Mri jnt of lwr extre w/o dye                      A   1.35   4.81     4.81NA  0.09   6.25  6.251XXX.00.00.0043000             33.2875 090 88      7.59   7.59   0.10
73721TCMri jnt of lwr extre w/o dye                      A   0.00   4.32     4.32NA  0.02   4.34  4.341XXX.00.00.0043000             33.2875 010 88      7.10   7.10   0.03
7372126Mri jnt of lwr extre w/o dye                      A   1.35   0.49     0.49    0.07   1.91  1.911XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73722  Mri joint of lwr extr w/dye                       A   1.62   7.95     7.95NA  0.11   9.68  9.681XXX.00.00.0043000             33.2875 090 88     23.78  23.78   0.17
73722TCMri joint of lwr extr w/dye                       A   0.00   7.37     7.37NA  0.03   7.40  7.401XXX.00.00.0043000             33.2875 020 88     23.20  23.20   0.09
7372226Mri joint of lwr extr w/dye                       A   1.62   0.58     0.58    0.08   2.28  2.281XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73723  Mri joint lwr extr w/o&w/dye                      A   2.15   9.61     9.61NA  0.14  11.90 11.901XXX.00.00.0043000             33.2875 090 88     11.91  11.91   0.15
73723TCMri joint lwr extr w/o&w/dye                      A   0.00   8.85     8.85NA  0.03   8.88  8.881XXX.00.00.0043000             33.2875 020 88     11.15  11.15   0.04
7372326Mri joint lwr extr w/o&w/dye                      A   2.15   0.76     0.76    0.11   3.02  3.021XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
73725  Mr ang lwr ext w or w/o dye                       R   1.82   8.40     8.40NA  0.14  10.36 10.361XXX.00.00.0043000             33.2875 090 88     11.73  11.73   0.16
73725TCMr ang lwr ext w or w/o dye                       R   0.00   7.80     7.80NA  0.04   7.84  7.841XXX.00.00.0043000             33.2875 020 88     11.13  11.13   0.06
7372526Mr ang lwr ext w or w/o dye                       R   1.82   0.60     0.60    0.10   2.52  2.521XXX.00.00.0043000             33.2875 090 88      0.00   0.00   0.00
74018  X-ray exam abdomen 1 view                         A   0.18   0.71     0.71NA  0.02   0.91  0.911XXX.00.00.0000000             33.2875 090 99      2.67   2.67   0.05
74018TCX-ray exam abdomen 1 view                         A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0000000             33.2875 010 99      2.60   2.60   0.04
7401826X-ray exam abdomen 1 view                         A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74019  X-ray exam abdomen 2 views                        A   0.23   0.85     0.85NA  0.02   1.10  1.101XXX.00.00.0000000             33.2875 090 99      3.24   3.24   0.05
74019TCX-ray exam abdomen 2 views                        A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7401926X-ray exam abdomen 2 views                        A   0.23   0.08     0.08    0.01   0.32  0.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74021  X-ray exam abdomen 3+ views                       A   0.27   1.00     1.00NA  0.02   1.29  1.291XXX.00.00.0000000             33.2875 090 99      3.26   3.26   0.05
74021TCX-ray exam abdomen 3+ views                       A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7402126X-ray exam abdomen 3+ views                       A   0.27   0.10     0.10    0.01   0.38  0.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74022  X-ray exam complete abdomen                       A   0.32   1.15     1.15NA  0.03   1.50  1.501XXX.00.00.0000000             33.2875 090 99      3.28   3.28   0.05
74022TCX-ray exam complete abdomen                       A   0.00   1.04     1.04NA  0.01   1.05  1.051XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7402226X-ray exam complete abdomen                       A   0.32   0.11     0.11    0.02   0.45  0.451XXX.00.00.0000000             33.2875 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             33.2875 090 88      3.61   3.61   0.07
74150TCCt abdomen w/o dye                                A   0.00   2.52     2.52NA  0.01   2.53  2.531XXX.00.00.0040000             33.2875 010 88      3.19   3.19   0.01
7415026Ct abdomen w/o dye                                A   1.19   0.42     0.42    0.06   1.67  1.671XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74160  Ct abdomen w/dye                                  A   1.27   5.82     5.82NA  0.09   7.18  7.181XXX.00.00.0040000             33.2875 090 88      5.78   5.78   0.09
74160TCCt abdomen w/dye                                  A   0.00   5.37     5.37NA  0.02   5.39  5.391XXX.00.00.0040000             33.2875 020 88      5.33   5.33   0.02
7416026Ct abdomen w/dye                                  A   1.27   0.45     0.45    0.07   1.79  1.791XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74170  Ct abdomen w/o & w/dye                            A   1.40   6.58     6.58NA  0.09   8.07  8.071XXX.00.00.0040000             33.2875 090 88      5.82   5.82   0.09
74170TCCt abdomen w/o & w/dye                            A   0.00   6.09     6.09NA  0.02   6.11  6.111XXX.00.00.0040000             33.2875 020 88      5.33   5.33   0.02
7417026Ct abdomen w/o & w/dye                            A   1.40   0.49     0.49    0.07   1.96  1.961XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74174  Ct angio abd&pelv w/o&w/dye                       A   2.20   9.35     9.35NA  0.16  11.71 11.711XXX.00.00.0040000             33.2875 090 88     11.89  11.89   0.17
74174TCCt angio abd&pelv w/o&w/dye                       A   0.00   8.60     8.60NA  0.04   8.64  8.641XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7417426Ct angio abd&pelv w/o&w/dye                       A   2.20   0.75     0.75    0.12   3.07  3.071XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74175  Ct angio abdom w/o & w/dye                        A   1.82   7.46     7.46NA  0.13   9.41  9.411XXX.00.00.0040000             33.2875 090 88      5.94   5.94   0.12
74175TCCt angio abdom w/o & w/dye                        A   0.00   6.84     6.84NA  0.03   6.87  6.871XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.02
7417526Ct angio abdom w/o & w/dye                        A   1.82   0.62     0.62    0.10   2.54  2.541XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74176  Ct abd & pelvis w/o contrast                      A   1.74   3.78     3.78NA  0.11   5.63  5.631XXX.00.00.0040900             33.2875 090 88      7.70   7.70   0.13
74176TCCt abd & pelvis w/o contrast                      A   0.00   3.17     3.17NA  0.02   3.19  3.191XXX.00.00.0040900             33.2875 010 88      7.09   7.09   0.04
7417626Ct abd & pelvis w/o contrast                      A   1.74   0.61     0.61    0.09   2.44  2.441XXX.00.00.0040900             33.2875 090 88      0.00   0.00   0.00
74177  Ct abd & pelv w/contrast                          A   1.82   7.41     7.41NA  0.11   9.34  9.341XXX.00.00.0040900             33.2875 090 88     11.80  11.80   0.12
74177TCCt abd & pelv w/contrast                          A   0.00   6.77     6.77NA  0.02   6.79  6.791XXX.00.00.0040900             33.2875 020 88     11.16  11.16   0.03
7417726Ct abd & pelv w/contrast                          A   1.82   0.64     0.64    0.09   2.55  2.551XXX.00.00.0040900             33.2875 090 88      0.00   0.00   0.00
74178  Ct abd & pelv 1/> regns                           A   2.01   8.34     8.34NA  0.13  10.48 10.481XXX.00.00.0040900             33.2875 090 88     11.85  11.85   0.14
74178TCCt abd & pelv 1/> regns                           A   0.00   7.64     7.64NA  0.03   7.67  7.671XXX.00.00.0040900             33.2875 020 88     11.15  11.15   0.04
7417826Ct abd & pelv 1/> regns                           A   2.01   0.70     0.70    0.10   2.81  2.811XXX.00.00.0040900             33.2875 090 88      0.00   0.00   0.00
74181  Mri abdomen w/o dye                               A   1.46   4.48     4.48NA  0.10   6.04  6.041XXX.00.00.0040000             33.2875 090 88      7.60   7.60   0.12
74181TCMri abdomen w/o dye                               A   0.00   3.97     3.97NA  0.02   3.99  3.991XXX.00.00.0040000             33.2875 010 88      7.09   7.09   0.04
7418126Mri abdomen w/o dye                               A   1.46   0.51     0.51    0.08   2.05  2.051XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74182  Mri abdomen w/dye                                 A   1.73   7.48     7.48NA  0.12   9.33  9.331XXX.00.00.0040000             33.2875 090 88     11.74  11.74   0.14
74182TCMri abdomen w/dye                                 A   0.00   6.88     6.88NA  0.03   6.91  6.911XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7418226Mri abdomen w/dye                                 A   1.73   0.60     0.60    0.09   2.42  2.421XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74183  Mri abdomen w/o & w/dye                           A   2.20   8.09     8.09NA  0.14  10.43 10.431XXX.00.00.0040000             33.2875 090 88     11.91  11.91   0.16
74183TCMri abdomen w/o & w/dye                           A   0.00   7.32     7.32NA  0.03   7.35  7.351XXX.00.00.0040000             33.2875 020 88     11.14  11.14   0.05
7418326Mri abdomen w/o & w/dye                           A   2.20   0.77     0.77    0.11   3.08  3.081XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74185  Mri angio abdom w orw/o dye                       R   1.80   8.46     8.46NA  0.13  10.39 10.391XXX.00.00.0040000             33.2875 090 88     11.74  11.74   0.15
74185TCMri angio abdom w orw/o dye                       R   0.00   7.85     7.85NA  0.04   7.89  7.891XXX.00.00.0040000             33.2875 020 88     11.13  11.13   0.06
7418526Mri angio abdom w orw/o dye                       R   1.80   0.61     0.61    0.09   2.50  2.501XXX.00.00.0040000             33.2875 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             33.2875 090 99     16.18  16.18   0.04
74190TCX-ray exam of peritoneum                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99     16.04  16.04   0.01
7419026X-ray exam of peritoneum                          A   0.48   0.14     0.14    0.03   0.65  0.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74210  X-ray xm phrnx&/crv esoph c+                      A   0.59   2.21     2.21NA  0.04   2.84  2.841XXX.00.00.0000000             33.2875 090 99      5.52   5.52   0.06
74210TCX-ray xm phrnx&/crv esoph c+                      A   0.00   2.01     2.01NA  0.01   2.02  2.021XXX.00.00.0000000             33.2875 030 99      5.32   5.32   0.03
7421026X-ray xm phrnx&/crv esoph c+                      A   0.59   0.20     0.20    0.03   0.82  0.821XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74220  X-ray xm esophagus 1cntrst                        A   0.60   2.28     2.28NA  0.04   2.92  2.921XXX.00.00.0000000             33.2875 090 99      5.53   5.53   0.06
74220TCX-ray xm esophagus 1cntrst                        A   0.00   2.07     2.07NA  0.01   2.08  2.081XXX.00.00.0000000             33.2875 030 99      5.32   5.32   0.03
7422026X-ray xm esophagus 1cntrst                        A   0.60   0.21     0.21    0.03   0.84  0.841XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74221  X-ray xm esophagus 2cntrst                        A   0.70   2.54     2.54NA  0.05   3.29  3.291XXX.00.00.0000000             33.2875 090 99      5.56   5.56   0.06
74221TCX-ray xm esophagus 2cntrst                        A   0.00   2.30     2.30NA  0.01   2.31  2.311XXX.00.00.0000000             33.2875 030 99      5.32   5.32   0.02
7422126X-ray xm esophagus 2cntrst                        A   0.70   0.24     0.24    0.04   0.98  0.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74230  X-ray xm swlng funcj c+                           A   0.53   3.17     3.17NA  0.04   3.74  3.741XXX.00.00.0000000             33.2875 090 99      5.52   5.52   0.05
74230TCX-ray xm swlng funcj c+                           A   0.00   2.98     2.98NA  0.01   2.99  2.991XXX.00.00.0000000             33.2875 030 99      5.33   5.33   0.02
7423026X-ray xm swlng funcj c+                           A   0.53   0.19     0.19    0.03   0.75  0.751XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7423526Remove esophagus obstruction                      A   1.19   0.42     0.42    0.06   1.67  1.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74240  X-ray xm upr gi trc 1cntrst                       A   0.80   2.83     2.83NA  0.05   3.68  3.681XXX.00.00.0000000             33.2875 090 99      5.62   5.62   0.06
74240TCX-ray xm upr gi trc 1cntrst                       A   0.00   2.54     2.54NA  0.01   2.55  2.551XXX.00.00.0000000             33.2875 030 99      5.33   5.33   0.02
7424026X-ray xm upr gi trc 1cntrst                       A   0.80   0.29     0.29    0.04   1.13  1.131XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74246  X-ray xm upr gi trc 2cntrst                       A   0.90   3.21     3.21NA  0.06   4.17  4.171XXX.00.00.0000000             33.2875 090 99      5.64   5.64   0.07
74246TCX-ray xm upr gi trc 2cntrst                       A   0.00   2.90     2.90NA  0.01   2.91  2.911XXX.00.00.0000000             33.2875 030 99      5.33   5.33   0.02
7424626X-ray xm upr gi trc 2cntrst                       A   0.90   0.31     0.31    0.05   1.26  1.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74248  X-ray sm int f-thru std                           A   0.70   1.72     1.72NA  0.05   2.47  2.471ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74248TCX-ray sm int f-thru std                           A   0.00   1.48     1.48NA  0.01   1.49  1.491ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7424826X-ray sm int f-thru std                           A   0.70   0.24     0.24    0.04   0.98  0.981ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74250  X-ray xm sm int 1cntrst std                       A   0.81   2.79     2.79NA  0.05   3.65  3.651XXX.00.00.0000000             33.2875 090 99      5.60   5.60   0.06
74250TCX-ray xm sm int 1cntrst std                       A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.0000000             33.2875 020 99      5.32   5.32   0.02
7425026X-ray xm sm int 1cntrst std                       A   0.81   0.28     0.28    0.04   1.13  1.131XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74251  X-ray xm sm int 2cntrst std                       A   1.17   9.63     9.63NA  0.07  10.87 10.871XXX.00.00.0000000             33.2875 090 99      5.75   5.75   0.07
74251TCX-ray xm sm int 2cntrst std                       A   0.00   9.22     9.22NA  0.01   9.23  9.231XXX.00.00.0000000             33.2875 030 99      5.34   5.34   0.01
7425126X-ray xm sm int 2cntrst std                       A   1.17   0.41     0.41    0.06   1.64  1.641XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74261  Ct colonography dx                                A   2.40  10.21    10.21NA  0.15  12.76 12.761XXX.00.00.0040000             33.2875 090 88      4.03   4.03   0.13
74261TCCt colonography dx                                A   0.00   9.37     9.37NA  0.03   9.40  9.401XXX.00.00.0040000             33.2875 020 88      3.19   3.19   0.01
7426126Ct colonography dx                                A   2.40   0.84     0.84    0.12   3.36  3.361XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74262  Ct colonography dx w/dye                          A   2.50  11.70    11.70NA  0.16  14.36 14.361XXX.00.00.0040000             33.2875 090 88      6.21   6.21   0.14
74262TCCt colonography dx w/dye                          A   0.00  10.82    10.82NA  0.03  10.85 10.851XXX.00.00.0040000             33.2875 020 88      5.33   5.33   0.01
7426226Ct colonography dx w/dye                          A   2.50   0.88     0.88    0.13   3.51  3.511XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74263  Ct colonography screening                         N+  2.28  17.86    17.86NA  0.08  20.22 20.221XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
74263TCCt colonography screening                         N+  0.00  16.98    16.98NA  0.03  17.01 17.011XXX.00.00.0099999             33.2875 020 99      0.00   0.00   0.00
7426326Ct colonography screening                         N+  2.28   0.88     0.88    0.05   3.21  3.211XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
74270  X-ray xm colon 1cntrst std                        A   1.04   3.50     3.50NA  0.06   4.60  4.601XXX.00.00.0000000             33.2875 090 99      5.69   5.69   0.07
74270TCX-ray xm colon 1cntrst std                        A   0.00   3.14     3.14NA  0.01   3.15  3.151XXX.00.00.0000000             33.2875 030 99      5.33   5.33   0.02
7427026X-ray xm colon 1cntrst std                        A   1.04   0.36     0.36    0.05   1.45  1.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74280  X-ray xm colon 2cntrst std                        A   1.26   5.24     5.24NA  0.09   6.59  6.591XXX.00.00.0000000             33.2875 090 99      5.76   5.76   0.09
74280TCX-ray xm colon 2cntrst std                        A   0.00   4.80     4.80NA  0.02   4.82  4.821XXX.00.00.0000000             33.2875 030 99      5.32   5.32   0.02
7428026X-ray xm colon 2cntrst std                        A   1.26   0.44     0.44    0.07   1.77  1.771XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74283  Ther nma rdctj intus/obstrcj                      A   2.02   5.51     5.51NA  0.11   7.64  7.641XXX.00.00.0000000             33.2875 090 99      6.16   6.16   0.11
74283TCTher nma rdctj intus/obstrcj                      A   0.00   4.68     4.68NA  0.01   4.69  4.691XXX.00.00.0000000             33.2875 030 99      5.33   5.33   0.01
7428326Ther nma rdctj intus/obstrcj                      A   2.02   0.83     0.83    0.10   2.95  2.951XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74290  Contrast x-ray gallbladder                        A   0.32   2.20     2.20NA  0.03   2.55  2.551XXX.00.00.0000000             33.2875 090 99      5.43   5.43   0.05
74290TCContrast x-ray gallbladder                        A   0.00   2.09     2.09NA  0.01   2.10  2.101XXX.00.00.0000000             33.2875 010 99      5.32   5.32   0.03
7429026Contrast x-ray gallbladder                        A   0.32   0.11     0.11    0.02   0.45  0.451XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7430026X-ray bile ducts/pancreas                         A   0.27   0.10     0.10    0.02   0.39  0.391XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7430126X-rays at surgery add-on                          A   0.21   0.07     0.07    0.01   0.29  0.291ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7432826X-ray bile duct endoscopy                         A   0.47   0.19     0.19    0.02   0.68  0.681XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7432926X-ray for pancreas endoscopy                      A   0.47   0.20     0.20    0.02   0.69  0.691XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7433026X-ray bile/panc endoscopy                         A   0.56   0.21     0.21    0.03   0.80  0.801XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7434026X-ray guide for gi tube                           A   0.54   0.18     0.18    0.03   0.75  0.751XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7435526X-ray guide intestinal tube                       A   0.76   0.27     0.27    0.04   1.07  1.071XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7436326X-ray bile duct dilation                          A   0.88   0.29     0.29    0.05   1.22  1.221XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74400  Urography iv +-kub tomog                          A   0.49   3.51     3.51NA  0.05   4.05  4.051XXX.00.00.0000000             33.2875 090 99      5.48   5.48   0.06
74400TCUrography iv +-kub tomog                          A   0.00   3.34     3.34NA  0.02   3.36  3.361XXX.00.00.0000000             33.2875 020 99      5.31   5.31   0.03
7440026Urography iv +-kub tomog                          A   0.49   0.17     0.17    0.03   0.69  0.691XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74410  Urography nfs drip&/bolus                         A   0.49   3.72     3.72NA  0.04   4.25  4.251XXX.00.00.0000000             33.2875 090 99      5.49   5.49   0.05
74410TCUrography nfs drip&/bolus                         A   0.00   3.55     3.55NA  0.02   3.57  3.571XXX.00.00.0000000             33.2875 020 99      5.32   5.32   0.03
7441026Urography nfs drip&/bolus                         A   0.49   0.17     0.17    0.02   0.68  0.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74415  Urography nfs drip&/bls w/nf                      A   0.49   4.00     4.00NA  0.04   4.53  4.531XXX.00.00.0000000             33.2875 090 99      5.49   5.49   0.05
74415TCUrography nfs drip&/bls w/nf                      A   0.00   3.83     3.83NA  0.02   3.85  3.851XXX.00.00.0000000             33.2875 020 99      5.32   5.32   0.03
7441526Urography nfs drip&/bls w/nf                      A   0.49   0.17     0.17    0.02   0.68  0.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74420  Urography rtrgr +-kub                             A   0.52   1.79     1.79NA  0.03   2.34  2.341XXX.00.00.0000000             33.2875 090 99     11.30  11.30   0.09
74420TCUrography rtrgr +-kub                             A   0.00   1.61     1.61NA  0.01   1.62  1.621XXX.00.00.0000000             33.2875 030 99     11.12  11.12   0.07
7442026Urography rtrgr +-kub                             A   0.52   0.18     0.18    0.02   0.72  0.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74425  Urography antegrade rs&i                          A   0.51   3.53     3.53NA  0.03   4.07  4.071XXX.00.00.0000000             33.2875 090 99     11.33  11.33   0.05
74425TCUrography antegrade rs&i                          A   0.00   3.36     3.36NA  0.01   3.37  3.371XXX.00.00.0000000             33.2875 030 99     11.16  11.16   0.03
7442526Urography antegrade rs&i                          A   0.51   0.17     0.17    0.02   0.70  0.701XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74430  Contrast x-ray bladder                            A   0.32   0.89     0.89NA  0.03   1.24  1.241XXX.00.00.0000000             33.2875 090 99     11.16  11.16   0.16
74430TCContrast x-ray bladder                            A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             33.2875 030 99     11.05  11.05   0.14
7443026Contrast x-ray bladder                            A   0.32   0.11     0.11    0.02   0.45  0.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74440  X-ray male genital tract                          A   0.38   2.52     2.52NA  0.02   2.92  2.921XXX.00.00.0000000             33.2875 090 99      7.23   7.23   0.04
74440TCX-ray male genital tract                          A   0.00   2.39     2.39NA  0.01   2.40  2.401XXX.00.00.0000000             33.2875 030 99      7.10   7.10   0.03
7444026X-ray male genital tract                          A   0.38   0.13     0.13    0.01   0.52  0.521XXX.00.00.0000000             33.2875 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             33.2875 090 99      3.59   3.59   0.05
74445TCX-ray exam of penis                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      3.19   3.19   0.01
7444526X-ray exam of penis                               A   1.14   0.40     0.40    0.04   1.58  1.581XXX.00.00.0000000             33.2875 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             33.2875 090 99      7.24   7.24   0.02
74450TCX-ray urethra/bladder                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      7.12   7.12   0.01
7445026X-ray urethra/bladder                             A   0.33   0.12     0.12    0.01   0.46  0.461XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74455  X-ray urethra/bladder                             A   0.33   2.77     2.77NA  0.02   3.12  3.121XXX.00.00.0000000             33.2875 090 99      7.22   7.22   0.04
74455TCX-ray urethra/bladder                             A   0.00   2.65     2.65NA  0.01   2.66  2.661XXX.00.00.0000000             33.2875 030 99      7.10   7.10   0.03
7445526X-ray urethra/bladder                             A   0.33   0.12     0.12    0.01   0.46  0.461XXX.00.00.0000000             33.2875 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             33.2875 090 99     16.20  16.20   0.04
74470TCX-ray exam of kidney lesion                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99     16.04  16.04   0.01
7447026X-ray exam of kidney lesion                       A   0.54   0.16     0.16    0.03   0.73  0.731XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74485  Dilation urtr/urt rs&i                            A   0.83   2.71     2.71NA  0.04   3.58  3.581XXX.00.00.0000000             33.2875 090 99     59.31  59.31   0.28
74485TCDilation urtr/urt rs&i                            A   0.00   2.42     2.42NA  0.01   2.43  2.431XXX.00.00.0000000             33.2875 030 99     59.02  59.02   0.25
7448526Dilation urtr/urt rs&i                            A   0.83   0.29     0.29    0.03   1.15  1.151XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74712  Mri fetal sngl/1st gestation                      A   3.00   9.42     9.42NA  0.18  12.60 12.601XXX.00.00.0040000             33.2875 090 88      8.17   8.17   0.18
74712TCMri fetal sngl/1st gestation                      A   0.00   8.35     8.35NA  0.03   8.38  8.381XXX.00.00.0040000             33.2875 020 88      7.10   7.10   0.03
7471226Mri fetal sngl/1st gestation                      A   3.00   1.07     1.07    0.15   4.22  4.221XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
74713  Mri fetal ea addl gestation                       A   1.85   4.17     4.17NA  0.10   6.12  6.121ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74713TCMri fetal ea addl gestation                       A   0.00   3.51     3.51NA  0.01   3.52  3.521ZZZ.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
7471326Mri fetal ea addl gestation                       A   1.85   0.66     0.66    0.09   2.60  2.601ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
74740  X-ray female genital tract                        A   0.38   2.40     2.40NA  0.03   2.81  2.811XXX.00.00.0000000             33.2875 090 99      7.24   7.24   0.05
74740TCX-ray female genital tract                        A   0.00   2.26     2.26NA  0.01   2.27  2.271XXX.00.00.0000000             33.2875 030 99      7.10   7.10   0.03
7474026X-ray female genital tract                        A   0.38   0.14     0.14    0.02   0.54  0.541XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7474226X-ray fallopian tube                              A   0.61   0.22     0.22    0.03   0.86  0.861XXX.00.00.0000000             33.2875 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             33.2875 090 99      7.34   7.34   0.04
74775TCX-ray exam of perineum                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      7.12   7.12   0.01
7477526X-ray exam of perineum                            A   0.62   0.22     0.22    0.03   0.87  0.871XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75557  Cardiac mri for morph                             A   2.35   6.11     6.11NA  0.12   8.58  8.581XXX.00.00.0040000             33.2875 090 88      7.91   7.91   0.13
75557TCCardiac mri for morph                             A   0.00   5.30     5.30NA  0.02   5.32  5.321XXX.00.00.0040000             33.2875 010 88      7.10   7.10   0.03
7555726Cardiac mri for morph                             A   2.35   0.81     0.81    0.10   3.26  3.261XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75559  Cardiac mri w/stress img                          A   2.95   8.48     8.48NA  0.11  11.54 11.541XXX.00.00.0040000             33.2875 090 88     17.02  17.02   0.13
75559TCCardiac mri w/stress img                          A   0.00   7.47     7.47NA  0.02   7.49  7.491XXX.00.00.0040000             33.2875 020 88     16.01  16.01   0.04
7555926Cardiac mri w/stress img                          A   2.95   1.01     1.01    0.09   4.05  4.051XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75561  Cardiac mri for morph w/dye                       A   2.60   8.47     8.47NA  0.14  11.21 11.211XXX.00.00.0040000             33.2875 090 88     12.05  12.05   0.15
75561TCCardiac mri for morph w/dye                       A   0.00   7.57     7.57NA  0.03   7.60  7.601XXX.00.00.0040000             33.2875 010 88     11.15  11.15   0.04
7556126Cardiac mri for morph w/dye                       A   2.60   0.90     0.90    0.11   3.61  3.611XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75563  Card mri w/stress img & dye                       A   3.00   9.93     9.93NA  0.14  13.07 13.071XXX.00.00.0040000             33.2875 090 88     24.24  24.24   0.19
75563TCCard mri w/stress img & dye                       A   0.00   8.91     8.91NA  0.03   8.94  8.941XXX.00.00.0040000             33.2875 010 88     23.22  23.22   0.08
7556326Card mri w/stress img & dye                       A   3.00   1.02     1.02    0.11   4.13  4.131XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75565  Card mri veloc flow mapping                       A   0.25   1.14     1.14NA  0.01   1.40  1.401ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75565TCCard mri veloc flow mapping                       A   0.00   1.05     1.05NA  0.00   1.05  1.051ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
75571  Ct hrt w/o dye w/ca test                          A   0.58   2.44     2.44NA  0.05   3.07  3.071XXX.00.00.0040000             33.2875 090 88      2.82   2.82   0.05
75571TCCt hrt w/o dye w/ca test                          A   0.00   2.24     2.24NA  0.02   2.26  2.261XXX.00.00.0040000             33.2875 020 88      2.62   2.62   0.02
7557126Ct hrt w/o dye w/ca test                          A   0.58   0.20     0.20    0.03   0.81  0.811XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75572  Ct hrt w/3d image                                 A   1.75   5.14     5.14NA  0.11   7.00  7.001XXX.00.00.0040000             33.2875 090 88      5.91   5.91   0.12
75572TCCt hrt w/3d image                                 A   0.00   4.54     4.54NA  0.03   4.57  4.571XXX.00.00.0040000             33.2875 020 88      5.31   5.31   0.04
7557226Ct hrt w/3d image                                 A   1.75   0.60     0.60    0.08   2.43  2.431XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75573  Ct hrt c+ strux cgen hrt ds                       A   2.55   6.63     6.63NA  0.16   9.34  9.341XXX.00.00.0040000             33.2875 090 88      6.19   6.19   0.16
75573TCCt hrt c+ strux cgen hrt ds                       A   0.00   5.75     5.75NA  0.04   5.79  5.791XXX.00.00.0040000             33.2875 020 88      5.31   5.31   0.04
7557326Ct hrt c+ strux cgen hrt ds                       A   2.55   0.88     0.88    0.12   3.55  3.551XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75574  Ct angio hrt w/3d image                           A   2.40   7.35     7.35NA  0.15   9.90  9.901XXX.00.00.0040000             33.2875 090 88      6.14   6.14   0.14
75574TCCt angio hrt w/3d image                           A   0.00   6.52     6.52NA  0.04   6.56  6.561XXX.00.00.0040000             33.2875 020 88      5.31   5.31   0.03
7557426Ct angio hrt w/3d image                           A   2.40   0.83     0.83    0.11   3.34  3.341XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75580  N-invas est c ffr sw aly cta                      A   0.75  26.28    26.28NA  0.09  27.12 27.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75580TCN-invas est c ffr sw aly cta                      A   0.00  26.02    26.02NA  0.06  26.08 26.081XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7558026N-invas est c ffr sw aly cta                      A   0.75   0.26     0.26    0.03   1.04  1.041XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75600  Contrast exam thoracic aorta                      A   0.49   4.89     4.89NA  0.09   5.47  5.471XXX.00.00.0060000             33.2875 090 99     92.49  92.49   0.46
75600TCContrast exam thoracic aorta                      A   0.00   4.76     4.76NA  0.02   4.78  4.781XXX.00.00.0060000             33.2875 030 99     92.36  92.36   0.39
7560026Contrast exam thoracic aorta                      A   0.49   0.13     0.13    0.07   0.69  0.691XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75605  Contrast exam thoracic aorta                      A   1.14   2.35     2.35NA  0.13   3.62  3.621XXX.00.00.0060000             33.2875 090 99    158.66 158.66   1.68
75605TCContrast exam thoracic aorta                      A   0.00   2.03     2.03NA  0.02   2.05  2.051XXX.00.00.0060000             33.2875 030 99    158.34 158.34   1.57
7560526Contrast exam thoracic aorta                      A   1.14   0.32     0.32    0.11   1.57  1.571XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75625  Contrast exam abdominl aorta                      A   1.44   2.13     2.13NA  0.22   3.79  3.791XXX.00.00.0060000             33.2875 090 99     92.57  92.57   0.73
75625TCContrast exam abdominl aorta                      A   0.00   1.79     1.79NA  0.01   1.80  1.801XXX.00.00.0060000             33.2875 030 99     92.23  92.23   0.52
7562526Contrast exam abdominl aorta                      A   1.44   0.34     0.34    0.21   1.99  1.991XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75630  X-ray aorta leg arteries                          A   2.00   2.47     2.47NA  0.23   4.70  4.701XXX.00.00.0060000             33.2875 090 99     92.34  92.34   1.17
75630TCX-ray aorta leg arteries                          A   0.00   1.92     1.92NA  0.02   1.94  1.941XXX.00.00.0060000             33.2875 030 99     91.79  91.79   0.96
7563026X-ray aorta leg arteries                          A   2.00   0.55     0.55    0.21   2.76  2.761XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75635  Ct angio abdominal arteries                       A   2.40  10.06    10.06NA  0.18  12.64 12.641XXX.00.00.0040000             33.2875 090 88      6.11   6.11   0.16
75635TCCt angio abdominal arteries                       A   0.00   9.27     9.27NA  0.05   9.32  9.321XXX.00.00.0040000             33.2875 020 88      5.32   5.32   0.03
7563526Ct angio abdominal arteries                       A   2.40   0.79     0.79    0.13   3.32  3.321XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
75705  Artery x-rays spine                               A   2.18   4.86     4.86NA  0.47   7.51  7.511XXX.00.00.0060000             33.2875 090 99    159.54 159.54   1.62
75705TCArtery x-rays spine                               A   0.00   4.04     4.04NA  0.03   4.07  4.071XXX.00.00.0060000             33.2875 030 99    158.72 158.72   1.18
7570526Artery x-rays spine                               A   2.18   0.82     0.82    0.44   3.44  3.441XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75710  Artery x-rays arm/leg                             A   1.75   2.50     2.50NA  0.25   4.50  4.501XXX.00.00.0060000             33.2875 090 99     92.30  92.30   1.13
75710TCArtery x-rays arm/leg                             A   0.00   2.05     2.05NA  0.02   2.07  2.071XXX.00.00.0060000             33.2875 030 99     91.85  91.85   0.90
7571026Artery x-rays arm/leg                             A   1.75   0.45     0.45    0.23   2.43  2.431XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75716  Artery x-rays arms/legs                           A   1.97   2.68     2.68NA  0.23   4.88  4.881XXX.00.00.0062000             33.2875 090 99     92.43  92.43   1.07
75716TCArtery x-rays arms/legs                           A   0.00   2.14     2.14NA  0.02   2.16  2.161XXX.00.00.0062000             33.2875 030 99     91.89  91.89   0.86
7571626Artery x-rays arms/legs                           A   1.97   0.54     0.54    0.21   2.72  2.721XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
75726  Artery x-rays abdomen                             A   2.05   2.87     2.87NA  0.17   5.09  5.091XXX.00.00.0060000             33.2875 090 99    159.08 159.08   1.53
75726TCArtery x-rays abdomen                             A   0.00   2.31     2.31NA  0.02   2.33  2.331XXX.00.00.0060000             33.2875 030 99    158.52 158.52   1.38
7572626Artery x-rays abdomen                             A   2.05   0.56     0.56    0.15   2.76  2.761XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75731  Artery x-rays adrenal gland                       A   1.14   3.37     3.37NA  0.09   4.60  4.601XXX.00.00.0060000             33.2875 090 99     92.22  92.22   0.99
75731TCArtery x-rays adrenal gland                       A   0.00   2.97     2.97NA  0.03   3.00  3.001XXX.00.00.0060000             33.2875 030 99     91.82  91.82   0.93
7573126Artery x-rays adrenal gland                       A   1.14   0.40     0.40    0.06   1.60  1.601XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75733  Artery x-rays adrenals                            A   1.31   3.78     3.78NA  0.08   5.17  5.171XXX.00.00.0062000             33.2875 090 99     92.09  92.09   1.15
75733TCArtery x-rays adrenals                            A   0.00   3.33     3.33NA  0.04   3.37  3.371XXX.00.00.0062000             33.2875 030 99     91.64  91.64   1.11
7573326Artery x-rays adrenals                            A   1.31   0.45     0.45    0.04   1.80  1.801XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
75736  Artery x-rays pelvis                              A   1.14   3.04     3.04NA  0.12   4.30  4.301XXX.00.00.0060000             33.2875 090 99    158.46 158.46   1.83
75736TCArtery x-rays pelvis                              A   0.00   2.74     2.74NA  0.03   2.77  2.771XXX.00.00.0060000             33.2875 030 99    158.16 158.16   1.74
7573626Artery x-rays pelvis                              A   1.14   0.30     0.30    0.09   1.53  1.531XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75741  Artery x-rays lung                                A   1.31   2.47     2.47NA  0.11   3.89  3.891XXX.00.00.0060000             33.2875 090 99     92.24  92.24   0.97
75741TCArtery x-rays lung                                A   0.00   2.10     2.10NA  0.02   2.12  2.121XXX.00.00.0060000             33.2875 030 99     91.87  91.87   0.88
7574126Artery x-rays lung                                A   1.31   0.37     0.37    0.09   1.77  1.771XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75743  Artery x-rays lungs                               A   1.66   2.62     2.62NA  0.14   4.42  4.421XXX.00.00.0062000             33.2875 090 99     92.37  92.37   0.98
75743TCArtery x-rays lungs                               A   0.00   2.14     2.14NA  0.02   2.16  2.161XXX.00.00.0062000             33.2875 030 99     91.89  91.89   0.86
7574326Artery x-rays lungs                               A   1.66   0.48     0.48    0.12   2.26  2.261XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
75746  Artery x-rays lung                                A   1.14   2.81     2.81NA  0.09   4.04  4.041XXX.00.00.0060000             33.2875 090 99     92.34  92.34   0.82
75746TCArtery x-rays lung                                A   0.00   2.47     2.47NA  0.02   2.49  2.491XXX.00.00.0060000             33.2875 030 99     92.00  92.00   0.75
7574626Artery x-rays lung                                A   1.14   0.34     0.34    0.07   1.55  1.551XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75756  Artery x-rays chest                               A   1.14   3.67     3.67NA  0.14   4.95  4.951XXX.00.00.0060000             33.2875 090 99     92.27  92.27   0.95
75756TCArtery x-rays chest                               A   0.00   3.31     3.31NA  0.03   3.34  3.341XXX.00.00.0060000             33.2875 030 99     91.91  91.91   0.84
7575626Artery x-rays chest                               A   1.14   0.36     0.36    0.11   1.61  1.611XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75774  Artery x-ray each vessel                          A   1.01   1.79     1.79NA  0.09   2.89  2.891ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75774TCArtery x-ray each vessel                          A   0.00   1.52     1.52NA  0.01   1.53  1.531ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7577426Artery x-ray each vessel                          A   1.01   0.27     0.27    0.08   1.36  1.361ZZZ.00.00.0000000             33.2875 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             33.2875 090 99     18.59  18.59   0.14
75801TCLymph vessel x-ray arm/leg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99     18.27  18.27   0.01
7580126Lymph vessel x-ray arm/leg                        A   0.81   0.32     0.32    0.13   1.26  1.261XXX.00.00.0000000             33.2875 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             33.2875 090 99     47.01  47.01   0.07
75803TCLymph vessel x-ray arms/legs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             33.2875 030 99     46.59  46.59   0.01
7580326Lymph vessel x-ray arms/legs                      A   1.17   0.42     0.42    0.06   1.65  1.651XXX.00.00.0002000             33.2875 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             33.2875 090 99     93.03  93.03   0.05
75805TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99     92.74  92.74   0.01
7580526Lymph vessel x-ray trunk                          A   0.81   0.29     0.29    0.04   1.14  1.141XXX.00.00.0000000             33.2875 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             33.2875 090 99     93.04  93.04   0.09
75807TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             33.2875 030 99     92.74  92.74   0.01
7580726Lymph vessel x-ray trunk                          A   1.17   0.30     0.30    0.08   1.55  1.551XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
75809  Nonvascular shunt x-ray                           A   0.47   1.94     1.94NA  0.04   2.45  2.451XXX.00.00.0060000             33.2875 090 99      3.35   3.35   0.05
75809TCNonvascular shunt x-ray                           A   0.00   1.77     1.77NA  0.01   1.78  1.781XXX.00.00.0060000             33.2875 030 99      3.18   3.18   0.02
7580926Nonvascular shunt x-ray                           A   0.47   0.17     0.17    0.03   0.67  0.671XXX.00.00.0060000             33.2875 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             33.2875 090 99     92.92  92.92   0.11
75810TCVein x-ray spleen/liver                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99     92.74  92.74   0.01
7581026Vein x-ray spleen/liver                           A   1.14   0.18     0.18    0.10   1.42  1.421XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75820  Vein x-ray arm/leg                                A   1.05   2.09     2.09NA  0.09   3.23  3.231XXX.00.00.0060000             33.2875 090 99     46.66  46.66   0.34
75820TCVein x-ray arm/leg                                A   0.00   1.77     1.77NA  0.01   1.78  1.781XXX.00.00.0060000             33.2875 030 99     46.34  46.34   0.26
7582026Vein x-ray arm/leg                                A   1.05   0.32     0.32    0.08   1.45  1.451XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75822  Vein x-ray arms/legs                              A   1.48   2.38     2.38NA  0.14   4.00  4.001XXX.00.00.0062000             33.2875 090 99     46.78  46.78   0.37
75822TCVein x-ray arms/legs                              A   0.00   1.96     1.96NA  0.01   1.97  1.971XXX.00.00.0062000             33.2875 030 99     46.36  46.36   0.24
7582226Vein x-ray arms/legs                              A   1.48   0.42     0.42    0.13   2.03  2.031XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
75825  Vein x-ray trunk                                  A   1.14   2.13     2.13NA  0.15   3.42  3.421XXX.00.00.0060000             33.2875 090 99     92.54  92.54   0.64
75825TCVein x-ray trunk                                  A   0.00   1.84     1.84NA  0.01   1.85  1.851XXX.00.00.0060000             33.2875 030 99     92.25  92.25   0.50
7582526Vein x-ray trunk                                  A   1.14   0.29     0.29    0.14   1.57  1.571XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75827  Vein x-ray chest                                  A   1.14   2.28     2.28NA  0.14   3.56  3.561XXX.00.00.0060000             33.2875 090 99     46.68  46.68   0.37
75827TCVein x-ray chest                                  A   0.00   1.97     1.97NA  0.01   1.98  1.981XXX.00.00.0060000             33.2875 030 99     46.37  46.37   0.24
7582726Vein x-ray chest                                  A   1.14   0.31     0.31    0.13   1.58  1.581XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75831  Vein x-ray kidney                                 A   1.14   2.33     2.33NA  0.11   3.58  3.581XXX.00.00.0060000             33.2875 090 99     92.13  92.13   0.99
75831TCVein x-ray kidney                                 A   0.00   2.04     2.04NA  0.02   2.06  2.061XXX.00.00.0060000             33.2875 030 99     91.84  91.84   0.90
7583126Vein x-ray kidney                                 A   1.14   0.29     0.29    0.09   1.52  1.521XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75833  Vein x-ray kidneys                                A   1.49   2.74     2.74NA  0.21   4.44  4.441XXX.00.00.0062000             33.2875 090 99     92.35  92.35   0.97
75833TCVein x-ray kidneys                                A   0.00   2.36     2.36NA  0.02   2.38  2.381XXX.00.00.0062000             33.2875 030 99     91.97  91.97   0.78
7583326Vein x-ray kidneys                                A   1.49   0.38     0.38    0.19   2.06  2.061XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
75840  Vein x-ray adrenal gland                          A   1.14   2.63     2.63NA  0.08   3.85  3.851XXX.00.00.0060000             33.2875 090 99     92.32  92.32   0.89
75840TCVein x-ray adrenal gland                          A   0.00   2.23     2.23NA  0.02   2.25  2.251XXX.00.00.0060000             33.2875 030 99     91.92  91.92   0.83
7584026Vein x-ray adrenal gland                          A   1.14   0.40     0.40    0.06   1.60  1.601XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75842  Vein x-ray adrenal glands                         A   1.49   3.17     3.17NA  0.10   4.76  4.761XXX.00.00.0062000             33.2875 090 99    159.23 159.23   1.29
75842TCVein x-ray adrenal glands                         A   0.00   2.64     2.64NA  0.02   2.66  2.661XXX.00.00.0062000             33.2875 030 99    158.70 158.70   1.21
7584226Vein x-ray adrenal glands                         A   1.49   0.53     0.53    0.08   2.10  2.101XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
75860  Vein x-ray neck                                   A   1.14   2.51     2.51NA  0.11   3.76  3.761XXX.00.00.0060000             33.2875 090 99     92.24  92.24   0.94
75860TCVein x-ray neck                                   A   0.00   2.17     2.17NA  0.02   2.19  2.191XXX.00.00.0060000             33.2875 030 99     91.90  91.90   0.85
7586026Vein x-ray neck                                   A   1.14   0.34     0.34    0.09   1.57  1.571XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75870  Vein x-ray skull                                  A   1.14   3.33     3.33NA  0.19   4.66  4.661XXX.00.00.0060000             33.2875 090 99     92.53  92.53   0.80
75870TCVein x-ray skull                                  A   0.00   2.92     2.92NA  0.02   2.94  2.941XXX.00.00.0060000             33.2875 030 99     92.12  92.12   0.63
7587026Vein x-ray skull                                  A   1.14   0.41     0.41    0.17   1.72  1.721XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75872  Vein x-ray skull epidural                         A   1.14   2.63     2.63NA  0.08   3.85  3.851XXX.00.00.0060000             33.2875 090 99     18.52  18.52   0.22
75872TCVein x-ray skull epidural                         A   0.00   2.23     2.23NA  0.02   2.25  2.251XXX.00.00.0060000             33.2875 030 99     18.12  18.12   0.16
7587226Vein x-ray skull epidural                         A   1.14   0.40     0.40    0.06   1.60  1.601XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75880  Vein x-ray eye socket                             A   0.70   2.47     2.47NA  0.06   3.23  3.231XXX.00.00.0060000             33.2875 090 99     18.37  18.37   0.20
75880TCVein x-ray eye socket                             A   0.00   2.22     2.22NA  0.02   2.24  2.241XXX.00.00.0060000             33.2875 030 99     18.12  18.12   0.16
7588026Vein x-ray eye socket                             A   0.70   0.25     0.25    0.04   0.99  0.991XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75885  Vein x-ray liver w/hemodynam                      A   1.44   2.53     2.53NA  0.12   4.09  4.091XXX.00.00.0060000             33.2875 090 99     92.27  92.27   0.96
75885TCVein x-ray liver w/hemodynam                      A   0.00   2.15     2.15NA  0.02   2.17  2.171XXX.00.00.0060000             33.2875 030 99     91.89  91.89   0.86
7588526Vein x-ray liver w/hemodynam                      A   1.44   0.38     0.38    0.10   1.92  1.921XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75887  Vein x-ray liver w/o hemodyn                      A   1.44   2.56     2.56NA  0.12   4.12  4.121XXX.00.00.0060000             33.2875 090 99     92.29  92.29   0.95
75887TCVein x-ray liver w/o hemodyn                      A   0.00   2.17     2.17NA  0.02   2.19  2.191XXX.00.00.0060000             33.2875 030 99     91.90  91.90   0.85
7588726Vein x-ray liver w/o hemodyn                      A   1.44   0.39     0.39    0.10   1.93  1.931XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75889  Vein x-ray liver w/hemodynam                      A   1.14   2.46     2.46NA  0.10   3.70  3.701XXX.00.00.0060000             33.2875 090 99     92.20  92.20   0.94
75889TCVein x-ray liver w/hemodynam                      A   0.00   2.15     2.15NA  0.02   2.17  2.171XXX.00.00.0060000             33.2875 030 99     91.89  91.89   0.86
7588926Vein x-ray liver w/hemodynam                      A   1.14   0.31     0.31    0.08   1.53  1.531XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75891  Vein x-ray liver                                  A   1.14   2.49     2.49NA  0.09   3.72  3.721XXX.00.00.0060000             33.2875 090 99     92.22  92.22   0.92
75891TCVein x-ray liver                                  A   0.00   2.17     2.17NA  0.02   2.19  2.191XXX.00.00.0060000             33.2875 030 99     91.90  91.90   0.85
7589126Vein x-ray liver                                  A   1.14   0.32     0.32    0.07   1.53  1.531XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
75893  Venous sampling by catheter                       A   0.54   2.54     2.54NA  0.07   3.15  3.151XXX.00.00.0060000             33.2875 090 99    158.72 158.72   1.39
75893TCVenous sampling by catheter                       A   0.00   2.38     2.38NA  0.02   2.40  2.401XXX.00.00.0060000             33.2875 030 99    158.56 158.56   1.34
7589326Venous sampling by catheter                       A   0.54   0.16     0.16    0.05   0.75  0.751XXX.00.00.0060000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7589426X-rays transcath therapy                          A   1.31   0.53     0.53    0.27   2.11  2.111XXX.00.00.0000000             33.2875 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             33.2875 090 99     93.42  93.42   0.37
75898TCFollow-up angiography                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99     92.74  92.74   0.01
7589826Follow-up angiography                             A   1.65   0.68     0.68    0.36   2.69  2.691XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75901  Remove cva device obstruct                        A   0.49   6.28     6.28NA  0.05   6.82  6.821XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75901TCRemove cva device obstruct                        A   0.00   6.14     6.14NA  0.02   6.16  6.161XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7590126Remove cva device obstruct                        A   0.49   0.14     0.14    0.03   0.66  0.661XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75902  Remove cva lumen obstruct                         A   0.39   2.20     2.20NA  0.04   2.63  2.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75902TCRemove cva lumen obstruct                         A   0.00   2.09     2.09NA  0.01   2.10  2.101XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7590226Remove cva lumen obstruct                         A   0.39   0.11     0.11    0.03   0.53  0.531XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7595626Xray endovasc thor ao repr                        A   7.00   1.41     1.41    1.37   9.78  9.781XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7595726Xray endovasc thor ao repr                        A   6.00   1.22     1.22    1.18   8.40  8.401XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7595826Xray place prox ext thor ao                       A   4.00   0.76     0.76    0.75   5.51  5.511XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7595926Xray place dist ext thor ao                       A   3.50   0.70     0.70    0.69   4.89  4.891XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7597026Vascular biopsy                                   A   0.83   0.22     0.22    0.06   1.11  1.111XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75984  Xray control catheter change                      A   0.83   1.96     1.96NA  0.07   2.86  2.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75984TCXray control catheter change                      A   0.00   1.73     1.73NA  0.01   1.74  1.741XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7598426Xray control catheter change                      A   0.83   0.23     0.23    0.06   1.12  1.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75989  Abscess drainage under x-ray                      A   1.19   2.06     2.06NA  0.09   3.34  3.341XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
75989TCAbscess drainage under x-ray                      A   0.00   1.70     1.70NA  0.01   1.71  1.711XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7598926Abscess drainage under x-ray                      A   1.19   0.36     0.36    0.08   1.63  1.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76000  Fluoroscopy <1 hr phys/qhp                        A   0.30   0.94     0.94NA  0.04   1.28  1.281XXX.00.00.0000000             33.2875 090 99      7.15   7.15   0.12
76000TCFluoroscopy <1 hr phys/qhp                        A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0000000             33.2875 030 99      7.04   7.04   0.09
7600026Fluoroscopy <1 hr phys/qhp                        A   0.30   0.11     0.11    0.03   0.44  0.441XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76010  X-ray nose to rectum                              A   0.18   0.68     0.68NA  0.02   0.88  0.881XXX.00.00.0000000             33.2875 090 99      2.66   2.66   0.05
76010TCX-ray nose to rectum                              A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0000000             33.2875 010 99      2.60   2.60   0.04
7601026X-ray nose to rectum                              A   0.18   0.06     0.06    0.01   0.25  0.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76080  X-ray exam of fistula                             A   0.54   1.20     1.20NA  0.05   1.79  1.791XXX.00.00.0000000             33.2875 090 99     16.05  16.05   0.19
76080TCX-ray exam of fistula                             A   0.00   1.05     1.05NA  0.01   1.06  1.061XXX.00.00.0000000             33.2875 030 99     15.90  15.90   0.15
7608026X-ray exam of fistula                             A   0.54   0.15     0.15    0.04   0.73  0.731XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76098  X-ray exam surgical specimen                      A   0.31   0.94     0.94NA  0.03   1.28  1.281XXX.00.00.0000000             33.2875 090 99     15.98  15.98   0.21
76098TCX-ray exam surgical specimen                      A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.0000000             33.2875 010 99     15.86  15.86   0.19
7609826X-ray exam surgical specimen                      A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76100  X-ray exam of body section                        A   0.58   2.06     2.06NA  0.04   2.68  2.681XXX.00.00.0000000             33.2875 090 99      3.39   3.39   0.05
76100TCX-ray exam of body section                        A   0.00   1.85     1.85NA  0.01   1.86  1.861XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7610026X-ray exam of body section                        A   0.58   0.21     0.21    0.03   0.82  0.821XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76120  Cine/video x-rays                                 A   0.38   3.12     3.12NA  0.04   3.54  3.541XXX.00.00.0000000             33.2875 090 99      3.35   3.35   0.04
76120TCCine/video x-rays                                 A   0.00   2.96     2.96NA  0.01   2.97  2.971XXX.00.00.0000000             33.2875 020 99      3.19   3.19   0.01
7612026Cine/video x-rays                                 A   0.38   0.16     0.16    0.03   0.57  0.571XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 020 99      0.00   0.00   0.00
7612526Cine/video x-rays add-on                          A   0.27   0.10     0.10    0.02   0.39  0.391ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
76145  Med physic dos eval rad exps                      A   0.00  26.35    26.35NA  0.85  27.20 27.200XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76376  3d render w/intrp postproces                      A   0.20   0.53     0.53NA  0.02   0.75  0.751XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76376TC3d render w/intrp postproces                      A   0.00   0.46     0.46NA  0.01   0.47  0.471XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
76377  3d render w/intrp postproces                      A   0.79   1.48     1.48NA  0.07   2.34  2.341XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76377TC3d render w/intrp postproces                      A   0.00   1.20     1.20NA  0.02   1.22  1.221XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
76377263d render w/intrp postproces                      A   0.79   0.28     0.28    0.05   1.12  1.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76380  Cat scan follow-up study                          A   0.98   2.97     2.97NA  0.07   4.02  4.021XXX.00.00.0000000             33.2875 090 99      2.93   2.93   0.07
76380TCCat scan follow-up study                          A   0.00   2.67     2.67NA  0.01   2.68  2.681XXX.00.00.0000000             33.2875 010 99      2.63   2.63   0.01
7638026Cat scan follow-up study                          A   0.98   0.30     0.30    0.06   1.34  1.341XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76390  Mr spectroscopy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76390TCMr spectroscopy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7639026Mr spectroscopy                                   C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76391  Mr elastography                                   A   1.10   5.02     5.02NA  0.08   6.20  6.201XXX.00.00.0040000             33.2875 090 88      7.49   7.49   0.09
76391TCMr elastography                                   A   0.00   4.63     4.63NA  0.02   4.65  4.651XXX.00.00.0040000             33.2875 020 88      7.10   7.10   0.03
7639126Mr elastography                                   A   1.10   0.39     0.39    0.06   1.55  1.551XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76496  Unlisted fluoroscopic px                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
76496TCUnlisted fluoroscopic px                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      2.63   2.63   0.01
7649626Unlisted fluoroscopic px                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76497  Unlisted ct procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
76497TCUnlisted ct procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 020 99      2.63   2.63   0.01
7649726Unlisted ct procedure                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76498  Unlisted mr procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
76498TCUnlisted mr procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 020 99      2.63   2.63   0.01
7649826Unlisted mr procedure                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76499  Unlisted dx radiographic px                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76499TCUnlisted dx radiographic px                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7649926Unlisted dx radiographic px                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76506  Echo exam of head                                 A   0.63   2.69     2.69NA  0.07   3.39  3.391XXX.00.00.0000000             33.2875 090 99      3.42   3.42   0.07
76506TCEcho exam of head                                 A   0.00   2.46     2.46NA  0.01   2.47  2.471XXX.00.00.0000000             33.2875 010 99      3.19   3.19   0.01
7650626Echo exam of head                                 A   0.63   0.23     0.23    0.06   0.92  0.921XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76510  Oph us dx b-scan&quan a-scan                      A   0.70   1.34     1.34NA  0.02   2.06  2.061XXX.00.00.0073000             33.2875 090 99      4.12   4.12   0.05
76510TCOph us dx b-scan&quan a-scan                      A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0073000             33.2875 020 99      3.68   3.68   0.04
7651026Oph us dx b-scan&quan a-scan                      A   0.70   0.44     0.44    0.01   1.15  1.151XXX.00.00.0073000             33.2875 090 99      0.00   0.00   0.00
76511  Oph us dx quan a-scan only                        A   0.64   1.05     1.05NA  0.02   1.71  1.711XXX.00.00.0073000             33.2875 090 99      3.55   3.55   0.06
76511TCOph us dx quan a-scan only                        A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0073000             33.2875 020 99      3.15   3.15   0.05
7651126Oph us dx quan a-scan only                        A   0.64   0.40     0.40    0.01   1.05  1.051XXX.00.00.0073000             33.2875 090 99      0.00   0.00   0.00
76512  Oph us dx b-scan                                  A   0.56   0.86     0.86NA  0.02   1.44  1.441XXX.00.00.0073000             33.2875 090 99      3.47   3.47   0.07
76512TCOph us dx b-scan                                  A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0073000             33.2875 020 99      3.14   3.14   0.06
7651226Oph us dx b-scan                                  A   0.56   0.33     0.33    0.01   0.90  0.901XXX.00.00.0073000             33.2875 090 99      0.00   0.00   0.00
76513  Oph us dx ant sgm us uni/bi                       A   0.60   1.63     1.63NA  0.02   2.25  2.251XXX.00.00.0073000             33.2875 090 99      3.51   3.51   0.03
76513TCOph us dx ant sgm us uni/bi                       A   0.00   1.29     1.29NA  0.01   1.30  1.301XXX.00.00.0073000             33.2875 020 99      3.17   3.17   0.02
7651326Oph us dx ant sgm us uni/bi                       A   0.60   0.34     0.34    0.01   0.95  0.951XXX.00.00.0073000             33.2875 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             33.2875 090 99      0.87   0.87   0.09
76514TCEcho exam of eye thickness                        A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.0072000             33.2875 010 99      0.79   0.79   0.08
7651426Echo exam of eye thickness                        A   0.14   0.08     0.08    0.01   0.23  0.231XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
76516  Echo exam of eye                                  A   0.40   0.98     0.98NA  0.02   1.40  1.401XXX.00.00.0072000             33.2875 090 99      3.41   3.41   0.05
76516TCEcho exam of eye                                  A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0072000             33.2875 010 99      3.16   3.16   0.04
7651626Echo exam of eye                                  A   0.40   0.25     0.25    0.01   0.66  0.661XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
76519  Echo exam of eye                                  A   0.54   1.48     1.48NA  0.02   2.04  2.041XXX.00.00.0072000             33.2875 090 99      3.51   3.51   0.04
76519TCEcho exam of eye                                  A   0.00   1.14     1.14NA  0.01   1.15  1.151XXX.00.00.0072000             33.2875 010 99      3.17   3.17   0.03
7651926Echo exam of eye                                  A   0.54   0.34     0.34    0.01   0.89  0.891XXX.00.00.0073000             33.2875 090 99      0.00   0.00   0.00
76529  Echo exam of eye                                  A   0.57   1.98     1.98NA  0.02   2.57  2.571XXX.00.00.0003000             33.2875 090 99      3.00   3.00   0.03
76529TCEcho exam of eye                                  A   0.00   1.61     1.61NA  0.01   1.62  1.621XXX.00.00.0003000             33.2875 010 99      2.63   2.63   0.02
7652926Echo exam of eye                                  A   0.57   0.37     0.37    0.01   0.95  0.951XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
76536  Us exam of head and neck                          A   0.56   2.71     2.71NA  0.04   3.31  3.311XXX.00.00.0000000             33.2875 090 99      3.39   3.39   0.04
76536TCUs exam of head and neck                          A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.0000000             33.2875 010 99      3.19   3.19   0.01
7653626Us exam of head and neck                          A   0.56   0.20     0.20    0.03   0.79  0.791XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76604  Us exam chest                                     A   0.59   1.08     1.08NA  0.04   1.71  1.711XXX.00.00.0040000             33.2875 090 88      3.34   3.34   0.07
76604TCUs exam chest                                     A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0040000             33.2875 010 88      3.16   3.16   0.04
7660426Us exam chest                                     A   0.59   0.18     0.18    0.03   0.80  0.801XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76641  Ultrasound breast complete                        A   0.73   2.30     2.30NA  0.05   3.08  3.081XXX.00.00.0001000             33.2875 090 99      3.44   3.44   0.06
76641TCUltrasound breast complete                        A   0.00   2.04     2.04NA  0.01   2.05  2.051XXX.00.00.0001000             33.2875 010 99      3.18   3.18   0.02
7664126Ultrasound breast complete                        A   0.73   0.26     0.26    0.04   1.03  1.031XXX.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
76642  Ultrasound breast limited                         A   0.68   1.82     1.82NA  0.05   2.55  2.551XXX.00.00.0001000             33.2875 090 99      2.87   2.87   0.06
76642TCUltrasound breast limited                         A   0.00   1.58     1.58NA  0.01   1.59  1.591XXX.00.00.0001000             33.2875 010 99      2.63   2.63   0.02
7664226Ultrasound breast limited                         A   0.68   0.24     0.24    0.04   0.96  0.961XXX.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
76700  Us exam abdom complete                            A   0.81   2.62     2.62NA  0.06   3.49  3.491XXX.00.00.0040000             33.2875 090 88      3.45   3.45   0.07
76700TCUs exam abdom complete                            A   0.00   2.34     2.34NA  0.02   2.36  2.361XXX.00.00.0040000             33.2875 010 88      3.17   3.17   0.03
7670026Us exam abdom complete                            A   0.81   0.28     0.28    0.04   1.13  1.131XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76705  Echo exam of abdomen                              A   0.59   1.98     1.98NA  0.04   2.61  2.611XXX.00.00.0040000             33.2875 090 88      3.38   3.38   0.05
76705TCEcho exam of abdomen                              A   0.00   1.78     1.78NA  0.01   1.79  1.791XXX.00.00.0040000             33.2875 010 88      3.18   3.18   0.02
7670526Echo exam of abdomen                              A   0.59   0.20     0.20    0.03   0.82  0.821XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76706  Us abdl aorta screen aaa                          A   0.55   2.61     2.61NA  0.04   3.20  3.201XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
7670626Us abdl aorta screen aaa                          A   0.55   0.19     0.19    0.03   0.77  0.771XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76770  Us exam abdo back wall comp                       A   0.74   2.46     2.46NA  0.05   3.25  3.251XXX.00.00.0040000             33.2875 090 88      3.44   3.44   0.05
76770TCUs exam abdo back wall comp                       A   0.00   2.20     2.20NA  0.01   2.21  2.211XXX.00.00.0040000             33.2875 010 88      3.18   3.18   0.01
7677026Us exam abdo back wall comp                       A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76775  Us exam abdo back wall lim                        A   0.58   1.17     1.17NA  0.04   1.79  1.791XXX.00.00.0040000             33.2875 090 88      3.37   3.37   0.06
76775TCUs exam abdo back wall lim                        A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.0040000             33.2875 010 88      3.17   3.17   0.03
7677526Us exam abdo back wall lim                        A   0.58   0.20     0.20    0.03   0.81  0.811XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76776  Us exam k transpl w/doppler                       A   0.76   3.60     3.60NA  0.06   4.42  4.421XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76776TCUs exam k transpl w/doppler                       A   0.00   3.34     3.34NA  0.02   3.36  3.361XXX.00.00.0040000             33.2875 010 88      0.00   0.00   0.00
7677626Us exam k transpl w/doppler                       A   0.76   0.26     0.26    0.04   1.06  1.061XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76800  Us exam spinal canal                              A   1.13   3.86     3.86NA  0.20   5.19  5.191XXX.00.00.0000000             33.2875 090 99      3.71   3.71   0.20
76800TCUs exam spinal canal                              A   0.00   3.34     3.34NA  0.01   3.35  3.351XXX.00.00.0000000             33.2875 010 99      3.19   3.19   0.01
7680026Us exam spinal canal                              A   1.13   0.52     0.52    0.19   1.84  1.841XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76801  Ob us < 14 wks single fetus                       A   0.99   2.48     2.48NA  0.05   3.52  3.521XXX.00.00.0000000             33.2875 010 99      3.54   3.54   0.06
76801TCOb us < 14 wks single fetus                       A   0.00   2.12     2.12NA  0.01   2.13  2.131XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7680126Ob us < 14 wks single fetus                       A   0.99   0.36     0.36    0.04   1.39  1.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76802  Ob us < 14 wks addl fetus                         A   0.83   0.94     0.94NA  0.03   1.80  1.801ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
76802TCOb us < 14 wks addl fetus                         A   0.00   0.63     0.63NA  0.00   0.63  0.631ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
76805  Ob us >= 14 wks sngl fetus                        A   0.99   3.02     3.02NA  0.06   4.07  4.071XXX.00.00.0000000             33.2875 090 99      3.54   3.54   0.06
76805TCOb us >= 14 wks sngl fetus                        A   0.00   2.65     2.65NA  0.02   2.67  2.671XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.02
7680526Ob us >= 14 wks sngl fetus                        A   0.99   0.37     0.37    0.04   1.40  1.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76810  Ob us >= 14 wks addl fetus                        A   0.98   1.61     1.61NA  0.03   2.62  2.621ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76810TCOb us >= 14 wks addl fetus                        A   0.00   1.23     1.23NA  0.01   1.24  1.241ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7681026Ob us >= 14 wks addl fetus                        A   0.98   0.38     0.38    0.02   1.38  1.381ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76811  Ob us detailed sngl fetus                         A   1.90   3.35     3.35NA  0.07   5.32  5.321XXX.00.00.0000000             33.2875 010 99      7.78   7.78   0.12
76811TCOb us detailed sngl fetus                         A   0.00   2.62     2.62NA  0.03   2.65  2.651XXX.00.00.0000000             33.2875 010 99      7.05   7.05   0.08
7681126Ob us detailed sngl fetus                         A   1.90   0.73     0.73    0.04   2.67  2.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76812  Ob us detailed addl fetus                         A   1.78   3.91     3.91NA  0.06   5.75  5.751ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
76812TCOb us detailed addl fetus                         A   0.00   3.22     3.22NA  0.02   3.24  3.241ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7681226Ob us detailed addl fetus                         A   1.78   0.69     0.69    0.04   2.51  2.511ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76813  Ob us nuchal meas 1 gest                          A   1.18   2.25     2.25NA  0.04   3.47  3.471XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
76813TCOb us nuchal meas 1 gest                          A   0.00   1.80     1.80NA  0.01   1.81  1.811XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7681326Ob us nuchal meas 1 gest                          A   1.18   0.45     0.45    0.03   1.66  1.661XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76814  Ob us nuchal meas add-on                          A   0.99   1.21     1.21NA  0.03   2.23  2.231XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
76814TCOb us nuchal meas add-on                          A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7681426Ob us nuchal meas add-on                          A   0.99   0.38     0.38    0.02   1.39  1.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76815  Ob us limited fetus(s)                            A   0.65   1.74     1.74NA  0.04   2.43  2.431XXX.00.00.0000000             33.2875 090 99      3.41   3.41   0.05
76815TCOb us limited fetus(s)                            A   0.00   1.51     1.51NA  0.01   1.52  1.521XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7681526Ob us limited fetus(s)                            A   0.65   0.23     0.23    0.03   0.91  0.911XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76816  Ob us follow-up per fetus                         A   0.85   2.42     2.42NA  0.03   3.30  3.301XXX.00.00.0000000             33.2875 090 99      3.51   3.51   0.04
76816TCOb us follow-up per fetus                         A   0.00   2.09     2.09NA  0.01   2.10  2.101XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7681626Ob us follow-up per fetus                         A   0.85   0.33     0.33    0.02   1.20  1.201XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76817  Transvaginal us obstetric                         A   0.75   1.99     1.99NA  0.04   2.78  2.781XXX.00.00.0000000             33.2875 010 99      3.46   3.46   0.05
76817TCTransvaginal us obstetric                         A   0.00   1.71     1.71NA  0.01   1.72  1.721XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7681726Transvaginal us obstetric                         A   0.75   0.28     0.28    0.03   1.06  1.061XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76818  Fetal biophys profile w/nst                       A   1.05   2.46     2.46NA  0.05   3.56  3.561XXX.00.00.0000000             33.2875 090 99      3.56   3.56   0.07
76818TCFetal biophys profile w/nst                       A   0.00   2.05     2.05NA  0.03   2.08  2.081XXX.00.00.0000000             33.2875 010 99      3.15   3.15   0.05
7681826Fetal biophys profile w/nst                       A   1.05   0.41     0.41    0.02   1.48  1.481XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76819  Fetal biophys profil w/o nst                      A   0.77   1.76     1.76NA  0.04   2.57  2.571XXX.00.00.0000000             33.2875 090 99      3.45   3.45   0.06
76819TCFetal biophys profil w/o nst                      A   0.00   1.47     1.47NA  0.02   1.49  1.491XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7681926Fetal biophys profil w/o nst                      A   0.77   0.29     0.29    0.02   1.08  1.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76820  Umbilical artery echo                             A   0.50   0.82     0.82NA  0.02   1.34  1.341XXX.00.00.0000000             33.2875 090 99      3.34   3.34   0.06
76820TCUmbilical artery echo                             A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0000000             33.2875 010 99      3.15   3.15   0.05
7682026Umbilical artery echo                             A   0.50   0.19     0.19    0.01   0.70  0.701XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76821  Middle cerebral artery echo                       A   0.70   1.94     1.94NA  0.03   2.67  2.671XXX.00.00.0000000             33.2875 090 99      3.45   3.45   0.04
76821TCMiddle cerebral artery echo                       A   0.00   1.67     1.67NA  0.01   1.68  1.681XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7682126Middle cerebral artery echo                       A   0.70   0.27     0.27    0.02   0.99  0.991XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76825  Echo exam of fetal heart                          A   1.67   6.11     6.11NA  0.07   7.85  7.851XXX.00.00.0000000             33.2875 090 99     16.59  16.59   0.13
76825TCEcho exam of fetal heart                          A   0.00   5.48     5.48NA  0.03   5.51  5.511XXX.00.00.0000000             33.2875 010 99     15.96  15.96   0.09
7682526Echo exam of fetal heart                          A   1.67   0.63     0.63    0.04   2.34  2.341XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76826  Echo exam of fetal heart                          A   0.83   3.83     3.83NA  0.04   4.70  4.701XXX.00.00.0000000             33.2875 090 99      7.40   7.40   0.06
76826TCEcho exam of fetal heart                          A   0.00   3.52     3.52NA  0.02   3.54  3.541XXX.00.00.0000000             33.2875 010 99      7.09   7.09   0.04
7682626Echo exam of fetal heart                          A   0.83   0.31     0.31    0.02   1.16  1.161XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76827  Echo exam of fetal heart                          A   0.58   1.49     1.49NA  0.03   2.10  2.101XXX.00.00.0000000             33.2875 090 99      3.39   3.39   0.05
76827TCEcho exam of fetal heart                          A   0.00   1.27     1.27NA  0.01   1.28  1.281XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7682726Echo exam of fetal heart                          A   0.58   0.22     0.22    0.02   0.82  0.821XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76828  Echo exam of fetal heart                          A   0.56   0.88     0.88NA  0.02   1.46  1.461XXX.00.00.0000000             33.2875 090 99      3.36   3.36   0.06
76828TCEcho exam of fetal heart                          A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             33.2875 010 99      3.15   3.15   0.05
7682826Echo exam of fetal heart                          A   0.56   0.21     0.21    0.01   0.78  0.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76830  Transvaginal us non-ob                            A   0.69   2.84     2.84NA  0.05   3.58  3.581XXX.00.00.0000000             33.2875 090 99      3.42   3.42   0.05
76830TCTransvaginal us non-ob                            A   0.00   2.59     2.59NA  0.02   2.61  2.611XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.02
7683026Transvaginal us non-ob                            A   0.69   0.25     0.25    0.03   0.97  0.971XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76831  Echo exam uterus                                  A   0.72   2.74     2.74NA  0.03   3.49  3.491XXX.00.00.0040000             33.2875 090 88      7.38   7.38   0.05
76831TCEcho exam uterus                                  A   0.00   2.46     2.46NA  0.01   2.47  2.471XXX.00.00.0040000             33.2875 030 88      7.10   7.10   0.03
7683126Echo exam uterus                                  A   0.72   0.28     0.28    0.02   1.02  1.021XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76856  Us exam pelvic complete                           A   0.69   2.43     2.43NA  0.04   3.16  3.161XXX.00.00.0040000             33.2875 090 88      3.42   3.42   0.04
76856TCUs exam pelvic complete                           A   0.00   2.19     2.19NA  0.01   2.20  2.201XXX.00.00.0040000             33.2875 010 88      3.18   3.18   0.01
7685626Us exam pelvic complete                           A   0.69   0.24     0.24    0.03   0.96  0.961XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76857  Us exam pelvic limited                            A   0.50   0.95     0.95NA  0.03   1.48  1.481XXX.00.00.0040000             33.2875 090 88      3.33   3.33   0.06
76857TCUs exam pelvic limited                            A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0040000             33.2875 010 88      3.16   3.16   0.04
7685726Us exam pelvic limited                            A   0.50   0.17     0.17    0.02   0.69  0.691XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76870  Us exam scrotum                                   A   0.64   2.32     2.32NA  0.04   3.00  3.001XXX.00.00.0040000             33.2875 090 88      3.40   3.40   0.05
76870TCUs exam scrotum                                   A   0.00   2.10     2.10NA  0.01   2.11  2.111XXX.00.00.0040000             33.2875 010 88      3.18   3.18   0.02
7687026Us exam scrotum                                   A   0.64   0.22     0.22    0.03   0.89  0.891XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76872  Us transrectal                                    A   0.69   5.31     5.31NA  0.04   6.04  6.041XXX.00.00.0000000             33.2875 090 99      3.44   3.44   0.03
76872TCUs transrectal                                    A   0.00   5.06     5.06NA  0.02   5.08  5.081XXX.00.00.0000000             33.2875 010 99      3.19   3.19   0.01
7687226Us transrectal                                    A   0.69   0.25     0.25    0.02   0.96  0.961XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76873  Echograp trans r pros study                       A   1.55   3.64     3.64NA  0.08   5.27  5.271XXX.00.00.0000000             33.2875 090 99      3.83   3.83   0.08
76873TCEchograp trans r pros study                       A   0.00   2.99     2.99NA  0.02   3.01  3.011XXX.00.00.0000000             33.2875 020 99      3.18   3.18   0.02
7687326Echograp trans r pros study                       A   1.55   0.65     0.65    0.06   2.26  2.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76881  Us compl joint r-t w/img                          A   0.90   0.66     0.66NA  0.05   1.61  1.611XXX.00.00.0000000             33.2875 090 99      3.44   3.44   0.14
76881TCUs compl joint r-t w/img                          A   0.00   0.32     0.32NA  0.01   0.33  0.331XXX.00.00.0000000             33.2875 090 99      3.10   3.10   0.10
7688126Us compl joint r-t w/img                          A   0.90   0.34     0.34    0.04   1.28  1.281XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76882  Us lmtd jt/fcl evl nvasc xtr                      A   0.69   1.16     1.16NA  0.05   1.90  1.901XXX.00.00.0000000             33.2875 090 99      3.40   3.40   0.07
76882TCUs lmtd jt/fcl evl nvasc xtr                      A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.0000000             33.2875 090 99      3.16   3.16   0.03
7688226Us lmtd jt/fcl evl nvasc xtr                      A   0.69   0.24     0.24    0.04   0.97  0.971XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76883  Us nrv&acc strux 1xtr compre                      A   1.21   0.86     0.86NA  0.07   2.14  2.141XXX.00.00.0000000             33.2875 090 99      3.56   3.56   0.13
76883TCUs nrv&acc strux 1xtr compre                      A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.0000000             33.2875 090 99      3.12   3.12   0.07
7688326Us nrv&acc strux 1xtr compre                      A   1.21   0.44     0.44    0.06   1.71  1.711XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76885  Us exam infant hips dynamic                       A   0.74   3.27     3.27NA  0.06   4.07  4.071XXX.00.00.0000000             33.2875 090 99      2.89   2.89   0.06
76885TCUs exam infant hips dynamic                       A   0.00   3.01     3.01NA  0.02   3.03  3.031XXX.00.00.0000000             33.2875 010 99      2.63   2.63   0.02
7688526Us exam infant hips dynamic                       A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76886  Us exam infant hips static                        A   0.62   2.33     2.33NA  0.04   2.99  2.991XXX.00.00.0000000             33.2875 090 99      2.85   2.85   0.04
76886TCUs exam infant hips static                        A   0.00   2.11     2.11NA  0.01   2.12  2.121XXX.00.00.0000000             33.2875 010 99      2.63   2.63   0.01
7688626Us exam infant hips static                        A   0.62   0.22     0.22    0.03   0.87  0.871XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7693226Echo guide for heart biopsy                       A   0.67   0.30     0.30    0.09   1.06  1.061XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76936  Echo guide for artery repair                      A   1.99   5.58     5.58NA  0.24   7.81  7.811XXX.00.00.0000000             33.2875 090 99      9.64   9.64   0.26
76936TCEcho guide for artery repair                      A   0.00   5.02     5.02NA  0.03   5.05  5.051XXX.00.00.0000000             33.2875 030 99      9.08   9.08   0.05
7693626Echo guide for artery repair                      A   1.99   0.56     0.56    0.21   2.76  2.761XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76937  Us guide vascular access                          A   0.30   0.81     0.81NA  0.04   1.15  1.151ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76937TCUs guide vascular access                          A   0.00   0.73     0.73NA  0.01   0.74  0.741ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7693726Us guide vascular access                          A   0.30   0.08     0.08    0.03   0.41  0.411ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7694026Us guide tissue ablation                          A   2.00   0.69     0.69    0.27   2.96  2.961XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7694126Echo guide for transfusion                        A   1.34   0.52     0.52    0.03   1.89  1.891XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76942  Echo guide for biopsy                             A   0.67   1.03     1.03NA  0.04   1.74  1.741XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76942TCEcho guide for biopsy                             A   0.00   0.84     0.84NA  0.01   0.85  0.851XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7694226Echo guide for biopsy                             A   0.67   0.19     0.19    0.03   0.89  0.891XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7694526Echo guide villus sampling                        A   0.67   0.26     0.26    0.01   0.94  0.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76946  Echo guide for amniocentesis                      A   0.38   0.60     0.60NA  0.02   1.00  1.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76946TCEcho guide for amniocentesis                      A   0.00   0.45     0.45NA  0.01   0.46  0.461XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7694626Echo guide for amniocentesis                      A   0.38   0.15     0.15    0.01   0.54  0.541XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76948  Echo guide ova aspiration                         A   0.67   1.73     1.73NA  0.02   2.42  2.421XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76948TCEcho guide ova aspiration                         A   0.00   1.47     1.47NA  0.01   1.48  1.481XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7694826Echo guide ova aspiration                         A   0.67   0.26     0.26    0.01   0.94  0.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76965  Echo guidance radiotherapy                        A   1.34   1.43     1.43NA  0.06   2.83  2.831XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76965TCEcho guidance radiotherapy                        A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7696526Echo guidance radiotherapy                        A   1.34   0.61     0.61    0.05   2.00  2.001XXX.00.00.0000000             33.2875 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             33.2875 090 99      7.48   7.48   0.04
76975TCGi endoscopic ultrasound                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      7.12   7.12   0.01
7697526Gi endoscopic ultrasound                          A   0.81   0.36     0.36    0.03   1.20  1.201XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76977  Us bone density measure                           A   0.05   0.15     0.15NA  0.02   0.22  0.221XXX.00.00.0000000             33.2875 090 99      2.99   2.99   0.24
76977TCUs bone density measure                           A   0.00   0.13     0.13NA  0.01   0.14  0.141XXX.00.00.0000000             33.2875 010 99      2.97   2.97   0.23
7697726Us bone density measure                           A   0.05   0.02     0.02    0.01   0.08  0.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76978  Us trgt dyn mbubb 1st les                         A   1.62   4.93     4.93NA  0.10   6.65  6.651XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76978TCUs trgt dyn mbubb 1st les                         A   0.00   4.35     4.35NA  0.02   4.37  4.371XXX.00.00.0040000             33.2875 030 88      0.00   0.00   0.00
7697826Us trgt dyn mbubb 1st les                         A   1.62   0.58     0.58    0.08   2.28  2.281XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76979  Us trgt dyn mbubb ea addl                         A   0.85   3.38     3.38NA  0.05   4.28  4.281ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76979TCUs trgt dyn mbubb ea addl                         A   0.00   3.08     3.08NA  0.01   3.09  3.091ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7697926Us trgt dyn mbubb ea addl                         A   0.85   0.30     0.30    0.04   1.19  1.191ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76981  Use parenchyma                                    A   0.59   2.50     2.50NA  0.04   3.13  3.131XXX.00.00.0040000             33.2875 090 88      3.41   3.41   0.04
76981TCUse parenchyma                                    A   0.00   2.28     2.28NA  0.01   2.29  2.291XXX.00.00.0040000             33.2875 020 88      3.19   3.19   0.01
7698126Use parenchyma                                    A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76982  Use 1st target lesion                             A   0.59   2.17     2.17NA  0.04   2.80  2.801XXX.00.00.0040000             33.2875 090 88      3.40   3.40   0.05
76982TCUse 1st target lesion                             A   0.00   1.95     1.95NA  0.01   1.96  1.961XXX.00.00.0040000             33.2875 020 88      3.18   3.18   0.02
7698226Use 1st target lesion                             A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
76983  Use ea addl target lesion                         A   0.50   1.31     1.31NA  0.04   1.85  1.851ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76983TCUse ea addl target lesion                         A   0.00   1.10     1.10NA  0.01   1.11  1.111ZZZ.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
7698326Use ea addl target lesion                         A   0.50   0.21     0.21    0.03   0.74  0.741ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76984  Dx intraop thoracic aorta us                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76984TCDx intraop thoracic aorta us                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7698426Dx intraop thoracic aorta us                      A   0.60   0.21     0.21    0.11   0.92  0.921XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76987  Dx intraop epicar car us chd                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76987TCDx intraop epicar car us chd                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7698726Dx intraop epicar car us chd                      A   1.90   0.65     0.65    0.26   2.81  2.811XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76988  Dx ntrop epcr us chd img acq                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76988TCDx ntrop epcr us chd img acq                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7698826Dx ntrop epcr us chd img acq                      A   1.20   0.41     0.41    0.18   1.79  1.791XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76989  Dx intraop epcar us chd i&r                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
76989TCDx intraop epcar us chd i&r                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7698926Dx intraop epcar us chd i&r                       A   0.70   0.24     0.24    0.11   1.05  1.051XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
7699826Us guide intraop                                  A   0.91   0.31     0.31    0.16   1.38  1.381XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77001  Fluoroguide for vein device                       A   0.38   2.53     2.53NA  0.05   2.96  2.961ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77001TCFluoroguide for vein device                       A   0.00   2.42     2.42NA  0.01   2.43  2.431ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7700126Fluoroguide for vein device                       A   0.38   0.11     0.11    0.04   0.53  0.531ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77002  Needle localization by xray                       A   0.54   2.90     2.90NA  0.04   3.48  3.481ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77002TCNeedle localization by xray                       A   0.00   2.68     2.68NA  0.01   2.69  2.691ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77003  Fluoroguide for spine inject                      A   0.60   2.51     2.51NA  0.05   3.16  3.161ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77003TCFluoroguide for spine inject                      A   0.00   2.30     2.30NA  0.01   2.31  2.311ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
7700326Fluoroguide for spine inject                      A   0.60   0.21     0.21    0.04   0.85  0.851ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77011  Ct scan for localization                          A   1.21   5.34     5.34NA  0.09   6.64  6.641XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77011TCCt scan for localization                          A   0.00   4.81     4.81NA  0.01   4.82  4.821XXX.00.00.0000900             33.2875 030 99      0.00   0.00   0.00
7701126Ct scan for localization                          A   1.21   0.53     0.53    0.08   1.82  1.821XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77012  Ct scan for needle biopsy                         A   1.50   2.57     2.57NA  0.10   4.17  4.171XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77012TCCt scan for needle biopsy                         A   0.00   2.11     2.11NA  0.01   2.12  2.121XXX.00.00.0000900             33.2875 030 99      0.00   0.00   0.00
7701226Ct scan for needle biopsy                         A   1.50   0.46     0.46    0.09   2.05  2.051XXX.00.00.0000900             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
7701326Ct guide for tissue ablation                      A   3.99   1.13     1.13    0.25   5.37  5.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77014  Ct scan for therapy guide                         A   0.85   2.69     2.69NA  0.05   3.59  3.591XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77014TCCt scan for therapy guide                         A   0.00   2.25     2.25NA  0.01   2.26  2.261XXX.00.00.0000900             33.2875 020 99      0.00   0.00   0.00
7701426Ct scan for therapy guide                         A   0.85   0.44     0.44    0.04   1.33  1.331XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77021  Mri guidance ndl plmt rs&i                        A   1.50  11.18    11.18NA  0.08  12.76 12.761XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77021TCMri guidance ndl plmt rs&i                        A   0.00  10.65    10.65NA  0.02  10.67 10.671XXX.00.00.0000900             33.2875 030 99      0.00   0.00   0.00
7702126Mri guidance ndl plmt rs&i                        A   1.50   0.53     0.53    0.06   2.09  2.091XXX.00.00.0000900             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
7702226Mri gdn parnchyma tiss abltj                      A   4.24   1.40     1.40    0.22   5.86  5.861XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77046  Mri breast c- unilateral                          A   1.45   5.02     5.02NA  0.09   6.56  6.561XXX.00.00.0040000             33.2875 090 88      7.61   7.61   0.10
77046TCMri breast c- unilateral                          A   0.00   4.51     4.51NA  0.02   4.53  4.531XXX.00.00.0040000             33.2875 020 88      7.10   7.10   0.03
7704626Mri breast c- unilateral                          A   1.45   0.51     0.51    0.07   2.03  2.031XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
77047  Mri breast c- bilateral                           A   1.60   5.05     5.05NA  0.10   6.75  6.751XXX.00.00.0042000             33.2875 090 88      7.66   7.66   0.11
77047TCMri breast c- bilateral                           A   0.00   4.49     4.49NA  0.02   4.51  4.511XXX.00.00.0042000             33.2875 020 88      7.10   7.10   0.03
7704726Mri breast c- bilateral                           A   1.60   0.56     0.56    0.08   2.24  2.241XXX.00.00.0042000             33.2875 090 88      0.00   0.00   0.00
77048  Mri breast c-+ w/cad uni                          A   2.10   8.12     8.12NA  0.14  10.36 10.361XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
77048TCMri breast c-+ w/cad uni                          A   0.00   7.38     7.38NA  0.03   7.41  7.411XXX.00.00.0040000             33.2875 020 88      0.00   0.00   0.00
7704826Mri breast c-+ w/cad uni                          A   2.10   0.74     0.74    0.11   2.95  2.951XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
77049  Mri breast c-+ w/cad bi                           A   2.30   8.12     8.12NA  0.15  10.57 10.571XXX.00.00.0042000             33.2875 090 88      0.00   0.00   0.00
77049TCMri breast c-+ w/cad bi                           A   0.00   7.31     7.31NA  0.03   7.34  7.341XXX.00.00.0042000             33.2875 020 88      0.00   0.00   0.00
7704926Mri breast c-+ w/cad bi                           A   2.30   0.81     0.81    0.12   3.23  3.231XXX.00.00.0042000             33.2875 090 88      0.00   0.00   0.00
77053  X-ray of mammary duct                             A   0.36   1.23     1.23NA  0.03   1.62  1.621XXX.00.00.0000900             33.2875 090 99      7.20   7.20   0.08
77053TCX-ray of mammary duct                             A   0.00   1.10     1.10NA  0.01   1.11  1.111XXX.00.00.0000900             33.2875 030 99      7.07   7.07   0.06
7705326X-ray of mammary duct                             A   0.36   0.13     0.13    0.02   0.51  0.511XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
77054  X-ray of mammary ducts                            A   0.45   1.60     1.60NA  0.03   2.08  2.081XXX.00.00.0000900             33.2875 090 99      7.24   7.24   0.07
77054TCX-ray of mammary ducts                            A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.0000900             33.2875 030 99      7.08   7.08   0.05
7705426X-ray of mammary ducts                            A   0.45   0.16     0.16    0.02   0.63  0.631XXX.00.00.0000900             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77063  Breast tomosynthesis bi                           A   0.60   0.93     0.93NA  0.03   1.56  1.561ZZZ.00.00.0002900             33.2875 090 99      0.00   0.00   0.00
77063TCBreast tomosynthesis bi                           A   0.00   0.72     0.72NA  0.00   0.72  0.721ZZZ.00.00.0002900             33.2875 090 99      0.00   0.00   0.00
7706326Breast tomosynthesis bi                           A   0.60   0.21     0.21    0.03   0.84  0.841ZZZ.00.00.0002900             33.2875 090 99      0.00   0.00   0.00
77065  Dx mammo incl cad uni                             A   0.81   2.90     2.90NA  0.05   3.76  3.761XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
7706526Dx mammo incl cad uni                             A   0.81   0.29     0.29    0.04   1.14  1.141XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77066  Dx mammo incl cad bi                              A   1.00   3.69     3.69NA  0.07   4.76  4.761XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
77066TCDx mammo incl cad bi                              A   0.00   3.34     3.34NA  0.02   3.36  3.361XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
7706626Dx mammo incl cad bi                              A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
77067  Scr mammo bi incl cad                             A   0.76   3.03     3.03NA  0.05   3.84  3.841XXX.00.00.0002000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
7706726Scr mammo bi incl cad                             A   0.76   0.27     0.27    0.04   1.07  1.071XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
77071  X-ray stress view                                 A   0.41   1.17     1.17    0.07   1.65  1.652XXX.00.00.0002000             33.2875 030 99      0.00   0.00   0.00
77072  X-rays for bone age                               A   0.19   0.57     0.57NA  0.02   0.78  0.781XXX.00.00.0000000             33.2875 090 99      3.21   3.21   0.07
77072TCX-rays for bone age                               A   0.00   0.50     0.50NA  0.01   0.51  0.511XXX.00.00.0000000             33.2875 010 99      3.14   3.14   0.06
7707226X-rays for bone age                               A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77073  X-rays bone length studies                        A   0.26   1.07     1.07NA  0.03   1.36  1.361XXX.00.00.0000000             33.2875 090 99      3.28   3.28   0.05
77073TCX-rays bone length studies                        A   0.00   0.96     0.96NA  0.01   0.97  0.971XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7707326X-rays bone length studies                        A   0.26   0.11     0.11    0.02   0.39  0.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77074  X-rays bone survey limited                        A   0.44   1.49     1.49NA  0.03   1.96  1.961XXX.00.00.0000000             33.2875 090 99      3.34   3.34   0.04
77074TCX-rays bone survey limited                        A   0.00   1.33     1.33NA  0.01   1.34  1.341XXX.00.00.0000000             33.2875 010 99      3.18   3.18   0.02
7707426X-rays bone survey limited                        A   0.44   0.16     0.16    0.02   0.62  0.621XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77075  X-rays bone survey complete                       A   0.55   2.39     2.39NA  0.05   2.99  2.991XXX.00.00.0000000             33.2875 090 99      3.37   3.37   0.06
77075TCX-rays bone survey complete                       A   0.00   2.19     2.19NA  0.02   2.21  2.211XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7707526X-rays bone survey complete                       A   0.55   0.20     0.20    0.03   0.78  0.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77076  X-rays bone survey infant                         A   0.70   2.46     2.46NA  0.06   3.22  3.221XXX.00.00.0000000             33.2875 090 99      3.42   3.42   0.07
77076TCX-rays bone survey infant                         A   0.00   2.21     2.21NA  0.02   2.23  2.231XXX.00.00.0000000             33.2875 010 99      3.17   3.17   0.03
7707626X-rays bone survey infant                         A   0.70   0.25     0.25    0.04   0.99  0.991XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77077  Joint survey single view                          A   0.33   1.05     1.05NA  0.03   1.41  1.411XXX.00.00.0000000             33.2875 090 99      3.30   3.30   0.05
77077TCJoint survey single view                          A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.03
7707726Joint survey single view                          A   0.33   0.14     0.14    0.02   0.49  0.491XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77078  Ct bone density axial                             A   0.25   2.83     2.83NA  0.02   3.10  3.101XXX.00.00.0000000             33.2875 090 99      2.72   2.72   0.02
77078TCCt bone density axial                             A   0.00   2.74     2.74NA  0.01   2.75  2.751XXX.00.00.0000000             33.2875 010 99      2.63   2.63   0.01
7707826Ct bone density axial                             A   0.25   0.09     0.09    0.01   0.35  0.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77080  Dxa bone density axial                            A   0.20   0.95     0.95NA  0.02   1.17  1.171XXX.00.00.0000000             33.2875 090 99      3.23   3.23   0.05
77080TCDxa bone density axial                            A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.0000000             33.2875 010 99      3.16   3.16   0.04
7708026Dxa bone density axial                            A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77081  Dxa bone density/peripheral                       A   0.20   0.73     0.73NA  0.02   0.95  0.951XXX.00.00.0000000             33.2875 090 99      2.67   2.67   0.05
77081TCDxa bone density/peripheral                       A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.0000000             33.2875 010 99      2.60   2.60   0.04
7708126Dxa bone density/peripheral                       A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77084  Magnetic image bone marrow                        A   1.60   8.07     8.07NA  0.11   9.78  9.781XXX.00.00.0000000             33.2875 090 99      7.67   7.67   0.11
77084TCMagnetic image bone marrow                        A   0.00   7.50     7.50NA  0.03   7.53  7.531XXX.00.00.0000000             33.2875 010 99      7.10   7.10   0.03
7708426Magnetic image bone marrow                        A   1.60   0.57     0.57    0.08   2.25  2.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77085  Dxa bone density study                            A   0.30   1.27     1.27NA  0.03   1.60  1.601XXX.00.00.0000000             33.2875 090 99      3.25   3.25   0.06
77085TCDxa bone density study                            A   0.00   1.16     1.16NA  0.02   1.18  1.181XXX.00.00.0000000             33.2875 010 99      3.14   3.14   0.05
7708526Dxa bone density study                            A   0.30   0.11     0.11    0.01   0.42  0.421XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77086  Fracture assessment via dxa                       A   0.17   0.82     0.82NA  0.02   1.01  1.011XXX.00.00.0000000             33.2875 090 99      2.67   2.67   0.04
77086TCFracture assessment via dxa                       A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
7708626Fracture assessment via dxa                       A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77089  Tbs dxa cal w/i&r fx risk                         A   0.20   0.98     0.98NA  0.03   1.21  1.214XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77090  Tbs techl prep&transmis data                      A   0.00   0.07     0.07NA  0.01   0.08  0.083XXX.00.00.0000000             33.2875 010 99      2.31   2.31   0.33
77091  Tbs techl calculation only                        A   0.00   0.83     0.83NA  0.01   0.84  0.843XXX.00.00.0000000             33.2875 010 99      2.61   2.61   0.03
77092  Tbs i&r fx rsk qhp                                A   0.20   0.08     0.08    0.01   0.29  0.292XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77261  Radiation therapy planning                        A   1.30   0.73     0.73    0.08   2.11  2.112XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77262  Radiation therapy planning                        A   2.00   1.10     1.10    0.13   3.23  3.232XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77263  Radiation therapy planning                        A   3.14   1.63     1.63    0.24   5.01  5.012XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77280  Set radiation therapy field                       A   0.70   7.34     7.34NA  0.04   8.08  8.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77280TCSet radiation therapy field                       A   0.00   6.95     6.95NA  0.01   6.96  6.961XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7728026Set radiation therapy field                       A   0.70   0.39     0.39    0.03   1.12  1.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77285  Set radiation therapy field                       A   1.05  12.12    12.12NA  0.06  13.23 13.231XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77285TCSet radiation therapy field                       A   0.00  11.52    11.52NA  0.02  11.54 11.541XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7728526Set radiation therapy field                       A   1.05   0.60     0.60    0.04   1.69  1.691XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77290  Set radiation therapy field                       A   1.56  11.77    11.77NA  0.10  13.43 13.431XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77290TCSet radiation therapy field                       A   0.00  10.95    10.95NA  0.03  10.98 10.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7729026Set radiation therapy field                       A   1.56   0.82     0.82    0.07   2.45  2.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77293  Respirator motion mgmt simul                      A   2.00  10.14    10.14NA  0.11  12.25 12.251ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77293TCRespirator motion mgmt simul                      A   0.00   9.09     9.09NA  0.03   9.12  9.121ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7729326Respirator motion mgmt simul                      A   2.00   1.05     1.05    0.08   3.13  3.131ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77295  3-d radiotherapy plan                             A   4.29   9.88     9.88NA  0.25  14.42 14.421XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77295TC3-d radiotherapy plan                             A   0.00   7.65     7.65NA  0.07   7.72  7.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77295263-d radiotherapy plan                             A   4.29   2.23     2.23    0.18   6.70  6.701XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77299  Unlisted px ther rad tx plng                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77299TCUnlisted px ther rad tx plng                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7729926Unlisted px ther rad tx plng                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77300  Radiation therapy dose plan                       A   0.62   1.32     1.32NA  0.04   1.98  1.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77300TCRadiation therapy dose plan                       A   0.00   1.00     1.00NA  0.01   1.01  1.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7730026Radiation therapy dose plan                       A   0.62   0.32     0.32    0.03   0.97  0.971XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77301  Radiotherapy dose plan imrt                       A   7.99  46.68    46.68NA  0.69  55.36 55.361XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77301TCRadiotherapy dose plan imrt                       A   0.00  42.52    42.52NA  0.35  42.87 42.871XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7730126Radiotherapy dose plan imrt                       A   7.99   4.16     4.16    0.34  12.49 12.491XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77306  Telethx isodose plan simple                       A   1.40   2.97     2.97NA  0.08   4.45  4.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77306TCTelethx isodose plan simple                       A   0.00   2.24     2.24NA  0.02   2.26  2.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7730626Telethx isodose plan simple                       A   1.40   0.73     0.73    0.06   2.19  2.191XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77307  Telethx isodose plan cplx                         A   2.90   5.56     5.56NA  0.16   8.62  8.621XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77307TCTelethx isodose plan cplx                         A   0.00   4.05     4.05NA  0.04   4.09  4.091XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7730726Telethx isodose plan cplx                         A   2.90   1.51     1.51    0.12   4.53  4.531XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77316  Brachytx isodose plan simple                      A   1.40   5.88     5.88NA  0.11   7.39  7.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77316TCBrachytx isodose plan simple                      A   0.00   5.15     5.15NA  0.05   5.20  5.201XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7731626Brachytx isodose plan simple                      A   1.40   0.73     0.73    0.06   2.19  2.191XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77317  Brachytx isodose intermed                         A   1.83   7.75     7.75NA  0.14   9.72  9.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77317TCBrachytx isodose intermed                         A   0.00   6.79     6.79NA  0.06   6.85  6.851XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7731726Brachytx isodose intermed                         A   1.83   0.96     0.96    0.08   2.87  2.871XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77318  Brachytx isodose complex                          A   2.90  10.67    10.67NA  0.21  13.78 13.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77318TCBrachytx isodose complex                          A   0.00   9.17     9.17NA  0.09   9.26  9.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7731826Brachytx isodose complex                          A   2.90   1.50     1.50    0.12   4.52  4.521XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77321  Special teletx port plan                          A   0.95   1.83     1.83NA  0.05   2.83  2.831XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77321TCSpecial teletx port plan                          A   0.00   1.33     1.33NA  0.01   1.34  1.341XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7732126Special teletx port plan                          A   0.95   0.50     0.50    0.04   1.49  1.491XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77331  Special radiation dosimetry                       A   0.87   1.03     1.03NA  0.05   1.95  1.951XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77331TCSpecial radiation dosimetry                       A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7733126Special radiation dosimetry                       A   0.87   0.46     0.46    0.04   1.37  1.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77332  Radiation treatment aid(s)                        A   0.45   0.70     0.70NA  0.03   1.18  1.181XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77332TCRadiation treatment aid(s)                        A   0.00   0.46     0.46NA  0.01   0.47  0.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7733226Radiation treatment aid(s)                        A   0.45   0.24     0.24    0.02   0.71  0.711XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77333  Radiation treatment aid(s)                        A   0.75   3.32     3.32NA  0.04   4.11  4.111XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77333TCRadiation treatment aid(s)                        A   0.00   2.93     2.93NA  0.01   2.94  2.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7733326Radiation treatment aid(s)                        A   0.75   0.39     0.39    0.03   1.17  1.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77334  Radiation treatment aid(s)                        A   1.15   2.56     2.56NA  0.06   3.77  3.771XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77334TCRadiation treatment aid(s)                        A   0.00   1.96     1.96NA  0.01   1.97  1.971XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7733426Radiation treatment aid(s)                        A   1.15   0.60     0.60    0.05   1.80  1.801XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77336  Radiation physics consult                         A   0.00   2.59     2.59NA  0.08   2.67  2.673XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77338  Design mlc device for imrt                        A   4.29   9.50     9.50NA  0.27  14.06 14.061XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77338TCDesign mlc device for imrt                        A   0.00   7.26     7.26NA  0.09   7.35  7.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7733826Design mlc device for imrt                        A   4.29   2.24     2.24    0.18   6.71  6.711XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77370  Radiation physics consult                         A   0.00   4.19     4.19NA  0.15   4.34  4.343XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77372  Srs linear based                                  A   0.00  28.39    28.39NA  0.20  28.59 28.593XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77373  Sbrt delivery                                     A   0.00  29.60    29.60NA  0.25  29.85 29.853XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77399  Unlisted px med radj physics                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77399TCUnlisted px med radj physics                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7739926Unlisted px med radj physics                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77401  Radiation treatment delivery                      A   0.00   1.24     1.24NA  0.01   1.25  1.253XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77417  Radiology port images(s)                          A   0.00   0.44     0.44NA  0.01   0.45  0.453XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77427  Radiation tx management x5                        A   3.37   2.07     2.07    0.26   5.70  5.702XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
77431  Radiation therapy management                      A   1.81   1.26     1.26    0.15   3.22  3.222XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77432  Stereotactic radiation trmt                       A   7.92   4.12     4.12    0.63  12.67 12.672XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77435  Sbrt management                                   A  11.87   6.34     6.34    0.95  19.16 19.162XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77469  Io radiation tx management                        A   5.75   3.33NA   3.33    0.45   9.53  9.530XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77470  Special radiation treatment                       A   2.03   2.12     2.12NA  0.11   4.26  4.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77470TCSpecial radiation treatment                       A   0.00   1.06     1.06NA  0.02   1.08  1.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7747026Special radiation treatment                       A   2.03   1.06     1.06    0.09   3.18  3.181XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77499  Unlisted px ther rad tx mgmt                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77499TCUnlisted px ther rad tx mgmt                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7749926Unlisted px ther rad tx mgmt                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
77600  Hyperthermia treatment                            R   1.31  14.92    14.92NA  0.12  16.35 16.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77600TCHyperthermia treatment                            R   0.00  14.17    14.17NA  0.06  14.23 14.231XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7760026Hyperthermia treatment                            R   1.31   0.75     0.75    0.06   2.12  2.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77605  Hyperthermia treatment                            R   1.84  26.10    26.10NA  0.41  28.35 28.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77605TCHyperthermia treatment                            R   0.00  25.29    25.29NA  0.07  25.36 25.361XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7760526Hyperthermia treatment                            R   1.84   0.81     0.81    0.34   2.99  2.991XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77610  Hyperthermia treatment                            R   1.31  19.10    19.10NA  0.13  20.54 20.541XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77610TCHyperthermia treatment                            R   0.00  18.41    18.41NA  0.07  18.48 18.481XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7761026Hyperthermia treatment                            R   1.31   0.69     0.69    0.06   2.06  2.061XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77615  Hyperthermia treatment                            R   1.84  30.18    30.18NA  0.22  32.24 32.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77615TCHyperthermia treatment                            R   0.00  29.21    29.21NA  0.14  29.35 29.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7761526Hyperthermia treatment                            R   1.84   0.97     0.97    0.08   2.89  2.891XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77620  Hyperthermia treatment                            R   1.56  17.15    17.15NA  0.41  19.12 19.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77620TCHyperthermia treatment                            R   0.00  16.58    16.58NA  0.07  16.65 16.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7762026Hyperthermia treatment                            R   1.56   0.57     0.57    0.34   2.47  2.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77750  Infuse radioactive materials                      A   5.00   6.54     6.54NA  0.26  11.80 11.801090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77750TCInfuse radioactive materials                      A   0.00   3.93     3.93NA  0.05   3.98  3.981090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7775026Infuse radioactive materials                      A   5.00   2.61     2.61    0.21   7.82  7.821090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77761  Apply intrcav radiat simple                       A   3.85   8.57     8.57NA  0.23  12.65 12.651090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77761TCApply intrcav radiat simple                       A   0.00   6.56     6.56NA  0.07   6.63  6.631090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7776126Apply intrcav radiat simple                       A   3.85   2.01     2.01    0.16   6.02  6.021090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77762  Apply intrcav radiat interm                       A   5.76  10.53    10.53NA  0.33  16.62 16.621090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77762TCApply intrcav radiat interm                       A   0.00   7.52     7.52NA  0.09   7.61  7.611090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7776226Apply intrcav radiat interm                       A   5.76   3.01     3.01    0.24   9.01  9.011090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77763  Apply intrcav radiat compl                        A   8.66  14.33    14.33NA  0.49  23.48 23.481090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77763TCApply intrcav radiat compl                        A   0.00   9.81     9.81NA  0.13   9.94  9.941090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7776326Apply intrcav radiat compl                        A   8.66   4.52     4.52    0.36  13.54 13.541090.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77767  Hdr rdncl skn surf brachytx                       A   1.05   6.36     6.36NA  0.09   7.50  7.501XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77767TCHdr rdncl skn surf brachytx                       A   0.00   5.81     5.81NA  0.05   5.86  5.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7776726Hdr rdncl skn surf brachytx                       A   1.05   0.55     0.55    0.04   1.64  1.641XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77768  Hdr rdncl skn surf brachytx                       A   1.40   9.46     9.46NA  0.13  10.99 10.991XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77768TCHdr rdncl skn surf brachytx                       A   0.00   8.73     8.73NA  0.07   8.80  8.801XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7776826Hdr rdncl skn surf brachytx                       A   1.40   0.73     0.73    0.06   2.19  2.191XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77770  Hdr rdncl ntrstl/icav brchtx                      A   1.95   8.36     8.36NA  0.14  10.45 10.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77770TCHdr rdncl ntrstl/icav brchtx                      A   0.00   7.34     7.34NA  0.06   7.40  7.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7777026Hdr rdncl ntrstl/icav brchtx                      A   1.95   1.02     1.02    0.08   3.05  3.051XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77771  Hdr rdncl ntrstl/icav brchtx                      A   3.80  14.10    14.10NA  0.27  18.17 18.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77771TCHdr rdncl ntrstl/icav brchtx                      A   0.00  12.12    12.12NA  0.11  12.23 12.231XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7777126Hdr rdncl ntrstl/icav brchtx                      A   3.80   1.98     1.98    0.16   5.94  5.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77772  Hdr rdncl ntrstl/icav brchtx                      A   5.40  21.32    21.32NA  0.41  27.13 27.131XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77772TCHdr rdncl ntrstl/icav brchtx                      A   0.00  18.56    18.56NA  0.18  18.74 18.741XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7777226Hdr rdncl ntrstl/icav brchtx                      A   5.40   2.76     2.76    0.23   8.39  8.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77778  Apply interstit radiat compl                      A   8.78  18.32    18.32NA  0.53  27.63 27.631000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77778TCApply interstit radiat compl                      A   0.00  13.77    13.77NA  0.16  13.93 13.931000.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7777826Apply interstit radiat compl                      A   8.78   4.55     4.55    0.37  13.70 13.701000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77789  Apply surf ldr radionuclide                       A   1.14   2.79     2.79NA  0.07   4.00  4.001000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77789TCApply surf ldr radionuclide                       A   0.00   2.19     2.19NA  0.02   2.21  2.211000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7778926Apply surf ldr radionuclide                       A   1.14   0.60     0.60    0.05   1.79  1.791000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77790  Radiation handling                                A   0.00   0.52     0.52NA  0.02   0.54  0.543XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77799  Unlisted px clin brachytx                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
77799TCUnlisted px clin brachytx                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7779926Unlisted px clin brachytx                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78012  Thyroid uptake measurement                        A   0.19   2.20     2.20NA  0.04   2.43  2.431XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78012TCThyroid uptake measurement                        A   0.00   2.14     2.14NA  0.03   2.17  2.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7801226Thyroid uptake measurement                        A   0.19   0.06     0.06    0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78013  Thyroid imaging w/blood flow                      A   0.37   4.71     4.71NA  0.06   5.14  5.141XXX.00.00.0000000             33.2875 090 99     12.02  12.02   0.12
78013TCThyroid imaging w/blood flow                      A   0.00   4.59     4.59NA  0.04   4.63  4.631XXX.00.00.0000000             33.2875 090 99     11.90  11.90   0.10
7801326Thyroid imaging w/blood flow                      A   0.37   0.12     0.12    0.02   0.51  0.511XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78014  Thyroid imaging w/blood flow                      A   0.50   5.97     5.97NA  0.06   6.53  6.531XXX.00.00.0000000             33.2875 090 99     12.08  12.08   0.10
78014TCThyroid imaging w/blood flow                      A   0.00   5.81     5.81NA  0.04   5.85  5.851XXX.00.00.0000000             33.2875 090 99     11.92  11.92   0.08
7801426Thyroid imaging w/blood flow                      A   0.50   0.16     0.16    0.02   0.68  0.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78015  Thyroid met imaging                               A   0.67   5.62     5.62NA  0.07   6.36  6.361XXX.00.00.0000000             33.2875 090 99     12.15  12.15   0.12
78015TCThyroid met imaging                               A   0.00   5.38     5.38NA  0.04   5.42  5.421XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7801526Thyroid met imaging                               A   0.67   0.24     0.24    0.03   0.94  0.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78016  Thyroid met imaging/studies                       A   0.82   6.69     6.69NA  0.07   7.58  7.581XXX.00.00.0000000             33.2875 090 99     12.02  12.02   0.12
78016TCThyroid met imaging/studies                       A   0.00   6.56     6.56NA  0.06   6.62  6.621XXX.00.00.0000000             33.2875 010 99     11.89  11.89   0.11
7801626Thyroid met imaging/studies                       A   0.82   0.13     0.13    0.01   0.96  0.961XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78018  Thyroid met imaging body                          A   0.86   7.58     7.58NA  0.08   8.52  8.521XXX.00.00.0000000             33.2875 090 99     15.87  15.87   0.14
78018TCThyroid met imaging body                          A   0.00   7.33     7.33NA  0.05   7.38  7.381XXX.00.00.0000000             33.2875 010 99     15.62  15.62   0.11
7801826Thyroid met imaging body                          A   0.86   0.25     0.25    0.03   1.14  1.141XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78020  Thyroid met uptake                                A   0.60   1.70     1.70NA  0.04   2.34  2.341ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78020TCThyroid met uptake                                A   0.00   1.55     1.55NA  0.02   1.57  1.571ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7802026Thyroid met uptake                                A   0.60   0.15     0.15    0.02   0.77  0.771ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78070  Parathyroid planar imaging                        A   0.80   7.19     7.19NA  0.09   8.08  8.081XXX.00.00.0000000             33.2875 090 99     12.18  12.18   0.13
78070TCParathyroid planar imaging                        A   0.00   6.92     6.92NA  0.05   6.97  6.971XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7807026Parathyroid planar imaging                        A   0.80   0.27     0.27    0.04   1.11  1.111XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78071  Parathyrd planar w/wo subtrj                      A   1.20   8.30     8.30NA  0.11   9.61  9.611XXX.00.00.0000000             33.2875 090 99     12.32  12.32   0.14
78071TCParathyrd planar w/wo subtrj                      A   0.00   7.91     7.91NA  0.05   7.96  7.961XXX.00.00.0000000             33.2875 090 99     11.93  11.93   0.08
7807126Parathyrd planar w/wo subtrj                      A   1.20   0.39     0.39    0.06   1.65  1.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78072  Parathyrd planar w/spect&ct                       A   1.60  10.19    10.19NA  0.13  11.92 11.921XXX.00.00.0000000             33.2875 090 99     16.12  16.12   0.17
78072TCParathyrd planar w/spect&ct                       A   0.00   9.70     9.70NA  0.06   9.76  9.761XXX.00.00.0000000             33.2875 090 99     15.63  15.63   0.10
7807226Parathyrd planar w/spect&ct                       A   1.60   0.49     0.49    0.07   2.16  2.161XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78075  Adrenal cortex & medulla img                      A   0.74  11.32    11.32NA  0.11  12.17 12.171XXX.00.00.0000000             33.2875 090 99     41.32  41.32   0.30
78075TCAdrenal cortex & medulla img                      A   0.00  11.06    11.06NA  0.07  11.13 11.131XXX.00.00.0000000             33.2875 010 99     41.06  41.06   0.26
7807526Adrenal cortex & medulla img                      A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78099  Unlisted endocrine px dx nuc                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78099TCUnlisted endocrine px dx nuc                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7809926Unlisted endocrine px dx nuc                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78102  Bone marrow imaging ltd                           A   0.55   4.20     4.20NA  0.06   4.81  4.811XXX.00.00.0000000             33.2875 090 99     12.04  12.04   0.14
78102TCBone marrow imaging ltd                           A   0.00   4.04     4.04NA  0.04   4.08  4.081XXX.00.00.0000000             33.2875 010 99     11.88  11.88   0.12
7810226Bone marrow imaging ltd                           A   0.55   0.16     0.16    0.02   0.73  0.731XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78103  Bone marrow imaging mult                          A   0.75   4.33     4.33NA  0.05   5.13  5.131XXX.00.00.0000000             33.2875 090 99     12.01  12.01   0.12
78103TCBone marrow imaging mult                          A   0.00   4.21     4.21NA  0.04   4.25  4.251XXX.00.00.0000000             33.2875 010 99     11.89  11.89   0.11
7810326Bone marrow imaging mult                          A   0.75   0.12     0.12    0.01   0.88  0.881XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78104  Bone marrow imaging body                          A   0.80   6.01     6.01NA  0.08   6.89  6.891XXX.00.00.0000000             33.2875 090 99     12.15  12.15   0.13
78104TCBone marrow imaging body                          A   0.00   5.76     5.76NA  0.05   5.81  5.811XXX.00.00.0000000             33.2875 010 99     11.90  11.90   0.10
7810426Bone marrow imaging body                          A   0.80   0.25     0.25    0.03   1.08  1.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78110  Plasma volume single                              A   0.19   1.83     1.83NA  0.05   2.07  2.071XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78110TCPlasma volume single                              A   0.00   1.80     1.80NA  0.04   1.84  1.841XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78111  Plasma volume multiple                            A   0.22   1.92     1.92NA  0.05   2.19  2.191XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78111TCPlasma volume multiple                            A   0.00   1.89     1.89NA  0.04   1.93  1.931XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7811126Plasma volume multiple                            A   0.22   0.03     0.03    0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78120  Red cell mass single                              A   0.23   1.84     1.84NA  0.05   2.12  2.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78120TCRed cell mass single                              A   0.00   1.80     1.80NA  0.04   1.84  1.841XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78121  Red cell mass multiple                            A   0.32   1.94     1.94NA  0.05   2.31  2.311XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78121TCRed cell mass multiple                            A   0.00   1.89     1.89NA  0.04   1.93  1.931XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7812126Red cell mass multiple                            A   0.32   0.05     0.05    0.01   0.38  0.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78122  Blood volume                                      A   0.45   2.43     2.43NA  0.06   2.94  2.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78122TCBlood volume                                      A   0.00   2.30     2.30NA  0.04   2.34  2.341XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7812226Blood volume                                      A   0.45   0.13     0.13    0.02   0.60  0.601XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78130  Red cell survival study                           A   0.61   3.04     3.04NA  0.07   3.72  3.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78130TCRed cell survival study                           A   0.00   2.94     2.94NA  0.06   3.00  3.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7813026Red cell survival study                           A   0.61   0.10     0.10    0.01   0.72  0.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78140  Red cell sequestration                            A   0.61   2.61     2.61NA  0.06   3.28  3.281XXX.00.00.0000000             33.2875 090 99     11.87  11.87   0.25
78140TCRed cell sequestration                            A   0.00   2.51     2.51NA  0.05   2.56  2.561XXX.00.00.0000000             33.2875 010 99     11.77  11.77   0.24
7814026Red cell sequestration                            A   0.61   0.10     0.10    0.01   0.72  0.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78185  Spleen imaging                                    A   0.40   4.19     4.19NA  0.05   4.64  4.641XXX.00.00.0000000             33.2875 090 99     11.95  11.95   0.13
78185TCSpleen imaging                                    A   0.00   4.13     4.13NA  0.04   4.17  4.171XXX.00.00.0000000             33.2875 010 99     11.89  11.89   0.12
7818526Spleen imaging                                    A   0.40   0.06     0.06    0.01   0.47  0.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78191  Platelet survival                                 A   0.61   3.04     3.04NA  0.07   3.72  3.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78191TCPlatelet survival                                 A   0.00   2.94     2.94NA  0.06   3.00  3.001XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7819126Platelet survival                                 A   0.61   0.10     0.10    0.01   0.72  0.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78195  Lymph system imaging                              A   1.20   8.39     8.39NA  0.12   9.71  9.711XXX.00.00.0000000             33.2875 090 99     15.99  15.99   0.18
78195TCLymph system imaging                              A   0.00   8.01     8.01NA  0.06   8.07  8.071XXX.00.00.0000000             33.2875 010 99     15.61  15.61   0.12
7819526Lymph system imaging                              A   1.20   0.38     0.38    0.06   1.64  1.641XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78199  Unlstd hematop ret/endo lymp                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78199TCUnlstd hematop ret/endo lymp                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7819926Unlstd hematop ret/endo lymp                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78201  Liver imaging                                     A   0.44   4.80     4.80NA  0.06   5.30  5.301XXX.00.00.0000000             33.2875 090 99     15.72  15.72   0.15
78201TCLiver imaging                                     A   0.00   4.67     4.67NA  0.04   4.71  4.711XXX.00.00.0000000             33.2875 010 99     15.59  15.59   0.13
7820126Liver imaging                                     A   0.44   0.13     0.13    0.02   0.59  0.591XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78202  Liver imaging with flow                           A   0.51   5.26     5.26NA  0.06   5.83  5.831XXX.00.00.0000000             33.2875 090 99     15.76  15.76   0.14
78202TCLiver imaging with flow                           A   0.00   5.10     5.10NA  0.04   5.14  5.141XXX.00.00.0000000             33.2875 010 99     15.60  15.60   0.12
7820226Liver imaging with flow                           A   0.51   0.16     0.16    0.02   0.69  0.691XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78215  Liver and spleen imaging                          A   0.49   4.91     4.91NA  0.06   5.46  5.461XXX.00.00.0000000             33.2875 090 99     12.06  12.06   0.12
78215TCLiver and spleen imaging                          A   0.00   4.75     4.75NA  0.04   4.79  4.791XXX.00.00.0000000             33.2875 010 99     11.90  11.90   0.10
7821526Liver and spleen imaging                          A   0.49   0.16     0.16    0.02   0.67  0.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78216  Liver & spleen image/flow                         A   0.57   3.19     3.19NA  0.07   3.83  3.831XXX.00.00.0000000             33.2875 090 99     11.97  11.97   0.22
78216TCLiver & spleen image/flow                         A   0.00   3.02     3.02NA  0.05   3.07  3.071XXX.00.00.0000000             33.2875 010 99     11.80  11.80   0.20
7821626Liver & spleen image/flow                         A   0.57   0.17     0.17    0.02   0.76  0.761XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78226  Hepatobiliary system imaging                      A   0.74   8.07     8.07NA  0.09   8.90  8.901XXX.00.00.0000000             33.2875 090 99     12.17  12.17   0.12
78226TCHepatobiliary system imaging                      A   0.00   7.82     7.82NA  0.05   7.87  7.871XXX.00.00.0000000             33.2875 010 99     11.92  11.92   0.08
7822626Hepatobiliary system imaging                      A   0.74   0.25     0.25    0.04   1.03  1.031XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78227  Hepatobil syst image w/drug                       A   0.90  10.93    10.93NA  0.11  11.94 11.941XXX.00.00.0000000             33.2875 090 99     15.92  15.92   0.14
78227TCHepatobil syst image w/drug                       A   0.00  10.63    10.63NA  0.07  10.70 10.701XXX.00.00.0000000             33.2875 010 99     15.62  15.62   0.10
7822726Hepatobil syst image w/drug                       A   0.90   0.30     0.30    0.04   1.24  1.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78230  Salivary gland imaging                            A   0.45   4.40     4.40NA  0.06   4.91  4.911XXX.00.00.0000000             33.2875 090 99     12.05  12.05   0.13
78230TCSalivary gland imaging                            A   0.00   4.24     4.24NA  0.04   4.28  4.281XXX.00.00.0000000             33.2875 010 99     11.89  11.89   0.11
7823026Salivary gland imaging                            A   0.45   0.16     0.16    0.02   0.63  0.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78231  Serial salivary imaging                           A   0.52   2.53     2.53NA  0.06   3.11  3.111XXX.00.00.0000000             33.2875 090 99     11.84  11.84   0.25
78231TCSerial salivary imaging                           A   0.00   2.45     2.45NA  0.05   2.50  2.501XXX.00.00.0000000             33.2875 010 99     11.76  11.76   0.24
7823126Serial salivary imaging                           A   0.52   0.08     0.08    0.01   0.61  0.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78232  Salivary gland function exam                      A   0.47   2.52     2.52NA  0.06   3.05  3.051XXX.00.00.0000000             33.2875 090 99     11.83  11.83   0.25
78232TCSalivary gland function exam                      A   0.00   2.45     2.45NA  0.05   2.50  2.501XXX.00.00.0000000             33.2875 010 99     11.76  11.76   0.24
7823226Salivary gland function exam                      A   0.47   0.07     0.07    0.01   0.55  0.551XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78258  Esophageal motility study                         A   0.74   5.12     5.12NA  0.07   5.93  5.931XXX.00.00.0000000             33.2875 090 99     12.11  12.11   0.13
78258TCEsophageal motility study                         A   0.00   4.91     4.91NA  0.04   4.95  4.951XXX.00.00.0000000             33.2875 010 99     11.90  11.90   0.10
7825826Esophageal motility study                         A   0.74   0.21     0.21    0.03   0.98  0.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78261  Gastric mucosa imaging                            A   0.69   4.79     4.79NA  0.06   5.54  5.541XXX.00.00.0000000             33.2875 090 99     11.98  11.98   0.14
78261TCGastric mucosa imaging                            A   0.00   4.68     4.68NA  0.05   4.73  4.731XXX.00.00.0000000             33.2875 010 99     11.87  11.87   0.13
7826126Gastric mucosa imaging                            A   0.69   0.11     0.11    0.01   0.81  0.811XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78262  Gastroesophageal reflux exam                      A   0.68   6.03     6.03NA  0.08   6.79  6.791XXX.00.00.0000000             33.2875 090 99     12.14  12.14   0.13
78262TCGastroesophageal reflux exam                      A   0.00   5.79     5.79NA  0.05   5.84  5.841XXX.00.00.0000000             33.2875 010 99     11.90  11.90   0.10
7826226Gastroesophageal reflux exam                      A   0.68   0.24     0.24    0.03   0.95  0.951XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78264  Gastric emptying imag study                       A   0.79   8.17     8.17NA  0.10   9.06  9.061XXX.00.00.0000000             33.2875 090 99     12.17  12.17   0.13
78264TCGastric emptying imag study                       A   0.00   7.91     7.91NA  0.06   7.97  7.971XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7826426Gastric emptying imag study                       A   0.79   0.26     0.26    0.04   1.09  1.091XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78265  Gastric emptying imag study                       A   0.98   9.69     9.69NA  0.10  10.77 10.771XXX.00.00.0000000             33.2875 090 99     12.24  12.24   0.12
78265TCGastric emptying imag study                       A   0.00   9.37     9.37NA  0.06   9.43  9.431XXX.00.00.0000000             33.2875 010 99     11.92  11.92   0.08
7826526Gastric emptying imag study                       A   0.98   0.32     0.32    0.04   1.34  1.341XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78266  Gastric emptying imag study                       A   1.08  11.06    11.06NA  0.11  12.25 12.251XXX.00.00.0000000             33.2875 090 99     15.95  15.95   0.14
78266TCGastric emptying imag study                       A   0.00  10.74    10.74NA  0.07  10.81 10.811XXX.00.00.0000000             33.2875 010 99     15.63  15.63   0.10
7826626Gastric emptying imag study                       A   1.08   0.32     0.32    0.04   1.44  1.441XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78278  Acute gi blood loss imaging                       A   0.99   8.46     8.46NA  0.11   9.56  9.561XXX.00.00.0000000             33.2875 090 99     12.24  12.24   0.14
78278TCAcute gi blood loss imaging                       A   0.00   8.13     8.13NA  0.06   8.19  8.191XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7827826Acute gi blood loss imaging                       A   0.99   0.33     0.33    0.05   1.37  1.371XXX.00.00.0000000             33.2875 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             33.2875 090 99     12.05  12.05   0.02
78282TCGi protein loss exam                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     11.99  11.99   0.01
7828226Gi protein loss exam                              A   0.38   0.06     0.06    0.01   0.45  0.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78290  Meckels divert exam                               A   0.68   8.24     8.24NA  0.09   9.01  9.011XXX.00.00.0000000             33.2875 090 99     12.13  12.13   0.12
78290TCMeckels divert exam                               A   0.00   8.02     8.02NA  0.06   8.08  8.081XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7829026Meckels divert exam                               A   0.68   0.22     0.22    0.03   0.93  0.931XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78291  Leveen/shunt patency exam                         A   0.88   6.29     6.29NA  0.10   7.27  7.271XXX.00.00.0000000             33.2875 090 99     12.21  12.21   0.15
78291TCLeveen/shunt patency exam                         A   0.00   5.98     5.98NA  0.05   6.03  6.031XXX.00.00.0000000             33.2875 010 99     11.90  11.90   0.10
7829126Leveen/shunt patency exam                         A   0.88   0.31     0.31    0.05   1.24  1.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78299  Unlisted gi px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78299TCUnlisted gi px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7829926Unlisted gi px dx nuc med                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78300  Bone imaging limited area                         A   0.62   5.52     5.52NA  0.06   6.20  6.201XXX.00.00.0000000             33.2875 090 99     12.14  12.14   0.10
78300TCBone imaging limited area                         A   0.00   5.31     5.31NA  0.03   5.34  5.341XXX.00.00.0000000             33.2875 010 99     11.93  11.93   0.07
7830026Bone imaging limited area                         A   0.62   0.21     0.21    0.03   0.86  0.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78305  Bone imaging multiple areas                       A   0.83   6.57     6.57NA  0.08   7.48  7.481XXX.00.00.0000000             33.2875 090 99     12.20  12.20   0.12
78305TCBone imaging multiple areas                       A   0.00   6.30     6.30NA  0.04   6.34  6.341XXX.00.00.0000000             33.2875 010 99     11.93  11.93   0.08
7830526Bone imaging multiple areas                       A   0.83   0.27     0.27    0.04   1.14  1.141XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78306  Bone imaging whole body                           A   0.86   7.14     7.14NA  0.08   8.08  8.081XXX.00.00.0040000             33.2875 090 88     12.21  12.21   0.11
78306TCBone imaging whole body                           A   0.00   6.86     6.86NA  0.04   6.90  6.901XXX.00.00.0040000             33.2875 010 88     11.93  11.93   0.07
7830626Bone imaging whole body                           A   0.86   0.28     0.28    0.04   1.18  1.181XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
78315  Bone imaging 3 phase                              A   1.02   8.37     8.37NA  0.11   9.50  9.501XXX.00.00.0000000             33.2875 090 99     12.25  12.25   0.14
78315TCBone imaging 3 phase                              A   0.00   8.03     8.03NA  0.06   8.09  8.091XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7831526Bone imaging 3 phase                              A   1.02   0.34     0.34    0.05   1.41  1.411XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78350  Bone mineral single photon                        N+  0.22   0.72     0.72NA  0.02   0.96  0.961XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
78350TCBone mineral single photon                        N+  0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0099999             33.2875 010 99      0.00   0.00   0.00
7835026Bone mineral single photon                        N+  0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78399  Unlisted muscskel px dx nuc                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78399TCUnlisted muscskel px dx nuc                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7839926Unlisted muscskel px dx nuc                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78428  Cardiac shunt imaging                             A   0.78   4.36     4.36NA  0.07   5.21  5.211XXX.00.00.0060000             33.2875 090 99     12.13  12.13   0.15
78428TCCardiac shunt imaging                             A   0.00   4.11     4.11NA  0.04   4.15  4.151XXX.00.00.0060000             33.2875 010 99     11.88  11.88   0.12
7842826Cardiac shunt imaging                             A   0.78   0.25     0.25    0.03   1.06  1.061XXX.00.00.0060000             33.2875 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             33.2875 090 99     46.01  46.01   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             33.2875 010 99     45.51  45.51   0.01
7842926Myocrd img pet 1 std w/ct                         A   1.76   0.50     0.50    0.06   2.32  2.321XXX.00.00.0000000             33.2875 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             33.2875 090 99     46.00  46.00   0.06
78430TCMyocrd img pet rst/strs w/ct                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7843026Myocrd img pet rst/strs w/ct                      A   1.67   0.49     0.49    0.05   2.21  2.211XXX.00.00.0000000             33.2875 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             33.2875 090 99     69.34  69.34   0.07
78431TCMyocrd img pet rst&strs ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     68.72  68.72   0.01
7843126Myocrd img pet rst&strs ct                        A   1.90   0.62     0.62    0.06   2.58  2.581XXX.00.00.0000000             33.2875 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             33.2875 090 99     57.12  57.12   0.08
78432TCMyocrd img pet 2rtracer                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     56.50  56.50   0.01
7843226Myocrd img pet 2rtracer                           A   2.07   0.62     0.62    0.07   2.76  2.761XXX.00.00.0000000             33.2875 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             33.2875 090 99     60.24  60.24   0.09
78433TCMyocrd img pet 2rtracer ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     59.56  59.56   0.01
7843326Myocrd img pet 2rtracer ct                        A   2.26   0.68     0.68    0.08   3.02  3.021XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78434TCAqmbf pet rest & rx stress                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7843426Aqmbf pet rest & rx stress                        A   0.63   0.20     0.20    0.02   0.85  0.851ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78445  Vascular flow imaging                             A   0.49   5.08     5.08NA  0.09   5.66  5.661XXX.00.00.0060000             33.2875 090 99     12.08  12.08   0.15
78445TCVascular flow imaging                             A   0.00   4.90     4.90NA  0.04   4.94  4.941XXX.00.00.0060000             33.2875 010 99     11.90  11.90   0.10
7844526Vascular flow imaging                             A   0.49   0.18     0.18    0.05   0.72  0.721XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78451  Ht muscle image spect sing                        A   1.38   7.91     7.91NA  0.10   9.39  9.391XXX.00.00.0060000             33.2875 090 99     41.50  41.50   0.33
78451TCHt muscle image spect sing                        A   0.00   7.45     7.45NA  0.05   7.50  7.501XXX.00.00.0060000             33.2875 010 99     41.04  41.04   0.28
7845126Ht muscle image spect sing                        A   1.38   0.46     0.46    0.05   1.89  1.891XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78452  Ht muscle image spect mult                        A   1.62  11.23    11.23NA  0.14  12.99 12.991XXX.00.00.0060000             33.2875 090 99     41.56  41.56   0.37
78452TCHt muscle image spect mult                        A   0.00  10.68    10.68NA  0.08  10.76 10.761XXX.00.00.0060000             33.2875 010 99     41.01  41.01   0.31
7845226Ht muscle image spect mult                        A   1.62   0.55     0.55    0.06   2.23  2.231XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78453  Ht muscle image planar sing                       A   1.00   6.91     6.91NA  0.08   7.99  7.991XXX.00.00.0060000             33.2875 090 99     41.32  41.32   0.34
78453TCHt muscle image planar sing                       A   0.00   6.60     6.60NA  0.05   6.65  6.651XXX.00.00.0060000             33.2875 010 99     41.01  41.01   0.31
7845326Ht muscle image planar sing                       A   1.00   0.31     0.31    0.03   1.34  1.341XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78454  Ht musc image planar mult                         A   1.34  10.46    10.46NA  0.14  11.94 11.941XXX.00.00.0060000             33.2875 090 99     41.49  41.49   0.36
78454TCHt musc image planar mult                         A   0.00  10.00    10.00NA  0.07  10.07 10.071XXX.00.00.0060000             33.2875 010 99     41.03  41.03   0.29
7845426Ht musc image planar mult                         A   1.34   0.46     0.46    0.07   1.87  1.871XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78456  Acute venous thrombus image                       A   1.00   7.56     7.56NA  0.09   8.65  8.651XXX.00.00.0069999             33.2875 090 99     41.32  41.32   0.37
78456TCAcute venous thrombus image                       A   0.00   7.22     7.22NA  0.06   7.28  7.281XXX.00.00.0069999             33.2875 090 99     40.98  40.98   0.34
7845626Acute venous thrombus image                       A   1.00   0.34     0.34    0.03   1.37  1.371XXX.00.00.0069999             33.2875 090 99      0.00   0.00   0.00
78457  Venous thrombosis imaging                         A   0.77   3.69     3.69NA  0.18   4.64  4.641XXX.00.00.0060000             33.2875 090 99     15.70  15.70   0.32
78457TCVenous thrombosis imaging                         A   0.00   3.54     3.54NA  0.04   3.58  3.581XXX.00.00.0060000             33.2875 010 99     15.55  15.55   0.18
7845726Venous thrombosis imaging                         A   0.77   0.15     0.15    0.14   1.06  1.061XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78458  Ven thrombosis images bilat                       A   0.90   4.79     4.79NA  0.09   5.78  5.781XXX.00.00.0062000             33.2875 090 99     12.21  12.21   0.16
78458TCVen thrombosis images bilat                       A   0.00   4.47     4.47NA  0.04   4.51  4.511XXX.00.00.0062000             33.2875 010 99     11.89  11.89   0.11
7845826Ven thrombosis images bilat                       A   0.90   0.32     0.32    0.05   1.27  1.271XXX.00.00.0062000             33.2875 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             33.2875 090 99     41.79  41.79   0.07
78459TCMyocrd img pet single study                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     41.31  41.31   0.01
7845926Myocrd img pet single study                       A   1.61   0.48     0.48    0.06   2.15  2.151XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78466  Heart infarct image                               A   0.69   4.25     4.25NA  0.06   5.00  5.001XXX.00.00.0060000             33.2875 090 99     12.11  12.11   0.14
78466TCHeart infarct image                               A   0.00   4.02     4.02NA  0.04   4.06  4.061XXX.00.00.0060000             33.2875 010 99     11.88  11.88   0.12
7846626Heart infarct image                               A   0.69   0.23     0.23    0.02   0.94  0.941XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78468  Heart infarct image (ef)                          A   0.80   4.63     4.63NA  0.07   5.50  5.501XXX.00.00.0060000             33.2875 090 99     15.85  15.85   0.17
78468TCHeart infarct image (ef)                          A   0.00   4.36     4.36NA  0.04   4.40  4.401XXX.00.00.0060000             33.2875 010 99     15.58  15.58   0.14
7846826Heart infarct image (ef)                          A   0.80   0.27     0.27    0.03   1.10  1.101XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78469  Heart infarct image (3d)                          A   0.92   5.17     5.17NA  0.07   6.16  6.161XXX.00.00.0060000             33.2875 090 99     15.91  15.91   0.16
78469TCHeart infarct image (3d)                          A   0.00   4.86     4.86NA  0.04   4.90  4.901XXX.00.00.0060000             33.2875 010 99     15.60  15.60   0.13
7846926Heart infarct image (3d)                          A   0.92   0.31     0.31    0.03   1.26  1.261XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78472  Gated heart planar single                         A   0.98   5.25     5.25NA  0.08   6.31  6.311XXX.00.00.0060000             33.2875 090 99     12.23  12.23   0.14
78472TCGated heart planar single                         A   0.00   4.92     4.92NA  0.04   4.96  4.961XXX.00.00.0060000             33.2875 010 99     11.90  11.90   0.10
7847226Gated heart planar single                         A   0.98   0.33     0.33    0.04   1.35  1.351XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78473  Gated heart multiple                              A   1.47   6.47     6.47NA  0.10   8.04  8.041XXX.00.00.0060000             33.2875 090 99     12.39  12.39   0.15
78473TCGated heart multiple                              A   0.00   5.98     5.98NA  0.05   6.03  6.031XXX.00.00.0060000             33.2875 010 99     11.90  11.90   0.10
7847326Gated heart multiple                              A   1.47   0.49     0.49    0.05   2.01  2.011XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78481  Heart first pass single                           A   0.98   3.91     3.91NA  0.07   4.96  4.961XXX.00.00.0060000             33.2875 090 99     15.93  15.93   0.17
78481TCHeart first pass single                           A   0.00   3.58     3.58NA  0.03   3.61  3.611XXX.00.00.0060000             33.2875 010 99     15.60  15.60   0.13
7848126Heart first pass single                           A   0.98   0.33     0.33    0.04   1.35  1.351XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78483  Heart first pass multiple                         A   1.47   5.10     5.10NA  0.09   6.66  6.661XXX.00.00.0060000             33.2875 090 99     16.09  16.09   0.19
78483TCHeart first pass multiple                         A   0.00   4.60     4.60NA  0.04   4.64  4.641XXX.00.00.0060000             33.2875 010 99     15.59  15.59   0.14
7848326Heart first pass multiple                         A   1.47   0.50     0.50    0.05   2.02  2.021XXX.00.00.0060000             33.2875 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             33.2875 090 99     46.01  46.01   0.06
78491TCMyocrd img pet 1std rst/strs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7849126Myocrd img pet 1std rst/strs                      A   1.56   0.50     0.50    0.05   2.11  2.111XXX.00.00.0000000             33.2875 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             33.2875 090 99     46.13  46.13   0.07
78492TCMyocrd img pet mlt rst&strs                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7849226Myocrd img pet mlt rst&strs                       A   1.80   0.62     0.62    0.06   2.48  2.481XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78494  Heart image spect                                 A   1.19   5.09     5.09NA  0.08   6.36  6.361XXX.00.00.0060000             33.2875 090 99     12.30  12.30   0.14
78494TCHeart image spect                                 A   0.00   4.69     4.69NA  0.04   4.73  4.731XXX.00.00.0060000             33.2875 010 99     11.90  11.90   0.10
7849426Heart image spect                                 A   1.19   0.40     0.40    0.04   1.63  1.631XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
78496  Heart first pass add-on                           A   0.50   0.73     0.73NA  0.03   1.26  1.261ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78496TCHeart first pass add-on                           A   0.00   0.56     0.56NA  0.01   0.57  0.571ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78499  Unlisted cv px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78499TCUnlisted cv px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7849926Unlisted cv px dx nuc med                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78579  Lung ventilation imaging                          A   0.49   4.63     4.63NA  0.05   5.17  5.171XXX.00.00.0000000             33.2875 090 99     12.08  12.08   0.10
78579TCLung ventilation imaging                          A   0.00   4.47     4.47NA  0.03   4.50  4.501XXX.00.00.0000000             33.2875 010 99     11.92  11.92   0.08
7857926Lung ventilation imaging                          A   0.49   0.16     0.16    0.02   0.67  0.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78580  Lung perfusion imaging                            A   0.74   5.68     5.68NA  0.08   6.50  6.501XXX.00.00.0000000             33.2875 090 99     12.15  12.15   0.13
78580TCLung perfusion imaging                            A   0.00   5.44     5.44NA  0.04   5.48  5.481XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7858026Lung perfusion imaging                            A   0.74   0.24     0.24    0.04   1.02  1.021XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78582  Lung ventilat&perfus imaging                      A   1.07   7.93     7.93NA  0.10   9.10  9.101XXX.00.00.0000000             33.2875 090 99     15.97  15.97   0.15
78582TCLung ventilat&perfus imaging                      A   0.00   7.58     7.58NA  0.05   7.63  7.631XXX.00.00.0000000             33.2875 010 99     15.62  15.62   0.10
7858226Lung ventilat&perfus imaging                      A   1.07   0.35     0.35    0.05   1.47  1.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78597  Lung perfusion differential                       A   0.75   4.70     4.70NA  0.06   5.51  5.511XXX.00.00.0000000             33.2875 090 99     12.13  12.13   0.11
78597TCLung perfusion differential                       A   0.00   4.49     4.49NA  0.03   4.52  4.521XXX.00.00.0000000             33.2875 010 99     11.92  11.92   0.08
7859726Lung perfusion differential                       A   0.75   0.21     0.21    0.03   0.99  0.991XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78598  Lung perf&ventilat diferentl                      A   0.85   7.33     7.33NA  0.08   8.26  8.261XXX.00.00.0000000             33.2875 090 99     15.88  15.88   0.14
78598TCLung perf&ventilat diferentl                      A   0.00   7.07     7.07NA  0.05   7.12  7.121XXX.00.00.0000000             33.2875 010 99     15.62  15.62   0.11
7859826Lung perf&ventilat diferentl                      A   0.85   0.26     0.26    0.03   1.14  1.141XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78599  Unlisted resp px dx nuc med                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78599TCUnlisted resp px dx nuc med                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7859926Unlisted resp px dx nuc med                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78600  Brain image < 4 views                             A   0.44   4.55     4.55NA  0.06   5.05  5.051XXX.00.00.0000000             33.2875 090 99     12.04  12.04   0.13
78600TCBrain image < 4 views                             A   0.00   4.40     4.40NA  0.04   4.44  4.441XXX.00.00.0000000             33.2875 010 99     11.89  11.89   0.11
7860026Brain image < 4 views                             A   0.44   0.15     0.15    0.02   0.61  0.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78601  Brain image w/flow < 4 views                      A   0.51   5.44     5.44NA  0.06   6.01  6.011XXX.00.00.0000000             33.2875 090 99     12.08  12.08   0.11
78601TCBrain image w/flow < 4 views                      A   0.00   5.27     5.27NA  0.04   5.31  5.311XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7860126Brain image w/flow < 4 views                      A   0.51   0.17     0.17    0.02   0.70  0.701XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78605  Brain image 4+ views                              A   0.53   4.98     4.98NA  0.07   5.58  5.581XXX.00.00.0000000             33.2875 090 99     15.79  15.79   0.16
78605TCBrain image 4+ views                              A   0.00   4.79     4.79NA  0.04   4.83  4.831XXX.00.00.0000000             33.2875 010 99     15.60  15.60   0.13
7860526Brain image 4+ views                              A   0.53   0.19     0.19    0.03   0.75  0.751XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78606  Brain image w/flow 4 + views                      A   0.64   8.31     8.31NA  0.09   9.04  9.041XXX.00.00.0000000             33.2875 090 99     15.82  15.82   0.15
78606TCBrain image w/flow 4 + views                      A   0.00   8.10     8.10NA  0.06   8.16  8.161XXX.00.00.0000000             33.2875 010 99     15.61  15.61   0.12
7860626Brain image w/flow 4 + views                      A   0.64   0.21     0.21    0.03   0.88  0.881XXX.00.00.0000000             33.2875 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             33.2875 090 99     45.98  45.98   0.07
78608TCBrain imaging (pet)                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7860826Brain imaging (pet)                               A   1.50   0.47     0.47    0.06   2.03  2.031XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78609  Brain imaging (pet)                               N+  1.50   0.58     0.58NA  0.03   2.11  2.111XXX.00.00.0099999             33.2875 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             33.2875 010 99      0.00   0.00   0.00
7860926Brain imaging (pet)                               N+  1.50   0.58     0.58    0.03   2.11  2.111XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
78610  Brain flow imaging only                           A   0.30   4.51     4.51NA  0.05   4.86  4.861XXX.00.00.0000000             33.2875 090 99     15.69  15.69   0.15
78610TCBrain flow imaging only                           A   0.00   4.41     4.41NA  0.04   4.45  4.451XXX.00.00.0000000             33.2875 010 99     15.59  15.59   0.14
7861026Brain flow imaging only                           A   0.30   0.10     0.10    0.01   0.41  0.411XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78630  Cerebrospinal fluid scan                          A   0.68   8.46     8.46NA  0.09   9.23  9.231XXX.00.00.0000000             33.2875 090 99     15.83  15.83   0.14
78630TCCerebrospinal fluid scan                          A   0.00   8.24     8.24NA  0.06   8.30  8.301XXX.00.00.0000000             33.2875 010 99     15.61  15.61   0.11
7863026Cerebrospinal fluid scan                          A   0.68   0.22     0.22    0.03   0.93  0.931XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78635  Csf ventriculography                              A   0.61   8.56     8.56NA  0.09   9.26  9.261XXX.00.00.0000000             33.2875 090 99     15.83  15.83   0.14
78635TCCsf ventriculography                              A   0.00   8.34     8.34NA  0.06   8.40  8.401XXX.00.00.0000000             33.2875 010 99     15.61  15.61   0.11
7863526Csf ventriculography                              A   0.61   0.22     0.22    0.03   0.86  0.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78645  Csf shunt evaluation                              A   0.57   8.20     8.20NA  0.09   8.86  8.861XXX.00.00.0000000             33.2875 090 99     15.79  15.79   0.15
78645TCCsf shunt evaluation                              A   0.00   8.02     8.02NA  0.06   8.08  8.081XXX.00.00.0000000             33.2875 010 99     15.61  15.61   0.12
7864526Csf shunt evaluation                              A   0.57   0.18     0.18    0.03   0.78  0.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78650  Csf leakage imaging                               A   0.61   6.75     6.75NA  0.07   7.43  7.431XXX.00.00.0000000             33.2875 090 99     41.05  41.05   0.38
78650TCCsf leakage imaging                               A   0.00   6.65     6.65NA  0.06   6.71  6.711XXX.00.00.0000000             33.2875 010 99     40.95  40.95   0.37
7865026Csf leakage imaging                               A   0.61   0.10     0.10    0.01   0.72  0.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78660  Nuclear exam of tear flow                         A   0.53   3.40     3.40NA  0.05   3.98  3.981XXX.00.00.0000000             33.2875 090 99     11.94  11.94   0.15
78660TCNuclear exam of tear flow                         A   0.00   3.32     3.32NA  0.04   3.36  3.361XXX.00.00.0000000             33.2875 010 99     11.86  11.86   0.14
7866026Nuclear exam of tear flow                         A   0.53   0.08     0.08    0.01   0.62  0.621XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78699  Unlisted nrvs sys px dx nuc                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78699TCUnlisted nrvs sys px dx nuc                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7869926Unlisted nrvs sys px dx nuc                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78700  Kidney imaging morphol                            A   0.45   4.24     4.24NA  0.06   4.75  4.751XXX.00.00.0000000             33.2875 090 99     12.02  12.02   0.14
78700TCKidney imaging morphol                            A   0.00   4.10     4.10NA  0.04   4.14  4.141XXX.00.00.0000000             33.2875 010 99     11.88  11.88   0.12
7870026Kidney imaging morphol                            A   0.45   0.14     0.14    0.02   0.61  0.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78701  Kidney imaging with flow                          A   0.49   5.69     5.69NA  0.06   6.24  6.241XXX.00.00.0000000             33.2875 090 99     12.08  12.08   0.11
78701TCKidney imaging with flow                          A   0.00   5.52     5.52NA  0.04   5.56  5.561XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7870126Kidney imaging with flow                          A   0.49   0.17     0.17    0.02   0.68  0.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78707  K flow/funct image w/o drug                       A   0.96   5.41     5.41NA  0.08   6.45  6.451XXX.00.00.0000000             33.2875 090 99     15.90  15.90   0.16
78707TCK flow/funct image w/o drug                       A   0.00   5.11     5.11NA  0.04   5.15  5.151XXX.00.00.0000000             33.2875 010 99     15.60  15.60   0.12
7870726K flow/funct image w/o drug                       A   0.96   0.30     0.30    0.04   1.30  1.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78708  K flow/funct image w/drug                         A   1.21   3.94     3.94NA  0.10   5.25  5.251XXX.00.00.0000000             33.2875 090 99     15.90  15.90   0.27
78708TCK flow/funct image w/drug                         A   0.00   3.55     3.55NA  0.05   3.60  3.601XXX.00.00.0000000             33.2875 010 99     15.51  15.51   0.22
7870826K flow/funct image w/drug                         A   1.21   0.39     0.39    0.05   1.65  1.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78709  K flow/funct image multiple                       A   1.41   8.60     8.60NA  0.12  10.13 10.131XXX.00.00.0000000             33.2875 090 99     16.06  16.06   0.18
78709TCK flow/funct image multiple                       A   0.00   8.15     8.15NA  0.06   8.21  8.211XXX.00.00.0000000             33.2875 010 99     15.61  15.61   0.12
7870926K flow/funct image multiple                       A   1.41   0.45     0.45    0.06   1.92  1.921XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78725  Kidney function study                             A   0.38   2.47     2.47NA  0.05   2.90  2.901XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78725TCKidney function study                             A   0.00   2.36     2.36NA  0.04   2.40  2.401XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7872526Kidney function study                             A   0.38   0.11     0.11    0.01   0.50  0.501XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78730  Urinary bladder retention                         A   0.15   1.89     1.89NA  0.01   2.05  2.051ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78730TCUrinary bladder retention                         A   0.00   1.82     1.82NA  0.01   1.83  1.831ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
78740  Ureteral reflux study                             A   0.57   5.68     5.68NA  0.06   6.31  6.311XXX.00.00.0000000             33.2875 090 99     12.10  12.10   0.11
78740TCUreteral reflux study                             A   0.00   5.49     5.49NA  0.04   5.53  5.531XXX.00.00.0000000             33.2875 010 99     11.91  11.91   0.09
7874026Ureteral reflux study                             A   0.57   0.19     0.19    0.02   0.78  0.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78761  Testicular imaging w/flow                         A   0.71   5.12     5.12NA  0.08   5.91  5.911XXX.00.00.0000000             33.2875 090 99     12.15  12.15   0.14
78761TCTesticular imaging w/flow                         A   0.00   4.87     4.87NA  0.04   4.91  4.911XXX.00.00.0000000             33.2875 010 99     11.90  11.90   0.10
7876126Testicular imaging w/flow                         A   0.71   0.25     0.25    0.04   1.00  1.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78799  Unlisted gu px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78799TCUnlisted gu px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7879926Unlisted gu px dx nuc med                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78800  Rp loclzj tum 1 area 1 d img                      A   0.64   6.23     6.23NA  0.10   6.97  6.971XXX.00.00.0000000             33.2875 090 99     12.13  12.13   0.14
78800TCRp loclzj tum 1 area 1 d img                      A   0.00   6.02     6.02NA  0.04   6.06  6.061XXX.00.00.0000000             33.2875 010 99     11.92  11.92   0.08
7880026Rp loclzj tum 1 area 1 d img                      A   0.64   0.21     0.21    0.06   0.91  0.911XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78801  Rp loclzj tum 2+area 1+d img                      A   0.73   6.66     6.66NA  0.08   7.47  7.471XXX.00.00.0000000             33.2875 090 99     12.16  12.16   0.11
78801TCRp loclzj tum 2+area 1+d img                      A   0.00   6.43     6.43NA  0.04   6.47  6.471XXX.00.00.0000000             33.2875 010 99     11.93  11.93   0.07
7880126Rp loclzj tum 2+area 1+d img                      A   0.73   0.23     0.23    0.04   1.00  1.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78802  Rp loclzj tum whbdy 1 d img                       A   0.80   7.56     7.56NA  0.08   8.44  8.441XXX.00.00.0040000             33.2875 090 88     41.34  41.34   0.27
78802TCRp loclzj tum whbdy 1 d img                       A   0.00   7.31     7.31NA  0.04   7.35  7.351XXX.00.00.0040000             33.2875 010 88     41.09  41.09   0.23
7880226Rp loclzj tum whbdy 1 d img                       A   0.80   0.25     0.25    0.04   1.09  1.091XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
78803  Rp loclzj tum spect 1 area                        A   1.09   9.23     9.23NA  0.10  10.42 10.421XXX.00.00.0040000             33.2875 090 88     41.43  41.43   0.28
78803TCRp loclzj tum spect 1 area                        A   0.00   8.89     8.89NA  0.05   8.94  8.941XXX.00.00.0040000             33.2875 010 88     41.09  41.09   0.23
7880326Rp loclzj tum spect 1 area                        A   1.09   0.34     0.34    0.05   1.48  1.481XXX.00.00.0040000             33.2875 090 88      0.00   0.00   0.00
78804  Rp loclzj tum whbdy 2+d img                       A   1.01  16.43    16.43NA  0.14  17.58 17.581XXX.00.00.0000000             33.2875 090 99     41.41  41.41   0.28
78804TCRp loclzj tum whbdy 2+d img                       A   0.00  16.11    16.11NA  0.09  16.20 16.201XXX.00.00.0000000             33.2875 010 99     41.09  41.09   0.23
7880426Rp loclzj tum whbdy 2+d img                       A   1.01   0.32     0.32    0.05   1.38  1.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78808  Iv inj ra drug dx study                           A   0.18   0.99     0.99NA  0.02   1.19  1.195XXX.00.00.0000000             33.2875 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             33.2875 090 99     41.79  41.79   0.08
78811TCPet image ltd area                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     41.31  41.31   0.01
7881126Pet image ltd area                                A   1.54   0.48     0.48    0.07   2.09  2.091XXX.00.00.0000000             33.2875 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             33.2875 090 99     46.13  46.13   0.10
78812TCPet image skull-thigh                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7881226Pet image skull-thigh                             A   1.93   0.62     0.62    0.09   2.64  2.641XXX.00.00.0000000             33.2875 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             33.2875 090 99     46.12  46.12   0.10
78813TCPet image full body                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7881326Pet image full body                               A   2.00   0.61     0.61    0.09   2.70  2.701XXX.00.00.0000000             33.2875 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             33.2875 090 99     46.20  46.20   0.11
78814TCPet image w/ct lmtd                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7881426Pet image w/ct lmtd                               A   2.20   0.69     0.69    0.10   2.99  2.991XXX.00.00.0000000             33.2875 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             33.2875 090 99     46.29  46.29   0.12
78815TCPet image w/ct skull-thigh                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7881526Pet image w/ct skull-thigh                        A   2.44   0.78     0.78    0.11   3.33  3.331XXX.00.00.0000000             33.2875 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             33.2875 090 99     46.27  46.27   0.11
78816TCPet image w/ct full body                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 010 99     45.51  45.51   0.01
7881626Pet image w/ct full body                          A   2.50   0.76     0.76    0.10   3.36  3.361XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78830  Rp loclzj tum spect w/ct 1                        A   1.49  11.44    11.44NA  0.12  13.05 13.051XXX.00.00.0000000             33.2875 090 99     41.52  41.52   0.29
78830TCRp loclzj tum spect w/ct 1                        A   0.00  11.01    11.01NA  0.06  11.07 11.071XXX.00.00.0000000             33.2875 010 99     41.09  41.09   0.23
7883026Rp loclzj tum spect w/ct 1                        A   1.49   0.43     0.43    0.06   1.98  1.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78831  Rp loclzj tum spect 2 areas                       A   1.82  17.52    17.52NA  0.18  19.52 19.521XXX.00.00.0000000             33.2875 090 99     41.69  41.69   0.31
78831TCRp loclzj tum spect 2 areas                       A   0.00  16.93    16.93NA  0.09  17.02 17.021XXX.00.00.0000000             33.2875 010 99     41.10  41.10   0.22
7883126Rp loclzj tum spect 2 areas                       A   1.82   0.59     0.59    0.09   2.50  2.501XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78832  Rp loclzj tum spect w/ct 2                        A   2.12  22.34    22.34NA  0.20  24.66 24.661XXX.00.00.0000000             33.2875 090 99     45.92  45.92   0.32
78832TCRp loclzj tum spect w/ct 2                        A   0.00  21.71    21.71NA  0.11  21.82 21.821XXX.00.00.0000000             33.2875 010 99     45.29  45.29   0.23
7883226Rp loclzj tum spect w/ct 2                        A   2.12   0.63     0.63    0.09   2.84  2.841XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78835  Rp quan meas single area                          A   0.47   2.17     2.17NA  0.03   2.67  2.671ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78835TCRp quan meas single area                          A   0.00   2.04     2.04NA  0.01   2.05  2.051ZZZ.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
7883526Rp quan meas single area                          A   0.47   0.13     0.13    0.02   0.62  0.621ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78999  Unlisted misc px dx nuc med                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
78999TCUnlisted misc px dx nuc med                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7899926Unlisted misc px dx nuc med                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79005  Nuclear rx oral admin                             A   1.80   2.12     2.12NA  0.09   4.01  4.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79005TCNuclear rx oral admin                             A   0.00   1.52     1.52NA  0.02   1.54  1.541XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7900526Nuclear rx oral admin                             A   1.80   0.60     0.60    0.07   2.47  2.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79101  Nuclear rx iv admin                               A   1.96   2.31     2.31NA  0.09   4.36  4.361XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79101TCNuclear rx iv admin                               A   0.00   1.59     1.59NA  0.02   1.61  1.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7910126Nuclear rx iv admin                               A   1.96   0.72     0.72    0.07   2.75  2.751XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79200  Nuclear rx intracav admin                         A   1.99   1.86     1.86NA  0.05   3.90  3.901XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79200TCNuclear rx intracav admin                         A   0.00   1.55     1.55NA  0.03   1.58  1.581XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7920026Nuclear rx intracav admin                         A   1.99   0.31     0.31    0.02   2.32  2.321XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
7930026Nuclr rx interstit colloid                        A   1.60   0.25     0.25    0.02   1.87  1.871XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79403  Hematopoietic nuclear tx                          A   2.25   3.90     3.90NA  0.12   6.27  6.271XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79403TCHematopoietic nuclear tx                          A   0.00   2.99     2.99NA  0.04   3.03  3.031XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7940326Hematopoietic nuclear tx                          A   2.25   0.91     0.91    0.08   3.24  3.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79440  Nuclear rx intra-articular                        A   1.99   1.48     1.48NA  0.04   3.51  3.511XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79440TCNuclear rx intra-articular                        A   0.00   1.17     1.17NA  0.02   1.19  1.191XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7944026Nuclear rx intra-articular                        A   1.99   0.31     0.31    0.02   2.32  2.321XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
7944526Nuclear rx intra-arterial                         A   2.40   0.67     0.67    0.14   3.21  3.211XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79999  Rp therapy unlisted px                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
79999TCRp therapy unlisted px                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
7999926Rp therapy unlisted px                            C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80143  Drug assay acetaminophen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80151  Drug assay amiodarone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80161  Asy carbamazepin 10,11-epxid                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80167  Drug assay felbamate                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80179  Drug assay salicylate                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80181  Drug assay flecainide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80189  Drug assay itraconazole                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80193  Drug assay leflunomide                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80204  Drug assay methotrexate                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
80210  Drug assay rufinamide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
80220  Drug asy hydroxychloroquine                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80414  Testosterone response panel                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
80415  Tot estradiol response panel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
80503  Path clin consltj sf 5-20                         A   0.43   0.35     0.20    0.02   0.80  0.650XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
80504  Path clin consltj mod 21-40                       A   0.91   0.62     0.44    0.05   1.58  1.400XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
80505  Path clin consltj high 41-60                      A   1.71   1.04     0.82    0.10   2.85  2.630XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
80506  Path clin consltj prolng svc                      A   0.80   0.42     0.42NA  0.04   1.26  1.261ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81099  Unlisted urinalysis px                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81168  Ccnd1/igh translocation alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81171  Aff2 gen aly detc abnl allel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81172  Aff2 gen alys charac alleles                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81191  Ntrk1 translocation analysis                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81192  Ntrk2 translocation analysis                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81193  Ntrk3 translocation analysis                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81194  Ntrk translocation analysis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81228  Cytog alys chrml abnr cgh                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81229  Cytog alys chrml abnr snpcgh                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81243  Fmr1 gen aly detc abnl allel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81244  Fmr1 gen alys charac alleles                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81278  Igh@/bcl2 translocation alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81279  Jak2 gene trgt sequence alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81338  Mpl gene common variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81339  Mpl gene seq alys exon 10                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81347  Sf3b1 gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81348  Srsf2 gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81349  Cytog alys chrml abnr lw-ps                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81351  Tp53 gene full gene sequence                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81352  Tp53 gene trgt sequence alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81353  Tp53 gene known famil vrnt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81357  U2af1 gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81360  Zrsr2 gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81418  Rx metab gen seq alys pnl 6                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81419  Epilepsy gen seq alys panel                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81441  Ibmfs seq alys pnl 30 genes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81445  So neo gsap 5-50dna/dna&rna                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81449  So neo gsap 5-50 rna alys                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81450  Hl neo gsap 5-50dna/dna&rna                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81451  Hl neo gsap 5-50 rna alys                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81455  So/hl 51/>gsap dna/dna&rna                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81456  So/hl 51/>gsap rna alys                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81457  So neo gsap dna mcrstl ins                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81458  So gsap dna cpy nmbr&mcrstl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81459  So neo gsap dna/dna&rna                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81462  So gsap cll fr dna/dna&rna                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81463  So gsap cl fr cpy nmbr&mcrst                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81464  So gsap cll fr mcrstl ins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81490  Autoimmune ra alys 12 bmrk                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81513  Nfct ds bv rna vag flu alg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81514  Nfct ds bv&vaginitis dna alg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81517  Liver ds alys 3 bmrk srm alg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81523  Onc brst mrna 70 cnt 31 gene                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81529  Onc cutan mlnma mrna 31 gene                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81546  Onc thyr mrna 10,196 gen alg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
81554  Pulm ds ipf mrna 190 gen alg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
81560  Trnsplj pd lvr&bwl cd154+cll                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
82077  Assay spec xcp ur&breath ia                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
82166  Assay anti-mullerian horm                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
82653  El-1 fecal quantitative                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
82656  El-1 fecal qual/semiq                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
82670  Assay of total estradiol                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
82681  Assay dir meas fr estradiol                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8302026Hemoglobin electrophoresis                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
83030  Hemoglobin f fetal chemical                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83033  Hemoglobin ftl f assay qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83036  Hemoglobin glycosylated a1c                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83037  Hb glycosylated a1c home dev                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83045  Hgb methemoglobin qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83050  Hgb methemoglobin quan                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83051  Hemoglobin plasma                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83060  Hgb sulfhemoglobin quan                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83065  Hemoglobin thermolabile                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83068  Hemoglobin unstable screen                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
83069  Hemoglobin urine                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
83080  Assay of b hexosaminidase ea                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
83090  Assay of homocysteine                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
83491  Asy hydroxycorticosteroids17                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
83498  Asy hydroxyprogesterone 17-d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
83521  Ig light chains free each                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
83529  Asay of interleukin-6 (il-6)                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8416526Protein e-phoresis serum                          A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8416626Protein e-phoresis/urine/csf                      A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8418126Western blot test                                 A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8418226Protein western blot test                         A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
84433  Asy thiopurin s-mthyltrnsfrs                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
84999  Unlisted chemistry procedure                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
85097  Bone marrow interpretation                        A   0.94   1.09     0.42    0.05   2.08  1.410XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8539026Fibrinolysins screen i&r                          A   0.75   0.29     0.29    0.02   1.06  1.066XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
85396  Clotting assay whole blood                        A   0.37   0.18NA   0.18    0.02   0.57  0.570XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8557626Blood platelet aggregation                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
85999  Unlisted hematology&coagj px                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86015  Actin antibody each                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86036  Anca screen each antibody                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86037  Anca titer each antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86041  Acetylcholn rcptr bndng antb                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86042  Acetylcholn rcptr blckg antb                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86043  Acetylcholn rcptr modlg antb                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86051  Aquaporin-4 antb elisa                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86052  Aquaporin-4 antb cba each                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86053  Aqaprn-4 antb flo cytmtry ea                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86077  Phys blood bank serv xmatch                       A   0.94   0.59     0.45    0.05   1.58  1.440XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
86078  Phys blood bank serv reactj                       A   0.94   0.59     0.45    0.05   1.58  1.440XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
86079  Phys blood bank serv authrj                       A   0.94   0.59     0.45    0.05   1.58  1.440XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8615326Cell enumeration phys interp                      A   0.69   0.27     0.27    0.02   0.98  0.986XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86231  Ema each ig class                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8625526Fluorescent antibody screen                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8625626Fluorescent antibody titer                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
86258  Dgp antibody each ig class                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8632026Serum immunoelectrophoresis                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8632526Other immunoelectrophoresis                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8632726Immunoelectrophoresis assay                       A   0.42   0.20     0.20    0.01   0.63  0.636XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8633426Immunofix e-phoresis serum                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8633526Immunfix e-phorsis/urine/csf                      A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86362  Mog-igg1 antb cba each                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86363  Mog-igg1 antb flo cytmtry ea                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86364  Tiss trnsgltmnase ea ig clas                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
86366  Muscle-specific kinase antb                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86381  Mitochondrial antibody each                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86486  Skin test unlisted antign ea                      A   0.00   0.18     0.18NA  0.01   0.19  0.193XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
86490  Coccidioidomycosis skin test                      A   0.00   2.28     2.28NA  0.01   2.29  2.293XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
86510  Histoplasmosis skin test                          A   0.00   0.22     0.22NA  0.01   0.23  0.233XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
86580  Tb intradermal test                               A   0.00   0.30     0.30NA  0.01   0.31  0.313XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86596  Voltage-gtd ca chnl antb ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
86999  Unlisted transfusion med px                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87154  Cul typ id bld pthgn 6+ trgt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8716426Dark field examination                            A   0.37   0.18     0.18    0.01   0.56  0.566XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8720726Smear special stain                               A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87320  Chlmyd trach ag ia                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87338  Hpylori stool ag ia                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87341  Hep b surface ag neutrlzj ia                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87380  Hepatitis delta agent ag ia                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87389  Hiv-1 ag w/hiv-1&-2 ab ag ia                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87400  Influenza a/b each ag ia                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87420  Resp syncytial virus ag ia                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87426  Sarscov coronavirus ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87428  Sarscov & inf vir a&b ag ia                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87449  Nos each organism ag ia                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87451  Polyvalent mult org ea ag ia                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87467  Hepatitis b surface ag quan                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87468  Anaplsma phgcytophlm amp prb                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87469  Babesia microti amp prb                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87478  Borrelia miyamotoi amp prb                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87484  Ehrlicha chaffeensis amp prb                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87485  Chlmyd pneum dna dir probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87486  Chlmyd pneum dna amp probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87487  Chlmyd pneum dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87490  Chlmyd trach dna dir probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87491  Chlmyd trach dna amp probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87492  Chlmyd trach dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87523  Hepatitis d quantification                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87593  Orthopoxvirus amp prb each                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87636  Sarscov2 & inf a&b amp prb                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87637  Sarscov2&inf a&b&rsv amp prb                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87806  Hiv ag w/hiv1&2 antb w/optic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87810  Chlmyd trach assay w/optic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87811  Sars-cov-2 covid19 w/optic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87901  Nfct agt gntyp alys hiv1 rev                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87902  Nfct agt gntyp alys hep c                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
87906  Nfct agt gntyp alys hiv1                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87910  Nfct agt gntyp alys cmv                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87912  Nfct agt gntyp alys hep b                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87913  Nfct agt gntyp alys sarscov2                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
87999  Unlisted microbiology px                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88099  Unlisted necropsy (autopsy)                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
88104  Cytopath fl nongyn smears                         A   0.56   1.68     1.68NA  0.03   2.27  2.271XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88104TCCytopath fl nongyn smears                         A   0.00   1.45     1.45NA  0.02   1.47  1.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8810426Cytopath fl nongyn smears                         A   0.56   0.23     0.23    0.01   0.80  0.801XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88106  Cytopath fl nongyn filter                         A   0.37   1.74     1.74NA  0.03   2.14  2.141XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88106TCCytopath fl nongyn filter                         A   0.00   1.57     1.57NA  0.02   1.59  1.591XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8810626Cytopath fl nongyn filter                         A   0.37   0.17     0.17    0.01   0.55  0.551XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88108  Cytopath concentrate tech                         A   0.44   1.60     1.60NA  0.02   2.06  2.061XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88108TCCytopath concentrate tech                         A   0.00   1.40     1.40NA  0.01   1.41  1.411XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88112  Cytopath cell enhance tech                        A   0.56   1.46     1.46NA  0.02   2.04  2.041XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88112TCCytopath cell enhance tech                        A   0.00   1.23     1.23NA  0.01   1.24  1.241XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88120  Cytp urne 3-5 probes ea spec                      A   1.20  16.14    16.14NA  0.05  17.39 17.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88120TCCytp urne 3-5 probes ea spec                      A   0.00  15.68    15.68NA  0.03  15.71 15.711XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8812026Cytp urne 3-5 probes ea spec                      A   1.20   0.46     0.46    0.02   1.68  1.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88121  Cytp urine 3-5 probes cmptr                       A   1.00  11.54    11.54NA  0.04  12.58 12.581XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88121TCCytp urine 3-5 probes cmptr                       A   0.00  11.16    11.16NA  0.02  11.18 11.181XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8812126Cytp urine 3-5 probes cmptr                       A   1.00   0.38     0.38    0.02   1.40  1.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88125  Forensic cytopathology                            A   0.26   0.58     0.58NA  0.02   0.86  0.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88125TCForensic cytopathology                            A   0.00   0.45     0.45NA  0.01   0.46  0.461XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88141  Cytopath c/v interpret                            A   0.26   0.45     0.45    0.01   0.72  0.722XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88160  Cytopath smear other source                       A   0.50   1.86     1.86NA  0.03   2.39  2.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88160TCCytopath smear other source                       A   0.00   1.63     1.63NA  0.02   1.65  1.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8816026Cytopath smear other source                       A   0.50   0.23     0.23    0.01   0.74  0.741XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88161  Cytopath smear other source                       A   0.50   1.91     1.91NA  0.03   2.44  2.441XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88161TCCytopath smear other source                       A   0.00   1.69     1.69NA  0.02   1.71  1.711XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88162  Cytopath smear other source                       A   0.76   3.06     3.06NA  0.04   3.86  3.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88162TCCytopath smear other source                       A   0.00   2.69     2.69NA  0.03   2.72  2.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8816226Cytopath smear other source                       A   0.76   0.37     0.37    0.01   1.14  1.141XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88172  Cytp dx eval fna 1st ea site                      A   0.69   0.96     0.96NA  0.02   1.67  1.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88172TCCytp dx eval fna 1st ea site                      A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8817226Cytp dx eval fna 1st ea site                      A   0.69   0.32     0.32    0.01   1.02  1.021XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88173  Cytopath eval fna report                          A   1.39   3.58     3.58NA  0.05   5.02  5.021XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88173TCCytopath eval fna report                          A   0.00   2.97     2.97NA  0.03   3.00  3.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8817326Cytopath eval fna report                          A   1.39   0.61     0.61    0.02   2.02  2.021XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88177  Cytp fna eval ea addl                             A   0.42   0.45     0.45NA  0.01   0.88  0.881ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88177TCCytp fna eval ea addl                             A   0.00   0.25     0.25NA  0.00   0.25  0.251ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8817726Cytp fna eval ea addl                             A   0.42   0.20     0.20    0.01   0.63  0.631ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88182  Cell marker study                                 A   0.77   4.18     4.18NA  0.06   5.01  5.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88182TCCell marker study                                 A   0.00   3.85     3.85NA  0.05   3.90  3.901XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8818226Cell marker study                                 A   0.77   0.33     0.33    0.01   1.11  1.111XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88184  Flowcytometry/ tc 1 marker                        A   0.00   2.32     2.32NA  0.02   2.34  2.343XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88185  Flowcytometry/tc add-on                           A   0.00   0.71     0.71NA  0.00   0.71  0.713ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88187  Flowcytometry/read 2-8                            A   0.74   0.28     0.28    0.03   1.05  1.052XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88188  Flowcytometry/read 9-15                           A   1.20   0.55     0.55    0.06   1.81  1.812XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88189  Flowcytometry/read 16 & >                         A   1.70   0.67     0.67    0.08   2.45  2.452XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88199  Unlisted cytopathology px                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88199TCUnlisted cytopathology px                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8819926Unlisted cytopathology px                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88291  Cyto/molecular report                             A   0.52   0.46     0.46    0.02   1.00  1.002XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88299  Unlisted cytogenetic study                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88300  Surgical path gross                               A   0.08   0.39     0.39NA  0.02   0.49  0.491XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88300TCSurgical path gross                               A   0.00   0.35     0.35NA  0.01   0.36  0.361XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88302  Tissue exam by pathologist                        A   0.13   0.85     0.85NA  0.02   1.00  1.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88302TCTissue exam by pathologist                        A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88304  Tissue exam by pathologist                        A   0.22   1.05     1.05NA  0.02   1.29  1.291XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88304TCTissue exam by pathologist                        A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88305  Tissue exam by pathologist                        A   0.75   1.38     1.38NA  0.02   2.15  2.151XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88305TCTissue exam by pathologist                        A   0.00   1.06     1.06NA  0.01   1.07  1.071XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8830526Tissue exam by pathologist                        A   0.75   0.32     0.32    0.01   1.08  1.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88307  Tissue exam by pathologist                        A   1.59   6.98     6.98NA  0.07   8.64  8.641XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88307TCTissue exam by pathologist                        A   0.00   6.23     6.23NA  0.04   6.27  6.271XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8830726Tissue exam by pathologist                        A   1.59   0.75     0.75    0.03   2.37  2.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88309  Tissue exam by pathologist                        A   2.80  10.09    10.09NA  0.09  12.98 12.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88309TCTissue exam by pathologist                        A   0.00   8.76     8.76NA  0.04   8.80  8.801XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8830926Tissue exam by pathologist                        A   2.80   1.33     1.33    0.05   4.18  4.181XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88311TCDecalcify tissue                                  A   0.00   0.25     0.25NA  0.01   0.26  0.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8831126Decalcify tissue                                  A   0.24   0.10     0.10    0.01   0.35  0.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88312  Special stains group 1                            A   0.54   2.82     2.82NA  0.02   3.38  3.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88312TCSpecial stains group 1                            A   0.00   2.60     2.60NA  0.01   2.61  2.611XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88313  Special stains group 2                            A   0.24   2.23     2.23NA  0.02   2.49  2.491XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88313TCSpecial stains group 2                            A   0.00   2.13     2.13NA  0.01   2.14  2.141XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88314  Histochemical stains add-on                       A   0.45   2.18     2.18NA  0.03   2.66  2.661XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88314TCHistochemical stains add-on                       A   0.00   2.05     2.05NA  0.02   2.07  2.071XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8831426Histochemical stains add-on                       A   0.45   0.13     0.13    0.01   0.59  0.591XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88319  Enzyme histochemistry                             A   0.53   3.54     3.54NA  0.03   4.10  4.101XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88319TCEnzyme histochemistry                             A   0.00   3.30     3.30NA  0.02   3.32  3.321XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88321  Consltj&reprt sld prep elswr                      A   1.63   1.18     0.73    0.08   2.89  2.440XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88323  Consltj&reprt matrl prep sld                      A   1.83   1.59     1.59NA  0.03   3.45  3.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88323TCConsltj&reprt matrl prep sld                      A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8832326Consltj&reprt matrl prep sld                      A   1.83   0.71     0.71    0.02   2.56  2.561XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88325  Consltj compre rvw rec reprt                      A   2.85   1.66     0.95    0.12   4.63  3.920XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88329  Path consltj drg surg                             A   0.67   0.94     0.32    0.04   1.65  1.030XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88331  Path consltj surg 1 blk 1spc                      A   1.19   1.81     1.81NA  0.03   3.03  3.031XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88331TCPath consltj surg 1 blk 1spc                      A   0.00   1.23     1.23NA  0.01   1.24  1.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8833126Path consltj surg 1 blk 1spc                      A   1.19   0.58     0.58    0.02   1.79  1.791XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88332  Path consltj surg ea add blk                      A   0.59   1.02     1.02NA  0.02   1.63  1.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88332TCPath consltj surg ea add blk                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8833226Path consltj surg ea add blk                      A   0.59   0.28     0.28    0.01   0.88  0.881XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88333  Path consltj surg cyto xm 1                       A   1.20   1.51     1.51NA  0.03   2.74  2.741XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88333TCPath consltj surg cyto xm 1                       A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8833326Path consltj surg cyto xm 1                       A   1.20   0.56     0.56    0.02   1.78  1.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88334  Path consltj surg cyto xm ea                      A   0.73   0.92     0.92NA  0.01   1.66  1.661ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88334TCPath consltj surg cyto xm ea                      A   0.00   0.58     0.58NA  0.00   0.58  0.581ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8833426Path consltj surg cyto xm ea                      A   0.73   0.34     0.34    0.01   1.08  1.081ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88341  Imhchem/imcytchm ea add antb                      A   0.56   2.15     2.15NA  0.01   2.72  2.721ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88341TCImhchem/imcytchm ea add antb                      A   0.00   1.91     1.91NA  0.00   1.91  1.911ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8834126Imhchem/imcytchm ea add antb                      A   0.56   0.24     0.24    0.01   0.81  0.811ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88342  Imhchem/imcytchm 1st antb                         A   0.70   2.46     2.46NA  0.02   3.18  3.181XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88342TCImhchem/imcytchm 1st antb                         A   0.00   2.16     2.16NA  0.01   2.17  2.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8834226Imhchem/imcytchm 1st antb                         A   0.70   0.30     0.30    0.01   1.01  1.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88344  Imhchem/imcytchm ea mlt antb                      A   0.77   4.40     4.40NA  0.02   5.19  5.191XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88344TCImhchem/imcytchm ea mlt antb                      A   0.00   4.07     4.07NA  0.01   4.08  4.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8834426Imhchem/imcytchm ea mlt antb                      A   0.77   0.33     0.33    0.01   1.11  1.111XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88346  Imfluor 1st 1antb stain px                        A   0.74   3.73     3.73NA  0.03   4.50  4.501XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88346TCImfluor 1st 1antb stain px                        A   0.00   3.44     3.44NA  0.02   3.46  3.461XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8834626Imfluor 1st 1antb stain px                        A   0.74   0.29     0.29    0.01   1.04  1.041XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88348  Electron microscopy dx                            A   1.51  12.91    12.91NA  0.11  14.53 14.531XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88348TCElectron microscopy dx                            A   0.00  12.21    12.21NA  0.09  12.30 12.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8834826Electron microscopy dx                            A   1.51   0.70     0.70    0.02   2.23  2.231XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88350  Imfluor ea addl 1antb stn px                      A   0.59   2.81     2.81NA  0.02   3.42  3.421ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88350TCImfluor ea addl 1antb stn px                      A   0.00   2.57     2.57NA  0.01   2.58  2.581ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8835026Imfluor ea addl 1antb stn px                      A   0.59   0.24     0.24    0.01   0.84  0.841ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88355  M/phmtrc alys skeletal musc                       A   1.85   1.91     1.91NA  0.03   3.79  3.791XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88355TCM/phmtrc alys skeletal musc                       A   0.00   1.56     1.56NA  0.02   1.58  1.581XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8835526M/phmtrc alys skeletal musc                       A   1.85   0.35     0.35    0.01   2.21  2.211XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88356  Analysis nerve                                    A   2.80   4.18     4.18NA  0.08   7.06  7.061XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88356TCAnalysis nerve                                    A   0.00   3.45     3.45NA  0.06   3.51  3.511XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8835626Analysis nerve                                    A   2.80   0.73     0.73    0.02   3.55  3.551XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88358  Analysis tumor                                    A   0.95   3.12     3.12NA  0.03   4.10  4.101XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88358TCAnalysis tumor                                    A   0.00   2.66     2.66NA  0.01   2.67  2.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8835826Analysis tumor                                    A   0.95   0.46     0.46    0.02   1.43  1.431XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88360  Tumor immunohistochem/manual                      A   0.85   2.74     2.74NA  0.02   3.61  3.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88360TCTumor immunohistochem/manual                      A   0.00   2.40     2.40NA  0.01   2.41  2.411XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836026Tumor immunohistochem/manual                      A   0.85   0.34     0.34    0.01   1.20  1.201XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88361TCTumor immunohistochem/comput                      A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836126Tumor immunohistochem/comput                      A   0.95   0.30     0.30    0.01   1.26  1.261XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88362  Nerve teasing preparations                        A   2.17   4.62     4.62NA  0.08   6.87  6.871XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88362TCNerve teasing preparations                        A   0.00   3.62     3.62NA  0.03   3.65  3.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836226Nerve teasing preparations                        A   2.17   1.00     1.00    0.05   3.22  3.221XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88363  Xm archive tissue molec anal                      A   0.37   0.30     0.17    0.02   0.69  0.560XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88364  Insitu hybridization (fish)                       A   0.70   3.28     3.28NA  0.02   4.00  4.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88364TCInsitu hybridization (fish)                       A   0.00   3.01     3.01NA  0.01   3.02  3.021ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836426Insitu hybridization (fish)                       A   0.70   0.27     0.27    0.01   0.98  0.981ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88365  Insitu hybridization (fish)                       A   0.88   4.41     4.41NA  0.03   5.32  5.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88365TCInsitu hybridization (fish)                       A   0.00   4.06     4.06NA  0.02   4.08  4.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836526Insitu hybridization (fish)                       A   0.88   0.35     0.35    0.01   1.24  1.241XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88366  Insitu hybridization (fish)                       A   1.24   6.87     6.87NA  0.04   8.15  8.151XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88366TCInsitu hybridization (fish)                       A   0.00   6.35     6.35NA  0.02   6.37  6.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836626Insitu hybridization (fish)                       A   1.24   0.52     0.52    0.02   1.78  1.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88367  Insitu hybridization auto                         A   0.73   2.60     2.60NA  0.02   3.35  3.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88367TCInsitu hybridization auto                         A   0.00   2.38     2.38NA  0.01   2.39  2.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836726Insitu hybridization auto                         A   0.73   0.22     0.22    0.01   0.96  0.961XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88368  Insitu hybridization manual                       A   0.88   3.53     3.53NA  0.03   4.44  4.441XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88368TCInsitu hybridization manual                       A   0.00   3.20     3.20NA  0.02   3.22  3.221XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836826Insitu hybridization manual                       A   0.88   0.33     0.33    0.01   1.22  1.221XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88369  M/phmtrc alysishquant/semiq                       A   0.70   3.13     3.13NA  0.02   3.85  3.851ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88369TCM/phmtrc alysishquant/semiq                       A   0.00   2.87     2.87NA  0.01   2.88  2.881ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8836926M/phmtrc alysishquant/semiq                       A   0.70   0.26     0.26    0.01   0.97  0.971ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8837126Protein western blot tissue                       A   0.37   0.18     0.18    0.01   0.56  0.566XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8837226Protein analysis w/probe                          A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88373  M/phmtrc alys ishquant/semiq                      A   0.58   1.44     1.44NA  0.01   2.03  2.031ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88373TCM/phmtrc alys ishquant/semiq                      A   0.00   1.29     1.29NA  0.01   1.30  1.301ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8837326M/phmtrc alys ishquant/semiq                      A   0.58   0.15     0.15    0.00   0.73  0.731ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88374  M/phmtrc alys ishquant/semiq                      A   0.93   7.68     7.68NA  0.02   8.63  8.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88374TCM/phmtrc alys ishquant/semiq                      A   0.00   7.40     7.40NA  0.01   7.41  7.411XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8837426M/phmtrc alys ishquant/semiq                      A   0.93   0.28     0.28    0.01   1.22  1.221XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88375  Optical endomicroscpy interp                      A   0.91   0.44     0.44    0.05   1.40  1.402XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88377  M/phmtrc alys ishquant/semiq                      A   1.40  10.42    10.42NA  0.04  11.86 11.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88377TCM/phmtrc alys ishquant/semiq                      A   0.00   9.98     9.98NA  0.03  10.01 10.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8837726M/phmtrc alys ishquant/semiq                      A   1.40   0.44     0.44    0.01   1.85  1.851XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88380  Microdissection laser                             A   1.14   2.55     2.55NA  0.04   3.73  3.731XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88380TCMicrodissection laser                             A   0.00   2.18     2.18NA  0.03   2.21  2.211XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8838026Microdissection laser                             A   1.14   0.37     0.37    0.01   1.52  1.521XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88381  Microdissection manual                            A   0.53   5.46     5.46NA  0.05   6.04  6.041XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88381TCMicrodissection manual                            A   0.00   5.32     5.32NA  0.04   5.36  5.361XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8838126Microdissection manual                            A   0.53   0.14     0.14    0.01   0.68  0.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88387  Tiss exam molecular study                         A   0.62   0.35     0.35NA  0.02   0.99  0.991XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88387TCTiss exam molecular study                         A   0.00   0.21     0.21NA  0.01   0.22  0.221XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8838726Tiss exam molecular study                         A   0.62   0.14     0.14    0.01   0.77  0.771XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88388  Tiss ex molecul study add-on                      A   0.45   0.61     0.61NA  0.02   1.08  1.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88388TCTiss ex molecul study add-on                      A   0.00   0.39     0.39NA  0.01   0.40  0.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8838826Tiss ex molecul study add-on                      A   0.45   0.22     0.22    0.01   0.68  0.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88399  Unlisted surgical path px                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
88399TCUnlisted surgical path px                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
8839926Unlisted surgical path px                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
88749  Unlisted in vivo lab service                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
89049  Chct for mal hyperthermia                         A   1.40   7.00     0.25    0.17   8.57  1.820XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
8906026Exam synovial fluid crystals                      A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
89220  Sputum specimen collection                        A   0.00   0.57     0.57NA  0.01   0.58  0.583XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
89230  Collect sweat for test                            A   0.00   0.08     0.08NA  0.01   0.09  0.093XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
89240  Unlisted misc path test                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
89290  Biopsy oocyte polar body <=5                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90377  Rabies ig ht&sol human im/sc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90380  Rsv monoc antb seasn .5ml im                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90381  Rsv monoc antb seasn 1 ml im                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90399  Unlisted immune globulin                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90460  Im admin 1st/only component                       A   0.24   0.43     0.43NA  0.02   0.69  0.690XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90461  Im admin each addl component                      A   0.18   0.07     0.07NA  0.01   0.26  0.260ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90471  Immunization admin                                A   0.17   0.44     0.44NA  0.01   0.62  0.625XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90472  Immunization admin each add                       A   0.15   0.28     0.28NA  0.01   0.44  0.445ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90473  Immune admin oral/nasal                           A   0.17   0.32     0.32NA  0.01   0.50  0.500XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90474  Immune admin oral/nasal addl                      A   0.15   0.20     0.20NA  0.01   0.36  0.360ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90480  Admn sarscov2 vacc 1 dose                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90584  Dengue vacc quad 2 dose subq                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90589  Chikungunya vaccine live im                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90611  Smallpox&monkeypox vac 0.5ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90622  Vaccinia vrs vac 0.3 ml perq                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90623  Menacwy-tt menb-fhbp vacc im                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90626  Tic-brn enceph vac 0.25ml im                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90627  Tic-brn enceph vac 0.5ml im                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90671  Pcv15 vaccine im                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90677  Pcv20 vaccine im                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90678  Rsv vacc pref bivalent im                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90679  Rsv vacc pref recomb adjt im                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90683  Rsv vacc mrna lipid nano im                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90739  Hepb vacc 2/4 dose adult im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90749  Unlisted vaccine/toxoid                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90758  Zaire ebolavirus vac live im                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90759  Hep b vac 3ag 10mcg 3 dos im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90785  Psytx complex interactive                         A   0.33   0.10     0.05    0.01   0.44  0.390ZZZ.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90791  Psych diagnostic evaluation                       A   3.84   1.23     0.49    0.10   5.17  4.430XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90792  Psych diag eval w/med srvcs                       A   4.16   1.49     0.75    0.17   5.82  5.080XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90832  Psytx w pt 30 minutes                             A   1.78   0.52     0.22    0.05   2.35  2.050XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90833  Psytx w pt w e/m 30 min                           A   1.57   0.52     0.28    0.07   2.16  1.920ZZZ.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90834  Psytx w pt 45 minutes                             A   2.35   0.69     0.30    0.06   3.10  2.710XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90836  Psytx w pt w e/m 45 min                           A   1.99   0.66     0.36    0.08   2.73  2.430ZZZ.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90837  Psytx w pt 60 minutes                             A   3.47   1.01     0.44    0.09   4.57  4.000XXX.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90838  Psytx w pt w e/m 60 min                           A   2.62   0.89     0.49    0.11   3.62  3.220ZZZ.00.00.0000900             33.2875 090 99      0.00   0.00   0.00
90839  Psytx crisis initial 60 min                       A   3.28   1.02     0.49    0.10   4.40  3.870XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90840  Psytx crisis ea addl 30 min                       A   1.57   0.53     0.29    0.08   2.18  1.940ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90845  Psychoanalysis                                    A   2.20   0.67     0.33    0.07   2.94  2.600XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90846  Family psytx w/o pt 50 min                        R   2.51   0.35     0.34    0.07   2.93  2.920XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90847  Family psytx w/pt 50 min                          A   2.62   0.38     0.36    0.07   3.07  3.050XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90849  Multiple family group psytx                       A   0.62   0.49     0.24    0.02   1.13  0.880XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90853  Group psychotherapy                               A   0.62   0.19     0.08    0.02   0.83  0.720XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90863  Pharmacologic mgmt w/psytx                        I+  0.48   0.24     0.19    0.03   0.75  0.709XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90865  Narcosynthesis                                    A   2.84   1.88     0.67    0.13   4.85  3.640XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90870  Electroconvulsive therapy                         A   2.50   2.58     0.52    0.10   5.18  3.120000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90875  Psychophysiological therapy                       N+  1.20   0.48     0.47    0.07   1.75  1.749XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90876  Psychophysiological therapy                       N+  1.90   1.06     0.74    0.12   3.08  2.769XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90880  Hypnotherapy                                      A   2.19   0.83     0.32    0.06   3.08  2.570XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90885  Psy evaluation of records                         B+  0.97   0.38     0.38    0.06   1.41  1.419XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
90887  Consultation with family                          B+  1.48   0.99     0.57    0.09   2.56  2.149XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90899  Unlisted psyc svc/therapy                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90901  Biofeedback train any meth                        A   0.41   0.80     0.14    0.02   1.23  0.570000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90912  Bfb training 1st 15 min                           A   0.90   1.47     0.31    0.05   2.42  1.260000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90913  Bfb training ea addl 15 min                       A   0.50   0.43     0.18    0.03   0.96  0.710ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90935  Hemodialysis one evaluation                       A   1.48   0.53NA   0.53    0.09   2.10  2.100000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90937  Hemodialysis repeated eval                        A   2.11   0.78NA   0.78    0.13   3.02  3.020000.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90945  Dialysis one evaluation                           A   1.56   0.88NA   0.88    0.10   2.54  2.540000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90947  Dialysis repeated eval                            A   2.52   0.92NA   0.92    0.18   3.62  3.620000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90951  Esrd serv 4 visits p mo <2yr                      A  23.92   9.18     9.18    1.64  34.74 34.740XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90954  Esrd serv 4 vsts p mo 2-11                        A  20.86   7.57     7.57    1.35  29.78 29.780XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90955  Esrd srv 2-3 vsts p mo 2-11                       A  10.32   4.49     4.49    0.68  15.49 15.490XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90956  Esrd srv 1 visit p mo 2-11                        A   6.64   3.29     3.29    0.40  10.33 10.330XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90957  Esrd srv 4 vsts p mo 12-19                        A  15.46   6.35     6.35    0.99  22.80 22.800XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90958  Esrd srv 2-3 vsts p mo 12-19                      A   9.87   4.35     4.35    0.62  14.84 14.840XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90959  Esrd serv 1 vst p mo 12-19                        A   6.19   3.09     3.09    0.40   9.68  9.680XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90960  Esrd srv 4 visits p mo 20+                        A   6.77   3.32     3.32    0.41  10.50 10.500XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90961  Esrd srv 2-3 vsts p mo 20+                        A   5.52   2.86     2.86    0.34   8.72  8.720XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90962  Esrd serv 1 visit p mo 20+                        A   3.57   2.23     2.23    0.22   6.02  6.020XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90963  Esrd home pt serv p mo <2yrs                      A  12.09   5.14     5.14    0.77  18.00 18.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90964  Esrd home pt serv p mo 2-11                       A  10.25   4.52     4.52    0.66  15.43 15.430XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90965  Esrd home pt serv p mo 12-19                      A   9.80   4.39     4.39    0.62  14.81 14.810XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90966  Esrd home pt serv p mo 20+                        A   5.52   2.86     2.86    0.34   8.72  8.720XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90967  Esrd svc pr day pt <2                             A   0.35   0.15     0.15    0.02   0.52  0.520XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90968  Esrd svc pr day pt 2-11                           A   0.34   0.15     0.15    0.02   0.51  0.510XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90969  Esrd svc pr day pt 12-19                          A   0.33   0.15     0.15    0.02   0.50  0.500XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90970  Esrd svc pr day pt 20+                            A   0.18   0.09     0.09    0.01   0.28  0.280XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
90997  Hemoperfusion                                     A   1.84   0.65NA   0.65    0.11   2.60  2.600000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
90999  Unlisted dialysis procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91010  Esophagus motility study                          A   1.28   5.27     5.27NA  0.08   6.63  6.631000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91010TCEsophagus motility study                          A   0.00   4.71     4.71NA  0.02   4.73  4.731000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9101026Esophagus motility study                          A   1.28   0.56     0.56    0.06   1.90  1.901000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91013  Esophgl motil w/stim/perfus                       A   0.18   0.57     0.57NA  0.01   0.76  0.761ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91013TCEsophgl motil w/stim/perfus                       A   0.00   0.49     0.49NA  0.00   0.49  0.491ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
91020  Gastric motility studies                          A   1.44   6.77     6.77NA  0.08   8.29  8.291000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91020TCGastric motility studies                          A   0.00   6.13     6.13NA  0.03   6.16  6.161000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9102026Gastric motility studies                          A   1.44   0.64     0.64    0.05   2.13  2.131000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91022  Duodenal motility study                           A   1.44   3.70     3.70NA  0.07   5.21  5.211000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91022TCDuodenal motility study                           A   0.00   3.06     3.06NA  0.02   3.08  3.081000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9102226Duodenal motility study                           A   1.44   0.64     0.64    0.05   2.13  2.131000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91030  Acid perfusion of esophagus                       A   0.91   3.40     3.40NA  0.05   4.36  4.361000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91030TCAcid perfusion of esophagus                       A   0.00   2.99     2.99NA  0.02   3.01  3.011000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9103026Acid perfusion of esophagus                       A   0.91   0.41     0.41    0.03   1.35  1.351000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91034  Gastroesophageal reflux test                      A   0.97   4.69     4.69NA  0.08   5.74  5.741000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91034TCGastroesophageal reflux test                      A   0.00   4.26     4.26NA  0.02   4.28  4.281000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9103426Gastroesophageal reflux test                      A   0.97   0.43     0.43    0.06   1.46  1.461000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91035  G-esoph reflx tst w/electrod                      A   1.59  11.91    11.91NA  0.14  13.64 13.641000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91035TCG-esoph reflx tst w/electrod                      A   0.00  11.23    11.23NA  0.02  11.25 11.251000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9103526G-esoph reflx tst w/electrod                      A   1.59   0.68     0.68    0.12   2.39  2.391000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91037  Esoph imped function test                         A   0.97   4.03     4.03NA  0.06   5.06  5.061000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91037TCEsoph imped function test                         A   0.00   3.61     3.61NA  0.02   3.63  3.631000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9103726Esoph imped function test                         A   0.97   0.42     0.42    0.04   1.43  1.431000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91038  Esoph imped funct test > 1hr                      A   1.10  10.91    10.91NA  0.07  12.08 12.081000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91038TCEsoph imped funct test > 1hr                      A   0.00  10.43    10.43NA  0.02  10.45 10.451000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9103826Esoph imped funct test > 1hr                      A   1.10   0.48     0.48    0.05   1.63  1.631000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91040  Esoph balloon distension tst                      A   0.97  14.44    14.44NA  0.08  15.49 15.491000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91040TCEsoph balloon distension tst                      A   0.00  14.03    14.03NA  0.01  14.04 14.041000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9104026Esoph balloon distension tst                      A   0.97   0.41     0.41    0.07   1.45  1.451000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91065  Breath hydrogen/methane test                      A   0.20   2.00     2.00NA  0.02   2.22  2.221000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91065TCBreath hydrogen/methane test                      A   0.00   1.92     1.92NA  0.01   1.93  1.931000.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
91110  Gi trc img intral esoph-ile                       A   2.24  19.58    19.58NA  0.08  21.90 21.901XXX.00.00.0000000             33.2875 090 99     27.35  27.35   0.08
91110TCGi trc img intral esoph-ile                       A   0.00  18.59    18.59NA  0.01  18.60 18.601XXX.00.00.0000000             33.2875 090 99     26.36  26.36   0.01
9111026Gi trc img intral esoph-ile                       A   2.24   0.99     0.99    0.07   3.30  3.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91111  Gi trc img intral esophagus                       A   0.90  25.30    25.30NA  0.04  26.24 26.241XXX.00.00.0000000             33.2875 090 99     26.77  26.77   0.04
91111TCGi trc img intral esophagus                       A   0.00  24.90    24.90NA  0.01  24.91 24.911XXX.00.00.0000000             33.2875 090 99     26.37  26.37   0.01
9111126Gi trc img intral esophagus                       A   0.90   0.40     0.40    0.03   1.33  1.331XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91112  Gi wireless capsule measure                       A   2.10  46.08    46.08NA  0.09  48.27 48.271XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91112TCGi wireless capsule measure                       A   0.00  45.15    45.15NA  0.02  45.17 45.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9111226Gi wireless capsule measure                       A   2.10   0.93     0.93    0.07   3.10  3.101XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91113  Gi trc img intral colon i&r                       A   2.41  24.30    24.30NA  0.10  26.81 26.811XXX.00.00.0000000             33.2875 090 99     27.64  27.64   0.10
91113TCGi trc img intral colon i&r                       A   0.00  23.23    23.23NA  0.02  23.25 23.251XXX.00.00.0000000             33.2875 090 99     26.57  26.57   0.02
9111326Gi trc img intral colon i&r                       A   2.41   1.07     1.07    0.08   3.56  3.561XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91117  Colon motility 6 hr study                         A   2.45   1.40NA   1.40    0.17   4.02  4.020000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91120  Rectal sensation test                             A   0.97  13.97    13.97NA  0.06  15.00 15.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91120TCRectal sensation test                             A   0.00  13.57    13.57NA  0.01  13.58 13.581XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9112026Rectal sensation test                             A   0.97   0.40     0.40    0.05   1.42  1.421XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91122  Anal pressure record                              A   1.77   6.39     6.39NA  0.12   8.28  8.281000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91122TCAnal pressure record                              A   0.00   5.67     5.67NA  0.03   5.70  5.701000.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9112226Anal pressure record                              A   1.77   0.72     0.72    0.09   2.58  2.581000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91132  Electrogastrography                               A   0.52  12.57    12.57NA  0.03  13.12 13.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91132TCElectrogastrography                               A   0.00  12.34    12.34NA  0.01  12.35 12.351XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
91133  Electrogastrography w/test                        A   0.66  13.10    13.10NA  0.03  13.79 13.791XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91133TCElectrogastrography w/test                        A   0.00  12.81    12.81NA  0.01  12.82 12.821XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
91200  Liver elastography                                A   0.21   0.69     0.69NA  0.02   0.92  0.921XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91200TCLiver elastography                                A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9120026Liver elastography                                A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91299  Unlisted dx gi procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91299TCUnlisted dx gi procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9129926Unlisted dx gi procedure                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
91304  Sarscov2 vac 5mcg/0.5ml im                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
91318  Sarscov2 vac 3mcg trs-suc im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
91319  Sarscv2 vac 10mcg trs-suc im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
91320  Sarscv2 vac 30mcg trs-suc im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
91321  Sarscov2 vac 25 mcg/.25ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
91322  Sarscov2 vac 50 mcg/0.5ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92002  Intrm oph exam new patient                        A   0.88   1.64     0.44    0.02   2.54  1.340XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92004  Compre oph exam new pt 1/>                        A   1.82   2.59     0.90    0.05   4.46  2.770XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92012  Intrm oph exam est patient                        A   0.92   1.72     0.53    0.03   2.67  1.480XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92014  Compre oph exam est pt 1/>                        A   1.42   2.31     0.77    0.04   3.77  2.230XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92015  Determine refractive state                        N+  0.38   0.17     0.15    0.02   0.57  0.559XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92018  Compl oph exam general anes                       A   2.50   1.51NA   1.51    0.10   4.11  4.110XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92019  Lmtd oph exam general anes                        A   1.31   0.78NA   0.78    0.06   2.15  2.150XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92020  Gonioscopy                                        A   0.37   0.44     0.22    0.01   0.82  0.600XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92025  Cptrized corneal topography                       A   0.35   0.72     0.72NA  0.02   1.09  1.091XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92025TCCptrized corneal topography                       A   0.00   0.51     0.51NA  0.01   0.52  0.521XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
9202526Cptrized corneal topography                       A   0.35   0.21     0.21    0.01   0.57  0.571XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92060  Sensorimotor examination                          A   0.69   1.20     1.20NA  0.02   1.91  1.911XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92060TCSensorimotor examination                          A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9206026Sensorimotor examination                          A   0.69   0.39     0.39    0.01   1.09  1.091XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92065  Orthop traing pfrmd phys/qhp                      A   0.71   0.47     0.27    0.01   1.19  0.990XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92066  Orthop traing supvj phys/qhp                      A   0.00   0.78     0.78NA  0.01   0.79  0.793XXX.00.00.0002000             33.2875 010 99      0.00   0.00   0.00
92071  Contact lens fitting for tx                       A   0.61   0.45     0.32    0.02   1.08  0.950XXX.00.00.0001000             33.2875 090 99      0.00   0.00   0.00
92072  Fitg c-lens keratoconus 1st                       A   1.97   1.74     0.76    0.02   3.73  2.750XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92081  Limited visual field xm                           A   0.30   0.68     0.68NA  0.02   1.00  1.001XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92081TCLimited visual field xm                           A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9208126Limited visual field xm                           A   0.30   0.16     0.16    0.01   0.47  0.471XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92082  Intermediate visual field xm                      A   0.40   0.99     0.99NA  0.02   1.41  1.411XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92082TCIntermediate visual field xm                      A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9208226Intermediate visual field xm                      A   0.40   0.20     0.20    0.01   0.61  0.611XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92083  Extended visual field xm                          A   0.50   1.38     1.38NA  0.02   1.90  1.901XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92083TCExtended visual field xm                          A   0.00   1.10     1.10NA  0.01   1.11  1.111XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9208326Extended visual field xm                          A   0.50   0.28     0.28    0.01   0.79  0.791XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92100  Serial tonometry                                  A   0.61   1.92     0.32    0.02   2.55  0.950XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92132  Cmptr ophth dx img ant segmt                      A   0.30   0.62     0.62NA  0.02   0.94  0.941XXX.00.00.0072000             33.2875 090 99      1.91   1.91   0.05
92132TCCmptr ophth dx img ant segmt                      A   0.00   0.45     0.45NA  0.01   0.46  0.461XXX.00.00.0072000             33.2875 010 99      1.74   1.74   0.04
9213226Cmptr ophth dx img ant segmt                      A   0.30   0.17     0.17    0.01   0.48  0.481XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92133  Cmptr ophth img optic nerve                       A   0.40   0.67     0.67NA  0.02   1.09  1.091XXX.00.00.0072000             33.2875 090 99      1.96   1.96   0.05
92133TCCmptr ophth img optic nerve                       A   0.00   0.45     0.45NA  0.01   0.46  0.461XXX.00.00.0072000             33.2875 010 99      1.74   1.74   0.04
9213326Cmptr ophth img optic nerve                       A   0.40   0.22     0.22    0.01   0.63  0.631XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92134  Cptr ophth dx img post segmt                      A   0.45   0.74     0.74NA  0.02   1.21  1.211XXX.00.00.0072000             33.2875 090 99      2.01   2.01   0.05
92134TCCptr ophth dx img post segmt                      A   0.00   0.47     0.47NA  0.01   0.48  0.481XXX.00.00.0072000             33.2875 010 99      1.74   1.74   0.04
9213426Cptr ophth dx img post segmt                      A   0.45   0.27     0.27    0.01   0.73  0.731XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92136  Ophthalmic biometry                               A   0.54   0.85     0.85NA  0.02   1.41  1.411XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92136TCOphthalmic biometry                               A   0.00   0.51     0.51NA  0.01   0.52  0.521XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
9213626Ophthalmic biometry                               A   0.54   0.34     0.34    0.01   0.89  0.891XXX.00.00.0073000             33.2875 090 99      0.00   0.00   0.00
92145  Corneal hysteresis deter                          A   0.10   0.27     0.27NA  0.02   0.39  0.391XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92145TCCorneal hysteresis deter                          A   0.00   0.22     0.22NA  0.01   0.23  0.231XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9214526Corneal hysteresis deter                          A   0.10   0.05     0.05    0.01   0.16  0.161XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92201  Opscpy extnd rta draw uni/bi                      A   0.40   0.32     0.25    0.02   0.74  0.670XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92202  Opscpy extnd on/mac draw                          A   0.26   0.19     0.16    0.01   0.46  0.430XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92227  Img rta detcj/mntr ds staff                       A   0.00   0.52     0.52NA  0.01   0.53  0.533XXX.00.00.0002000             33.2875 090 99      1.75   1.75   0.03
92228  Img rta detc/mntr ds phy/qhp                      A   0.32   0.55     0.55NA  0.02   0.89  0.891XXX.00.00.0072000             33.2875 090 99      1.30   1.30   0.04
92228TCImg rta detc/mntr ds phy/qhp                      A   0.00   0.39     0.39NA  0.01   0.40  0.401XXX.00.00.0072000             33.2875 010 99      1.14   1.14   0.03
9222826Img rta detc/mntr ds phy/qhp                      A   0.32   0.16     0.16    0.01   0.49  0.491XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92229  Img rta detc/mntr ds poc aly                      A   0.00   1.22     1.22NA  0.01   1.23  1.233XXX.00.00.0072000             33.2875 090 99      1.77   1.77   0.01
92230  Fluorescein angioscopy i&r                        A   0.60   3.48     0.39    0.03   4.11  1.020XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
92235  Fluorescein angrph mltiframe                      A   0.75   4.10     4.10NA  0.02   4.87  4.871XXX.00.00.0072000             33.2875 090 99      9.59   9.59   0.04
92235TCFluorescein angrph mltiframe                      A   0.00   3.62     3.62NA  0.01   3.63  3.631XXX.00.00.0072000             33.2875 020 99      9.11   9.11   0.03
9223526Fluorescein angrph mltiframe                      A   0.75   0.48     0.48    0.01   1.24  1.241XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92240  Icg angiography i&r uni/bi                        A   0.80   4.76     4.76NA  0.08   5.64  5.641XXX.00.00.0072000             33.2875 090 99      9.62   9.62   0.09
92240TCIcg angiography i&r uni/bi                        A   0.00   4.25     4.25NA  0.01   4.26  4.261XXX.00.00.0072000             33.2875 020 99      9.11   9.11   0.02
9224026Icg angiography i&r uni/bi                        A   0.80   0.51     0.51    0.07   1.38  1.381XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92242  Fluorescein&icg angiography                       A   0.95   7.44     7.44NA  0.04   8.43  8.431XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92242TCFluorescein&icg angiography                       A   0.00   6.83     6.83NA  0.01   6.84  6.841XXX.00.00.0072000             33.2875 020 99      0.00   0.00   0.00
9224226Fluorescein&icg angiography                       A   0.95   0.61     0.61    0.03   1.59  1.591XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92250  Fundus photography w/i&r                          A   0.40   0.69     0.69NA  0.02   1.11  1.111XXX.00.00.0072000             33.2875 090 99      3.84   3.84   0.08
92250TCFundus photography w/i&r                          A   0.00   0.49     0.49NA  0.01   0.50  0.501XXX.00.00.0072000             33.2875 010 99      3.64   3.64   0.07
9225026Fundus photography w/i&r                          A   0.40   0.20     0.20    0.01   0.61  0.611XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92260  Ophthalmodynamometry                              A   0.20   0.37     0.11    0.01   0.58  0.320XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92265  Ndl oculoelectromyography 1+                      A   0.81   1.78     1.78NA  0.02   2.61  2.611XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92265TCNdl oculoelectromyography 1+                      A   0.00   1.26     1.26NA  0.01   1.27  1.271XXX.00.00.0072000             33.2875 030 99      0.00   0.00   0.00
9226526Ndl oculoelectromyography 1+                      A   0.81   0.52     0.52    0.01   1.34  1.341XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92270  Electro-oculography w/i&r                         A   0.81   2.68     2.68NA  0.03   3.52  3.521XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92270TCElectro-oculography w/i&r                         A   0.00   2.26     2.26NA  0.02   2.28  2.281XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9227026Electro-oculography w/i&r                         A   0.81   0.42     0.42    0.01   1.24  1.241XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92273  Full field erg w/i&r                              A   0.69   3.06     3.06NA  0.03   3.78  3.781XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92273TCFull field erg w/i&r                              A   0.00   2.70     2.70NA  0.02   2.72  2.721XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9227326Full field erg w/i&r                              A   0.69   0.36     0.36    0.01   1.06  1.061XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92274  Multifocal erg w/i&r                              A   0.61   2.05     2.05NA  0.02   2.68  2.681XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92274TCMultifocal erg w/i&r                              A   0.00   1.70     1.70NA  0.01   1.71  1.711XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9227426Multifocal erg w/i&r                              A   0.61   0.35     0.35    0.01   0.97  0.971XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92283  Extnd color vision xm                             A   0.17   1.44     1.44NA  0.02   1.63  1.631XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92283TCExtnd color vision xm                             A   0.00   1.37     1.37NA  0.01   1.38  1.381XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
9228326Extnd color vision xm                             A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92284  Dx dark adaptation exam i&r                       A   0.00   1.11     1.11NA  0.01   1.12  1.123XXX.00.00.0072000             33.2875 010 99      0.00   0.00   0.00
92285  External ocular photography                       A   0.05   0.63     0.63NA  0.02   0.70  0.701XXX.00.00.0072000             33.2875 090 99      1.18   1.18   0.03
92285TCExternal ocular photography                       A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0072000             33.2875 010 99      1.15   1.15   0.02
9228526External ocular photography                       A   0.05   0.03     0.03    0.01   0.09  0.091XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92286  Ant sgm img i&r speclr mic                        A   0.40   0.75     0.75NA  0.02   1.17  1.171XXX.00.00.0072000             33.2875 090 99      3.87   3.87   0.08
92286TCAnt sgm img i&r speclr mic                        A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0072000             33.2875 010 99      3.65   3.65   0.07
9228626Ant sgm img i&r speclr mic                        A   0.40   0.22     0.22    0.01   0.63  0.631XXX.00.00.0072000             33.2875 090 99      0.00   0.00   0.00
92287  Ant sgm img ir flrscn angrph                      A   0.40   3.86     3.86NA  0.02   4.28  4.281XXX.00.00.0002000             33.2875 090 99      4.17   4.17   0.02
92287TCAnt sgm img ir flrscn angrph                      A   0.00   3.40     3.40NA  0.01   3.41  3.411XXX.00.00.0002000             33.2875 090 99      3.71   3.71   0.01
9228726Ant sgm img ir flrscn angrph                      A   0.40   0.46     0.46    0.01   0.87  0.871XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92310  Contact lens fitting ou                           N+  1.17   1.75     0.45    0.07   2.99  1.699XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92311  Contact lens fitg aphakia 1                       A   1.08   2.00     0.42    0.01   3.09  1.510XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92312  Contact lens fitg aphakia ou                      A   1.26   2.41     0.52    0.02   3.69  1.800XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92313  C-lens fitg corneosclrl lens                      A   0.92   2.01     0.33    0.01   2.94  1.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92314  C-lens fitg tech ou                               N+  0.69   1.87     0.27    0.04   2.60  1.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92315  C-lens fitg tech aphakia 1                        A   0.45   1.99     0.15    0.01   2.45  0.610XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92316  C-lens fitg tech aphakia ou                       A   0.68   2.34     0.23    0.01   3.03  0.920XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92317  C-lens fitg tech corneosclrl                      A   0.45   2.13     0.15    0.01   2.59  0.610XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92325  Modification of contact lens                      A   0.00   1.22     1.22NA  0.01   1.23  1.235XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92326  Replacement of contact lens                       A   0.00   1.17     1.17NA  0.01   1.18  1.185XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92340  Fit spectacles monofocal                          N+  0.37   0.65     0.14    0.02   1.04  0.539XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92341  Fit spectacles bifocal                            N+  0.47   0.69     0.18    0.03   1.19  0.689XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92342  Fit spectacles multifocal                         N+  0.53   0.71     0.21    0.03   1.27  0.779XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92352  Fit aphakia spectcl monofocl                      B+  0.37   0.91     0.14    0.02   1.30  0.539XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92353  Fit aphakia spectcl multifoc                      B+  0.50   0.96     0.19    0.03   1.49  0.729XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92354  Fitg spect low vis 1system                        B+  0.00   0.41     0.41NA  0.01   0.42  0.429XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92355  Fitg spect lw vis cmpnd lens                      B+  0.00   0.64     0.64NA  0.01   0.65  0.659XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92358  Aphakia prosth service temp                       B+  0.00   0.34     0.34NA  0.01   0.35  0.359XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92370  Rpr&refitg spect xcp aphakia                      N+  0.32   0.57     0.12    0.02   0.91  0.469XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92371  Rpr&refit spct prsth aphakia                      B+  0.00   0.35     0.35NA  0.01   0.36  0.369XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92499  Unlisted oph svc/procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92499TCUnlisted oph svc/procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9249926Unlisted oph svc/procedure                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92502  Ear and throat examination                        A   1.51   1.24NA   1.24    0.10   2.85  2.850000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92504  Ear microscopy examination                        A   0.18   0.68     0.08    0.01   0.87  0.270XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92507  Speech/hearing therapy                            A   1.30   0.96     0.96NA  0.03   2.29  2.297XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92508  Speech/hearing therapy                            A   0.33   0.39     0.39NA  0.01   0.73  0.737XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92511  Nasopharyngoscopy                                 A   0.61   2.87     0.48    0.04   3.52  1.130000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
92512  Nasal function studies                            A   0.55   1.34     0.22    0.04   1.93  0.810XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92516  Facial nerve function test                        A   0.43   1.71     0.21    0.03   2.17  0.670XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92517  Vemp test i&r cervical                            A   0.80   1.48     0.42    0.03   2.31  1.250XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92518  Vemp test i&r ocular                              A   0.80   1.49     0.42    0.05   2.34  1.270XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92519  Vemp tst i&r cervical&ocular                      A   1.20   2.58     0.64    0.04   3.82  1.880XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92520  Laryngeal function studies                        A   0.75   1.85     0.40    0.03   2.63  1.180XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92521  Evaluation of speech fluency                      A   2.24   1.69     1.69NA  0.06   3.99  3.997XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92522  Evaluate speech production                        A   1.92   1.35     1.35NA  0.07   3.34  3.347XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92523  Speech sound lang comprehen                       A   3.84   2.90     2.90NA  0.10   6.84  6.847XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92524  Behavral qualit analys voice                      A   1.92   1.30     1.30NA  0.07   3.29  3.297XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92526  Oral function therapy                             A   1.34   1.17     1.17NA  0.03   2.54  2.547XXX.00.00.0050000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92537  Caloric vstblr test w/rec                         A   0.60   0.57     0.57NA  0.02   1.19  1.191XXX.00.00.0002000             33.2875 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             33.2875 020 99      0.00   0.00   0.00
9253726Caloric vstblr test w/rec                         A   0.60   0.30     0.30    0.01   0.91  0.911XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92538  Caloric vstblr test w/rec                         A   0.30   0.35     0.35NA  0.02   0.67  0.671XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92538TCCaloric vstblr test w/rec                         A   0.00   0.19     0.19NA  0.01   0.20  0.201XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
9253826Caloric vstblr test w/rec                         A   0.30   0.16     0.16    0.01   0.47  0.471XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92540  Basic vestibular evaluation                       A   1.50   1.67     1.67NA  0.03   3.20  3.201XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92540TCBasic vestibular evaluation                       A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9254026Basic vestibular evaluation                       A   1.50   0.75     0.75    0.02   2.27  2.271XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92541  Spontaneous nystagmus test                        A   0.40   0.33     0.33NA  0.02   0.75  0.751XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92541TCSpontaneous nystagmus test                        A   0.00   0.12     0.12NA  0.01   0.13  0.131XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9254126Spontaneous nystagmus test                        A   0.40   0.21     0.21    0.01   0.62  0.621XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92542  Positional nystagmus test                         A   0.48   0.36     0.36NA  0.02   0.86  0.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92542TCPositional nystagmus test                         A   0.00   0.12     0.12NA  0.01   0.13  0.131XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9254226Positional nystagmus test                         A   0.48   0.24     0.24    0.01   0.73  0.731XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92544  Optokinetic nystagmus test                        A   0.27   0.24     0.24NA  0.02   0.53  0.531XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92544TCOptokinetic nystagmus test                        A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9254426Optokinetic nystagmus test                        A   0.27   0.14     0.14    0.01   0.42  0.421XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92545  Oscillating tracking test                         A   0.25   0.23     0.23NA  0.02   0.50  0.501XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92545TCOscillating tracking test                         A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9254526Oscillating tracking test                         A   0.25   0.13     0.13    0.01   0.39  0.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92546  Sinusoidal rotational test                        A   0.29   3.66     3.66NA  0.03   3.98  3.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92546TCSinusoidal rotational test                        A   0.00   3.52     3.52NA  0.02   3.54  3.541XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9254626Sinusoidal rotational test                        A   0.29   0.14     0.14    0.01   0.44  0.441XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92547  Supplemental electrical test                      A   0.00   0.32     0.32NA  0.00   0.32  0.323ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92549  Cdp-sot 6 cond w/i&r mct&adt                      A   0.87   1.04     1.04NA  0.02   1.93  1.931XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92549TCCdp-sot 6 cond w/i&r mct&adt                      A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9254926Cdp-sot 6 cond w/i&r mct&adt                      A   0.87   0.44     0.44    0.01   1.32  1.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92550  Tympanometry & reflex thresh                      A   0.35   0.29     0.29NA  0.01   0.65  0.657XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92551  Pure tone hearing test air                        N+  0.00   0.37     0.37NA  0.01   0.38  0.389XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92552  Pure tone audiometry air                          A   0.00   1.13     1.13NA  0.01   1.14  1.143XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92553  Audiometry air & bone                             A   0.00   1.37     1.37NA  0.01   1.38  1.383XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92555  Speech threshold audiometry                       A   0.00   0.86     0.86NA  0.01   0.87  0.873XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92556  Speech audiometry complete                        A   0.00   1.34     1.34NA  0.01   1.35  1.353XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92557  Comprehensive hearing test                        A   0.60   0.47     0.32    0.02   1.09  0.947XXX.00.00.0002000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92562  Loudness balance test                             A   0.00   1.44     1.44NA  0.01   1.45  1.453XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92563  Tone decay hearing test                           A   0.00   1.03     1.03NA  0.01   1.04  1.043XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92565  Stenger test pure tone                            A   0.00   0.62     0.62NA  0.01   0.63  0.633XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92567  Tympanometry                                      A   0.20   0.28     0.11    0.01   0.49  0.327XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92568  Acoustic refl threshold tst                       A   0.29   0.15     0.14    0.01   0.45  0.447XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92570  Acoustic immitance testing                        A   0.55   0.39     0.29    0.02   0.96  0.867XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92571  Filtered speech hearing test                      A   0.00   0.92     0.92NA  0.01   0.93  0.933XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92572  Staggered spondaic word test                      A   0.00   1.59     1.59NA  0.01   1.60  1.603XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92575  Sensorineural acuity test                         A   0.00   2.20     2.20NA  0.02   2.22  2.223XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92576  Synthetic sentence test                           A   0.00   1.27     1.27NA  0.01   1.28  1.283XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92577  Stenger test speech                               A   0.00   0.65     0.65NA  0.01   0.66  0.663XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92579  Visual audiometry (vra)                           A   0.70   0.60     0.37    0.02   1.32  1.097XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92582  Conditioning play audiometry                      A   0.00   2.59     2.59NA  0.01   2.60  2.603XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92583  Select picture audiometry                         A   0.00   1.70     1.70NA  0.01   1.71  1.713XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92584  Electrocochleography                              A   1.00   2.28     2.28NA  0.04   3.32  3.320XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92587  Evoked auditory test limited                      A   0.35   0.27     0.27NA  0.02   0.64  0.641XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92587TCEvoked auditory test limited                      A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.0002000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92588  Evoked auditory tst complete                      A   0.55   0.42     0.42NA  0.02   0.99  0.991XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92588TCEvoked auditory tst complete                      A   0.00   0.14     0.14NA  0.01   0.15  0.151XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
9258826Evoked auditory tst complete                      A   0.55   0.28     0.28    0.01   0.84  0.841XXX.00.00.0002000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92596  Ear protector evaluation                          A   0.00   2.30     2.30NA  0.01   2.31  2.313XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92597  Oral speech device eval                           A   1.26   0.87     0.87NA  0.04   2.17  2.177XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92601  Cochlear implt f/up exam <7                       A   2.30   2.37     1.26    0.06   4.73  3.627XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
92602  Reprogram cochlear implt <7                       A   1.30   1.65     0.71    0.03   2.98  2.047XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
92603  Cochlear implt f/up exam 7/>                      A   2.25   2.14     1.21    0.06   4.45  3.527XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
92604  Reprogram cochlear implt 7/>                      A   1.25   1.40     0.67    0.03   2.68  1.957XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
92605  Ex for nonspeech device rx                        B+  1.75   0.85     0.68    0.11   2.71  2.549XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92606  Non-speech device service                         B+  1.40   0.87     0.54    0.08   2.35  2.029XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92607  Ex for speech device rx 1hr                       A   1.85   1.82     1.82NA  0.05   3.72  3.727XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92608  Ex for speech device rx addl                      A   0.70   0.74     0.74NA  0.02   1.46  1.467ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92609  Use of speech device service                      A   1.50   1.56     1.56NA  0.04   3.10  3.107XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
92610  Evaluate swallowing function                      A   1.30   1.22     0.76    0.04   2.56  2.107XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92611  Motion fluoroscopy/swallow                        A   1.34   1.35     1.35NA  0.07   2.76  2.767XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92612  Endoscopy swallow (fees) vid                      A   1.27   4.63     0.64    0.06   5.96  1.970XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92613  Endoscopy swallow (fees) i&r                      A   0.71   0.33     0.33    0.04   1.08  1.080XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92614  Laryngoscopic sensory vid                         A   1.27   3.14     0.60    0.07   4.48  1.940XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92615  Laryngoscopic sensory i&r                         A   0.63   0.30     0.30    0.04   0.97  0.970XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92616  Fees w/laryngeal sense test                       A   1.88   4.88     0.97    0.10   6.86  2.950XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92617  Fees w/laryngeal sense i&r                        A   0.79   0.37     0.37    0.05   1.21  1.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92618  Ex for nonspeech dev rx add                       B+  0.65   0.26     0.25    0.04   0.95  0.949ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92620  Auditory function 60 min                          A   1.50   1.09     0.79    0.05   2.64  2.349XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92621  Auditory function + 15 min                        A   0.35   0.29     0.19    0.01   0.65  0.559ZZZ.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
92622  Dx aly aud oi snd prcsr 1st                       A   1.25   1.09     0.68    0.03   2.37  1.960XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
92623  Dx aly aud oi snd prcsr each                      A   0.33   0.27     0.18    0.01   0.61  0.520ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92625  Tinnitus assessment                               A   1.15   0.82     0.61    0.04   2.01  1.809XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92626  Eval aud funcj 1st hour                           A   1.40   1.14     0.76    0.04   2.58  2.200XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92627  Eval aud funcj ea addl 15                         A   0.33   0.27     0.18    0.01   0.61  0.520ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92640  Aud brainstem implt programg                      A   1.76   1.44     0.96    0.04   3.24  2.769XXX.00.00.0002000             33.2875 050 99      0.00   0.00   0.00
92650  Aep scr auditory potential                        N+  0.25   0.54     0.54NA  0.02   0.81  0.810XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92651  Aep hearing status deter i&r                      A   1.00   1.43     1.43NA  0.05   2.48  2.480XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92652  Aep thrshld est mlt freq i&r                      A   1.50   1.78     1.78NA  0.08   3.36  3.360XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92653  Aep neurodiagnostic i&r                           A   1.05   1.38     1.38NA  0.06   2.49  2.490XXX.00.00.0002000             33.2875 020 99      0.00   0.00   0.00
92700  Unlisted orl service/px                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92920  Prq cardiac angioplast 1 art                      A   9.85   3.37NA   3.37    2.23  15.45 15.450000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92924  Prq card angio/athrect 1 art                      A  11.74   4.02NA   4.02    2.67  18.43 18.430000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92928  Prq card stent w/angio 1 vsl                      A  10.96   3.75NA   3.75    2.48  17.19 17.190000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92933  Prq card stent/ath/angio                          A  12.29   4.20NA   4.20    2.79  19.28 19.280000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92937  Prq revasc byp graft 1 vsl                        A  10.95   3.75NA   3.75    2.49  17.19 17.190000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92941  Prq card revasc mi 1 vsl                          A  12.31   4.21NA   4.21    2.78  19.30 19.300000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
92943  Prq card revasc chronic 1vsl                      A  12.31   4.20NA   4.20    2.79  19.30 19.300000.00.00.0020000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92950  Heart/lung resuscitation cpr                      A   4.00   5.31     1.01    0.40   9.71  5.410000.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
92960  Cardioversion electric ext                        A   2.00   2.44     1.03    0.15   4.59  3.180000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92961  Cardioversion electric int                        A   4.34   1.86NA   1.86    0.96   7.16  7.160000.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
92970  Cardioassist internal                             A   3.51   1.20NA   1.20    0.80   5.51  5.510000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92971  Cardioassist external                             A   1.77   0.76NA   0.76    0.40   2.93  2.930000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92972  Perq trluml coronry lithotrp                      A   2.97   1.06NA   1.06    0.25   4.28  4.280ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
92973  Prq coronary mech thrombect                       A   3.28   1.13NA   1.13    0.74   5.15  5.150ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92974  Cath place cardio brachytx                        A   3.00   1.04NA   1.04    0.68   4.72  4.720ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92975  Dissolve clot heart vessel                        A   6.99   2.38NA   2.38    1.61  10.98 10.980000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
92977  Dissolve clot heart vessel                        A   0.00   1.52     1.52NA  0.14   1.66  1.665XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9297826Endoluminl ivus oct c 1st                         A   1.80   0.62     0.62    0.34   2.76  2.761ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9297926Endoluminl ivus oct c ea                          A   1.44   0.49     0.49    0.26   2.19  2.191ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
92986  Revision of aortic valve                          A  22.60  11.22NA  11.22    5.16  38.98 38.980090.09.84.0720000             33.2875 090 99      0.00   0.00   0.00
92987  Revision of mitral valve                          A  23.38  11.49NA  11.49    5.30  40.17 40.170090.09.84.0720000             33.2875 090 99      0.00   0.00   0.00
92990  Revision of pulmonary valve                       A  18.27   9.68NA   9.68    4.22  32.17 32.170090.09.84.0720000             33.2875 090 99      0.00   0.00   0.00
92997  Pul art balloon repr percut                       A  11.98   4.22NA   4.22    2.33  18.53 18.530000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
92998  Pul art balloon repr percut                       A   5.99   2.01NA   2.01    1.30   9.30  9.300ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93000  Electrocardiogram complete                        A   0.17   0.24     0.24NA  0.02   0.43  0.434XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93005  Electrocardiogram tracing                         A   0.00   0.18     0.18NA  0.01   0.19  0.193XXX.00.00.0060000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93015  Cardiovascular stress test                        A   0.75   1.37     1.37NA  0.04   2.16  2.164XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
93016  Cardiovascular stress test                        A   0.45   0.16     0.16    0.01   0.62  0.622XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
93017  Cardiovascular stress test                        A   0.00   1.11     1.11NA  0.02   1.13  1.133XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
93018  Cardiovascular stress test                        A   0.30   0.10     0.10    0.01   0.41  0.412XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93024  Cardiac drug stress test                          A   1.17   2.11     2.11NA  0.07   3.35  3.351XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93024TCCardiac drug stress test                          A   0.00   1.71     1.71NA  0.03   1.74  1.741XXX.00.00.0060000             33.2875 030 99      0.00   0.00   0.00
9302426Cardiac drug stress test                          A   1.17   0.40     0.40    0.04   1.61  1.611XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93025  Microvolt t-wave assess                           A   0.75   2.96     2.96NA  0.04   3.75  3.751XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93025TCMicrovolt t-wave assess                           A   0.00   2.64     2.64NA  0.02   2.66  2.661XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
9302526Microvolt t-wave assess                           A   0.75   0.32     0.32    0.02   1.09  1.091XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93040  Rhythm ecg with report                            A   0.15   0.22     0.22NA  0.02   0.39  0.394XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93041  Rhythm ecg tracing                                A   0.00   0.18     0.18NA  0.01   0.19  0.193XXX.00.00.0060000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93050  Art pressure waveform analys                      A   0.17   0.29     0.29NA  0.02   0.48  0.481XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93050TCArt pressure waveform analys                      A   0.00   0.23     0.23NA  0.01   0.24  0.241XXX.00.00.0062000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93150  Therapy activation ipnss                          A   0.85   2.08     0.35    0.06   2.99  1.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93151  Interrog&prgrmg ipnss                             A   0.80   1.75     0.33    0.06   2.61  1.190XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93152  Interrog&prgrmg ipnss polysm                      A   1.82   2.77     0.83    0.13   4.72  2.780XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93153  Interrog w/o prgrmg ipnss                         A   0.43   1.08     0.17    0.04   1.55  0.640XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93224  Ecg monit/reprt up to 48 hrs                      A   0.39   1.74     1.74NA  0.03   2.16  2.164XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93225  Ecg monit/reprt up to 48 hrs                      A   0.00   0.54     0.54NA  0.01   0.55  0.553XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93226  Ecg monit/reprt up to 48 hrs                      A   0.00   1.06     1.06NA  0.01   1.07  1.073XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93227  Ecg monit/reprt up to 48 hrs                      A   0.39   0.14     0.14    0.01   0.54  0.542XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93228  Remote 30 day ecg rev/report                      A   0.48   0.23     0.23    0.03   0.74  0.742XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93229  Remote 30 day ecg tech supp                       A   0.00  24.33    24.33NA  0.09  24.42 24.423XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93241  Ext ecg>48hr<7d rec scan a/r                      A   0.50   7.21     7.21NA  0.04   7.75  7.754XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93242  Ext ecg>48hr<7d recording                         A   0.00   0.35     0.35NA  0.01   0.36  0.363XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93243  Ext ecg>48hr<7d scan a/r                          A   0.00   6.70     6.70NA  0.01   6.71  6.713XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93244  Ext ecg>48hr<7d rev&interpj                       A   0.50   0.16     0.16    0.02   0.68  0.682XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93245  Ext ecg>7d<15d rec scan a/r                       A   0.55   7.56     7.56NA  0.04   8.15  8.154XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93246  Ext ecg>7d<15d recording                          A   0.00   0.35     0.35NA  0.01   0.36  0.363XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93247  Ext ecg>7d<15d scan a/r                           A   0.00   7.03     7.03NA  0.01   7.04  7.043XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93248  Ext ecg>7d<15d rev&interpj                        A   0.55   0.18     0.18    0.02   0.75  0.752XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93260  Prgrmg dev eval impltbl sys                       A   0.85   1.37     1.37NA  0.04   2.26  2.261XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93260TCPrgrmg dev eval impltbl sys                       A   0.00   1.04     1.04NA  0.01   1.05  1.051XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9326026Prgrmg dev eval impltbl sys                       A   0.85   0.33     0.33    0.03   1.21  1.211XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93261  Interrogate subq defib                            A   0.74   1.31     1.31NA  0.03   2.08  2.081XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93261TCInterrogate subq defib                            A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9326126Interrogate subq defib                            A   0.74   0.28     0.28    0.02   1.04  1.041XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93264  Rem mntr wrls p-art prs snr                       A   0.70   0.76     0.27    0.08   1.54  1.050XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93268  Ecg record/review                                 A   0.52   4.69     4.69NA  0.04   5.25  5.254XXX.00.00.0060000             33.2875 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             33.2875 010 99      0.00   0.00   0.00
93271  Ecg/monitoring and analysis                       A   0.00   4.28     4.28NA  0.01   4.29  4.293XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93272  Ecg/review interpret only                         A   0.52   0.17     0.17    0.02   0.71  0.712XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93278  Ecg/signal-averaged                               A   0.25   0.68     0.68NA  0.02   0.95  0.951XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93278TCEcg/signal-averaged                               A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
9327826Ecg/signal-averaged                               A   0.25   0.11     0.11    0.01   0.37  0.371XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93279  Prgrmg dev eval pm/ldls pm                        A   0.65   1.33     1.33NA  0.03   2.01  2.011XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93279TCPrgrmg dev eval pm/ldls pm                        A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9327926Prgrmg dev eval pm/ldls pm                        A   0.65   0.24     0.24    0.02   0.91  0.911XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93280  Pm device progr eval dual                         A   0.77   1.55     1.55NA  0.03   2.35  2.351XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93280TCPm device progr eval dual                         A   0.00   1.26     1.26NA  0.01   1.27  1.271XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328026Pm device progr eval dual                         A   0.77   0.29     0.29    0.02   1.08  1.081XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93281  Pm device progr eval multi                        A   0.85   1.61     1.61NA  0.04   2.50  2.501XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93281TCPm device progr eval multi                        A   0.00   1.28     1.28NA  0.01   1.29  1.291XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328126Pm device progr eval multi                        A   0.85   0.33     0.33    0.03   1.21  1.211XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93282  Prgrmg eval implantable dfb                       A   0.85   1.48     1.48NA  0.04   2.37  2.371XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93282TCPrgrmg eval implantable dfb                       A   0.00   1.16     1.16NA  0.01   1.17  1.171XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328226Prgrmg eval implantable dfb                       A   0.85   0.32     0.32    0.03   1.20  1.201XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93283  Prgrmg eval implantable dfb                       A   1.15   1.71     1.71NA  0.05   2.91  2.911XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93283TCPrgrmg eval implantable dfb                       A   0.00   1.27     1.27NA  0.01   1.28  1.281XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328326Prgrmg eval implantable dfb                       A   1.15   0.44     0.44    0.04   1.63  1.631XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93284  Prgrmg eval implantable dfb                       A   1.25   1.84     1.84NA  0.05   3.14  3.141XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93284TCPrgrmg eval implantable dfb                       A   0.00   1.36     1.36NA  0.01   1.37  1.371XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328426Prgrmg eval implantable dfb                       A   1.25   0.48     0.48    0.04   1.77  1.771XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93285  Prgrmg dev eval scrms ip                          A   0.52   1.24     1.24NA  0.03   1.79  1.791XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93285TCPrgrmg dev eval scrms ip                          A   0.00   1.04     1.04NA  0.01   1.05  1.051XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328526Prgrmg dev eval scrms ip                          A   0.52   0.20     0.20    0.02   0.74  0.741XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93286  Peri-px eval pm/ldls pm ip                        A   0.30   1.03     1.03NA  0.02   1.35  1.351XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93286TCPeri-px eval pm/ldls pm ip                        A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328626Peri-px eval pm/ldls pm ip                        A   0.30   0.12     0.12    0.01   0.43  0.431XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93287  Peri-px device eval & prgr                        A   0.45   1.09     1.09NA  0.02   1.56  1.561XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93287TCPeri-px device eval & prgr                        A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328726Peri-px device eval & prgr                        A   0.45   0.17     0.17    0.01   0.63  0.631XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93288  Interrog evl pm/ldls pm ip                        A   0.43   1.23     1.23NA  0.02   1.68  1.681XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93288TCInterrog evl pm/ldls pm ip                        A   0.00   1.07     1.07NA  0.01   1.08  1.081XXX.00.00.0060000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93289  Interrog device eval heart                        A   0.75   1.36     1.36NA  0.04   2.15  2.151XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93289TCInterrog device eval heart                        A   0.00   1.08     1.08NA  0.01   1.09  1.091XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9328926Interrog device eval heart                        A   0.75   0.28     0.28    0.03   1.06  1.061XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93290  Interrog dev eval icpms ip                        A   0.43   1.13     1.13NA  0.03   1.59  1.591XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93290TCInterrog dev eval icpms ip                        A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9329026Interrog dev eval icpms ip                        A   0.43   0.16     0.16    0.02   0.61  0.611XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93291  Interrog dev eval scrms ip                        A   0.37   1.07     1.07NA  0.02   1.46  1.461XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93291TCInterrog dev eval scrms ip                        A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.0060000             33.2875 020 99      0.00   0.00   0.00
9329126Interrog dev eval scrms ip                        A   0.37   0.14     0.14    0.01   0.52  0.521XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93292  Wcd device interrogate                            A   0.43   1.07     1.07NA  0.03   1.53  1.531XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93292TCWcd device interrogate                            A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.0060000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93293  Pm phone r-strip device eval                      A   0.31   0.99     0.99NA  0.02   1.32  1.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93293TCPm phone r-strip device eval                      A   0.00   0.89     0.89NA  0.01   0.90  0.901XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9329326Pm phone r-strip device eval                      A   0.31   0.10     0.10    0.01   0.42  0.421XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93294  Rem interrog evl pm/ldls pm                       A   0.60   0.23     0.23    0.04   0.87  0.872XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93295  Dev interrog remote 1/2/mlt                       A   0.74   0.29     0.29    0.05   1.08  1.082XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93296  Rem interrog evl pm/ids                           A   0.00   0.63     0.63NA  0.01   0.64  0.643XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
93297  Rem interrog dev eval icpms                       A   0.52   1.26     1.26NA  0.03   1.81  1.811XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93297TCRem interrog dev eval icpms                       A   0.00   1.07     1.07NA  0.01   1.08  1.081XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9329726Rem interrog dev eval icpms                       A   0.52   0.19     0.19    0.02   0.73  0.731XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93298  Rem interrog dev eval scrms                       A   0.52   2.49     2.49NA  0.04   3.05  3.051XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93298TCRem interrog dev eval scrms                       A   0.00   2.30     2.30NA  0.02   2.32  2.321XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9329826Rem interrog dev eval scrms                       A   0.52   0.19     0.19    0.02   0.73  0.731XXX.00.00.0000000             33.2875 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             33.2875 090 99     16.41  16.41   0.14
93303TCEcho transthoracic                                A   0.00   4.75     4.75NA  0.03   4.78  4.781XXX.00.00.0060000             33.2875 010 99     15.95  15.95   0.10
9330326Echo transthoracic                                A   1.30   0.46     0.46    0.04   1.80  1.801XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93304  Echo transthoracic                                A   0.75   3.86     3.86NA  0.05   4.66  4.661XXX.00.00.0060000             33.2875 090 99     16.23  16.23   0.12
93304TCEcho transthoracic                                A   0.00   3.59     3.59NA  0.02   3.61  3.611XXX.00.00.0060000             33.2875 010 99     15.96  15.96   0.09
9330426Echo transthoracic                                A   0.75   0.27     0.27    0.03   1.05  1.051XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93306  Tte w/doppler complete                            A   1.46   4.35     4.35NA  0.08   5.89  5.891XXX.00.00.0060000             33.2875 090 99     16.44  16.44   0.18
93306TCTte w/doppler complete                            A   0.00   3.84     3.84NA  0.03   3.87  3.871XXX.00.00.0060000             33.2875 010 99     15.93  15.93   0.13
9330626Tte w/doppler complete                            A   1.46   0.51     0.51    0.05   2.02  2.021XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93307  Tte w/o doppler complete                          A   0.92   3.12     3.12NA  0.05   4.09  4.091XXX.00.00.0060000             33.2875 090 99      7.40   7.40   0.08
93307TCTte w/o doppler complete                          A   0.00   2.80     2.80NA  0.02   2.82  2.821XXX.00.00.0060000             33.2875 010 99      7.08   7.08   0.05
9330726Tte w/o doppler complete                          A   0.92   0.32     0.32    0.03   1.27  1.271XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93308  Tte f-up or lmtd                                  A   0.53   2.39     2.39NA  0.04   2.96  2.961XXX.00.00.0060000             33.2875 090 99      7.25   7.25   0.08
93308TCTte f-up or lmtd                                  A   0.00   2.21     2.21NA  0.02   2.23  2.231XXX.00.00.0060000             33.2875 010 99      7.07   7.07   0.06
9330826Tte f-up or lmtd                                  A   0.53   0.18     0.18    0.02   0.73  0.731XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93312  Echo transesophageal                              A   2.30   4.65     4.65NA  0.11   7.06  7.061XXX.00.00.0060000             33.2875 090 99     16.66  16.66   0.20
93312TCEcho transesophageal                              A   0.00   3.92     3.92NA  0.03   3.95  3.951XXX.00.00.0060000             33.2875 030 99     15.93  15.93   0.12
9331226Echo transesophageal                              A   2.30   0.73     0.73    0.08   3.11  3.111XXX.00.00.0060000             33.2875 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             33.2875 030 99      0.00   0.00   0.00
93314  Echo transesophageal                              A   1.85   4.73     4.73NA  0.19   6.77  6.771XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93314TCEcho transesophageal                              A   0.00   4.14     4.14NA  0.03   4.17  4.171XXX.00.00.0060000             33.2875 030 99      0.00   0.00   0.00
9331426Echo transesophageal                              A   1.85   0.59     0.59    0.16   2.60  2.601XXX.00.00.0060000             33.2875 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             33.2875 090 99     16.95  16.95   0.10
93315TCEcho transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 030 99     16.04  16.04   0.01
9331526Echo transesophageal                              A   2.69   0.91     0.91    0.09   3.69  3.691XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93316  Echo transesophageal                              A   0.60   0.11NA   0.11    0.05   0.76  0.760XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9331726Echo transesophageal                              A   1.84   0.61     0.61    0.12   2.57  2.571XXX.00.00.0000000             33.2875 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             33.2875 090 99     16.74  16.74   0.13
93318TCEcho transesophageal intraop                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             33.2875 010 99     16.04  16.04   0.01
9331826Echo transesophageal intraop                      A   2.15   0.70     0.70    0.12   2.97  2.971XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93319  3d echo img cgen car anomal                       A   0.50   1.12     0.15    0.04   1.66  0.690ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93320  Doppler echo exam heart                           A   0.38   1.12     1.12NA  0.02   1.52  1.521ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93320TCDoppler echo exam heart                           A   0.00   0.99     0.99NA  0.01   1.00  1.001ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93350  Stress tte only                                   A   1.46   4.03     4.03NA  0.07   5.56  5.561XXX.00.00.0060000             33.2875 090 99     16.47  16.47   0.14
93350TCStress tte only                                   A   0.00   3.52     3.52NA  0.02   3.54  3.541XXX.00.00.0060000             33.2875 020 99     15.96  15.96   0.09
9335026Stress tte only                                   A   1.46   0.51     0.51    0.05   2.02  2.021XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93351  Stress tte complete                               A   1.75   5.11     5.11NA  0.10   6.96  6.961XXX.00.00.0060999             33.2875 090 99     16.52  16.52   0.20
93351TCStress tte complete                               A   0.00   4.50     4.50NA  0.04   4.54  4.541XXX.00.00.0060999             33.2875 020 99     15.91  15.91   0.14
9335126Stress tte complete                               A   1.75   0.61     0.61    0.06   2.42  2.421XXX.00.00.0060999             33.2875 090 99      0.00   0.00   0.00
93352  Admin ecg contrast agent                          A   0.19   0.83     0.83NA  0.02   1.04  1.040ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93355  Echo transesophageal (tee)                        A   4.66   1.59NA   1.59    0.33   6.58  6.580XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93356  Myocrd strain img spckl trck                      A   0.24   0.85     0.08    0.02   1.11  0.340ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93451  Right heart cath                                  A   2.47  22.57    22.57NA  0.46  25.50 25.501000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93451TCRight heart cath                                  A   0.00  21.66    21.66NA  0.03  21.69 21.691000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345126Right heart cath                                  A   2.47   0.91     0.91    0.43   3.81  3.811000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93452  Left hrt cath w/ventrclgrphy                      A   4.50  21.12    21.12NA  0.90  26.52 26.521000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93452TCLeft hrt cath w/ventrclgrphy                      A   0.00  19.58    19.58NA  0.05  19.63 19.631000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345226Left hrt cath w/ventrclgrphy                      A   4.50   1.54     1.54    0.85   6.89  6.891000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93453  R&l hrt cath w/ventriclgrphy                      A   5.99  26.66    26.66NA  1.19  33.84 33.841000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93453TCR&l hrt cath w/ventriclgrphy                      A   0.00  24.59    24.59NA  0.05  24.64 24.641000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345326R&l hrt cath w/ventriclgrphy                      A   5.99   2.07     2.07    1.14   9.20  9.201000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93454  Coronary artery angio s&i                         A   4.54  21.29    21.29NA  0.91  26.74 26.741000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93454TCCoronary artery angio s&i                         A   0.00  19.73    19.73NA  0.05  19.78 19.781000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345426Coronary artery angio s&i                         A   4.54   1.56     1.56    0.86   6.96  6.961000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93455  Coronary art/grft angio s&i                       A   5.29  23.44    23.44NA  1.06  29.79 29.791000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93455TCCoronary art/grft angio s&i                       A   0.00  21.63    21.63NA  0.05  21.68 21.681000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345526Coronary art/grft angio s&i                       A   5.29   1.81     1.81    1.01   8.11  8.111000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93456  R hrt coronary artery angio                       A   5.90  26.19    26.19NA  1.18  33.27 33.271000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93456TCR hrt coronary artery angio                       A   0.00  24.15    24.15NA  0.05  24.20 24.201000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345626R hrt coronary artery angio                       A   5.90   2.04     2.04    1.13   9.07  9.071000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93457  R hrt art/grft angio                              A   6.64  28.31    28.31NA  1.31  36.26 36.261000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93457TCR hrt art/grft angio                              A   0.00  26.02    26.02NA  0.06  26.08 26.081000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345726R hrt art/grft angio                              A   6.64   2.29     2.29    1.25  10.18 10.181000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93458  L hrt artery/ventricle angio                      A   5.60  24.04    24.04NA  1.12  30.76 30.761000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93458TCL hrt artery/ventricle angio                      A   0.00  22.12    22.12NA  0.05  22.17 22.171000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345826L hrt artery/ventricle angio                      A   5.60   1.92     1.92    1.07   8.59  8.591000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93459  L hrt art/grft angio                              A   6.35  25.47    25.47NA  1.27  33.09 33.091000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93459TCL hrt art/grft angio                              A   0.00  23.30    23.30NA  0.06  23.36 23.361000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9345926L hrt art/grft angio                              A   6.35   2.17     2.17    1.21   9.73  9.731000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93460  R&l hrt art/ventricle angio                       A   7.10  28.21    28.21NA  1.40  36.71 36.711000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93460TCR&l hrt art/ventricle angio                       A   0.00  25.77    25.77NA  0.06  25.83 25.831000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9346026R&l hrt art/ventricle angio                       A   7.10   2.44     2.44    1.34  10.88 10.881000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93461  R&l hrt art/ventricle angio                       A   7.85  31.09    31.09NA  1.56  40.50 40.501000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93461TCR&l hrt art/ventricle angio                       A   0.00  28.40    28.40NA  0.07  28.47 28.471000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9346126R&l hrt art/ventricle angio                       A   7.85   2.69     2.69    1.49  12.03 12.031000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93462  L hrt cath trnsptl puncture                       A   3.73   1.48     1.48    0.85   6.06  6.060ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93463  Drug admin & hemodynmic meas                      A   2.00   0.70     0.70    0.16   2.86  2.860ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93464  Exercise w/hemodynamic meas                       A   1.80   4.61     4.61NA  0.12   6.53  6.531ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93464TCExercise w/hemodynamic meas                       A   0.00   3.93     3.93NA  0.01   3.94  3.941ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9346426Exercise w/hemodynamic meas                       A   1.80   0.68     0.68    0.11   2.59  2.591ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93503  Insert/place heart catheter                       A   2.00   0.39NA   0.39    0.18   2.57  2.570000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93505  Biopsy of heart lining                            A   4.12  14.21    14.21NA  0.79  19.12 19.121000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93505TCBiopsy of heart lining                            A   0.00  12.47    12.47NA  0.02  12.49 12.491000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9350526Biopsy of heart lining                            A   4.12   1.74     1.74    0.77   6.63  6.631000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93563  Njx cgen car cth slctv c ang                      A   1.00   0.35     0.35    0.16   1.51  1.510ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93564  Njx cgen car cath slctv opac                      A   1.03   0.35     0.35    0.24   1.62  1.620ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93565  Njx car cth slctv lv/la ang                       A   0.50   0.17     0.17    0.12   0.79  0.790ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93566  Njx car cth slctv rv/ra ang                       A   0.50   0.17     0.17    0.09   0.76  0.760ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93567  Njx car cth sprvlv aortgrphy                      A   0.70   0.24     0.24    0.16   1.10  1.100ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93568  Njx car cth nslc p-art angrp                      A   0.88   0.30     0.30    0.18   1.36  1.360ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93569  Njx cth slct p-art angrp uni                      A   0.78   0.27     0.27    0.06   1.11  1.110ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9357126Heart flow reserve measure                        A   1.38   0.47     0.47    0.25   2.10  2.101ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9357226Heart flow reserve measure                        A   1.00   0.34     0.34    0.19   1.53  1.531ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93573  Njx cath slct p-art angrp bi                      A   1.30   0.45     0.45    0.09   1.84  1.840ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93574  Njx cath slct pulm vn angrph                      A   1.44   0.50     0.50    0.11   2.05  2.050ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93575  Njx cath slct p angrph mapca                      A   1.92   0.66     0.66    0.14   2.72  2.720ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93580  Transcath closure of asd                          A  17.97   6.51NA   6.51    4.04  28.52 28.520000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93581  Transcath closure of vsd                          A  24.39   8.67NA   8.67    5.64  38.70 38.700000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93582  Perq transcath closure pda                        A  12.31   4.18NA   4.18    2.83  19.32 19.320000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93583  Perq transcath septal reduxn                      A  13.75   4.77NA   4.77    3.16  21.68 21.680000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93584  Vngrph chd anom/persist svc                       A   1.20   0.43NA   0.43    0.10   1.73  1.730ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93585  Vngrph chd azygs/hemiazygs                        A   1.13   0.40NA   0.40    0.10   1.63  1.630ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93586  Vngrph chd coronary sinus                         A   1.43   0.51NA   0.51    0.12   2.06  2.060ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93587  Vngrph chd vnvn cltrl at/abv                      A   2.11   0.75NA   0.75    0.18   3.04  3.040ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93588  Vngrph chd vnvn cltrl below                       A   2.13   0.76NA   0.76    0.18   3.07  3.070ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93590  Perq transcath cls mitral                         A  21.70   7.80NA   7.80    1.76  31.26 31.260000.00.00.0020210             33.2875 090 99      0.00   0.00   0.00
93591  Perq transcath cls aortic                         A  17.97   6.39NA   6.39    1.34  25.70 25.700000.00.00.0020021             33.2875 090 99      0.00   0.00   0.00
93592  Perq transcath closure each                       A   8.00   2.72NA   2.72    0.54  11.26 11.260ZZZ.00.00.0000210             33.2875 090 99      0.00   0.00   0.00
93593  R hrt cath chd nml nt cnj                         C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93593TCR hrt cath chd nml nt cnj                         C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9359326R hrt cath chd nml nt cnj                         A   3.99   1.38     1.38    0.14   5.51  5.511000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93594  R hrt cath chd abnl nt cnj                        C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93594TCR hrt cath chd abnl nt cnj                        C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9359426R hrt cath chd abnl nt cnj                        A   6.10   2.05     2.05    0.22   8.37  8.371000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93595  L hrt cath chd nm/abn nt cnj                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93595TCL hrt cath chd nm/abn nt cnj                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9359526L hrt cath chd nm/abn nt cnj                      A   5.50   1.92     1.92    0.17   7.59  7.591000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93596  R&l hrt cath chd nml nt cnj                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93596TCR&l hrt cath chd nml nt cnj                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9359626R&l hrt cath chd nml nt cnj                       A   6.84   2.39     2.39    0.21   9.44  9.441000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93597  R&l hrt cath chd abnl nt cnj                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93597TCR&l hrt cath chd abnl nt cnj                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9359726R&l hrt cath chd abnl nt cnj                      A   8.88   3.15     3.15    0.30  12.33 12.331000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93598  Car outp meas drg cath chd                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93598TCCar outp meas drg cath chd                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9359826Car outp meas drg cath chd                        A   1.44   0.46     0.46    0.05   1.95  1.951ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9360026Bundle of his recording                           A   2.12   0.86     0.86    0.40   3.38  3.381000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9360226Intra-atrial recording                            A   2.12   0.82     0.82    0.38   3.32  3.321000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9360326Right ventricular recording                       A   2.12   0.82     0.82    0.38   3.32  3.321000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9360926Map tachycardia add-on                            A   4.99   2.00     2.00    0.94   7.93  7.931ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9361026Intra-atrial pacing                               A   3.02   1.13     1.13    0.54   4.69  4.691000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9361226Intraventricular pacing                           A   3.02   1.09     1.09    0.51   4.62  4.621000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93613  Electrophys map 3d add-on                         A   5.23   2.08NA   2.08    1.21   8.52  8.520ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9361526Esophageal recording                              A   0.74   0.29     0.29    0.02   1.05  1.051000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9361626Esophageal recording                              A   1.24   0.42     0.42    0.04   1.70  1.701000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9361826Heart rhythm pacing                               A   4.00   1.53     1.53    0.74   6.27  6.271000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9361926Electrophysiology evaluation                      A   7.06   2.81     2.81    1.33  11.20 11.201000.00.00.0020000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9362026Electrophysiology evaluation                      A  11.32   4.50     4.50    2.15  17.97 17.971000.00.00.0020000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9362126Electrophysiology evaluation                      A   1.50   0.60     0.60    0.29   2.39  2.391ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9362226Electrophysiology evaluation                      A   3.10   1.24     1.24    0.59   4.93  4.931ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9362326Stimulation pacing heart                          A   0.98   0.81     0.81    0.19   1.98  1.981ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9362426Electrophysiologic study                          A   4.55   1.54     1.54    0.88   6.97  6.971000.00.00.0020000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9363126Heart pacing mapping                              A   7.59   2.36     2.36    1.54  11.49 11.491000.00.00.0000000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9364026Evaluation heart device                           A   3.26   1.26     1.26    0.61   5.13  5.131000.00.00.0020000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9364126Electrophysiology evaluation                      A   5.67   2.20     2.20    1.10   8.97  8.971000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93642  Electrophysiology evaluation                      A   4.63   4.22     4.22NA  0.92   9.77  9.771000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93642TCElectrophysiology evaluation                      A   0.00   2.42     2.42NA  0.03   2.45  2.451000.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9364226Electrophysiology evaluation                      A   4.63   1.80     1.80    0.89   7.32  7.321000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93644  Electrophysiology evaluation                      A   3.04   2.55     2.55NA  0.10   5.69  5.691000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93644TCElectrophysiology evaluation                      A   0.00   1.51     1.51NA  0.01   1.52  1.521000.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93650  Ablate heart dysrhythm focus                      A  10.24   4.44NA   4.44    2.32  17.00 17.000000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93653  Compre ep eval tx svt                             A  15.00   6.00NA   6.00    3.42  24.42 24.420000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93654  Compre ep eval tx vt                              A  18.10   7.20NA   7.20    4.12  29.42 29.420000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93655  Icar cath abltj dscrt arrhyt                      A   5.50   2.20NA   2.20    1.25   8.95  8.950ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93656  Compre ep eval abltj atr fib                      A  17.00   6.82NA   6.82    3.87  27.69 27.690000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93657  Tx l/r atrial fib addl                            A   5.50   2.21NA   2.21    1.25   8.96  8.960ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93660  Tilt table evaluation                             A   1.89   2.88     2.88NA  0.09   4.86  4.861000.00.00.0020000             33.2875 090 99      0.00   0.00   0.00
93660TCTilt table evaluation                             A   0.00   2.16     2.16NA  0.03   2.19  2.191000.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9366226Intracardiac ecg (ice)                            A   1.44   0.57     0.57    0.04   2.05  2.051ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93668  Peripheral vascular rehab                         A   0.00   0.43     0.43NA  0.01   0.44  0.443XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93701  Bioimpedance cv analysis                          A   0.00   0.80     0.80NA  0.01   0.81  0.813XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93702  Bis xtracell fluid analysis                       A   0.00   3.65     3.65NA  0.02   3.67  3.673XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93724  Analyze pacemaker system                          A   4.88   3.24     3.24NA  0.16   8.28  8.281000.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93724TCAnalyze pacemaker system                          A   0.00   1.38     1.38NA  0.01   1.39  1.391000.00.00.0060000             33.2875 030 99      0.00   0.00   0.00
9372426Analyze pacemaker system                          A   4.88   1.86     1.86    0.15   6.89  6.891000.00.00.0060000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93750  Interrogation vad in person                       A   0.75   0.65     0.31    0.12   1.52  1.180XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93784  Ambl bp mntr w/software                           A   0.38   0.97     0.97NA  0.03   1.38  1.384XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93786  Ambl bp mntr w/sw rec only                        A   0.00   0.67     0.67NA  0.01   0.68  0.683XXX.00.00.0060000             33.2875 010 99      0.00   0.00   0.00
93788  Ambl bp mntr w/sw a/r                             A   0.00   0.16     0.16NA  0.01   0.17  0.173XXX.00.00.0060000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
93792  Pt/caregiver traing home inr                      A   0.00   2.08     2.08NA  0.03   2.11  2.113XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
93793  Anticoag mgmt pt warfarin                         A   0.18   0.15     0.15NA  0.01   0.34  0.342XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93797  Cardiac rehab                                     A   0.18   0.32     0.07    0.01   0.51  0.260000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93798  Cardiac rehab/monitor                             A   0.28   0.47     0.10    0.02   0.77  0.400000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93799  Unlisted cv svc/procedure                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93799TCUnlisted cv svc/procedure                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9379926Unlisted cv svc/procedure                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
93880  Extracranial bilat study                          A   0.80   4.80     4.80NA  0.10   5.70  5.701XXX.00.00.0062000             33.2875 090 99      7.33   7.33   0.12
93880TCExtracranial bilat study                          A   0.00   4.55     4.55NA  0.03   4.58  4.581XXX.00.00.0062000             33.2875 010 99      7.08   7.08   0.05
9388026Extracranial bilat study                          A   0.80   0.25     0.25    0.07   1.12  1.121XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93882  Extracranial uni/ltd study                        A   0.50   3.16     3.16NA  0.08   3.74  3.741XXX.00.00.0060000             33.2875 090 99      3.32   3.32   0.08
93882TCExtracranial uni/ltd study                        A   0.00   3.02     3.02NA  0.02   3.04  3.041XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9388226Extracranial uni/ltd study                        A   0.50   0.14     0.14    0.06   0.70  0.701XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93886  Intracranial complete study                       A   0.91   7.24     7.24NA  0.08   8.23  8.231XXX.00.00.0060000             33.2875 090 99      7.50   7.50   0.08
93886TCIntracranial complete study                       A   0.00   6.84     6.84NA  0.03   6.87  6.871XXX.00.00.0060000             33.2875 010 99      7.10   7.10   0.03
9388626Intracranial complete study                       A   0.91   0.40     0.40    0.05   1.36  1.361XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93888  Intracranial limited study                        A   0.50   4.24     4.24NA  0.05   4.79  4.791XXX.00.00.0060000             33.2875 090 99      3.38   3.38   0.05
93888TCIntracranial limited study                        A   0.00   4.04     4.04NA  0.02   4.06  4.061XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9388826Intracranial limited study                        A   0.50   0.20     0.20    0.03   0.73  0.731XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93890  Tcd vasoreactivity study                          A   1.00   7.44     7.44NA  0.08   8.52  8.521XXX.00.00.0060000             33.2875 090 99      7.55   7.55   0.08
93890TCTcd vasoreactivity study                          A   0.00   6.99     6.99NA  0.03   7.02  7.021XXX.00.00.0060000             33.2875 010 99      7.10   7.10   0.03
9389026Tcd vasoreactivity study                          A   1.00   0.45     0.45    0.05   1.50  1.501XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93892  Tcd emboli detect w/o inj                         A   1.15   8.57     8.57NA  0.10   9.82  9.821XXX.00.00.0060000             33.2875 090 99      3.71   3.71   0.08
93892TCTcd emboli detect w/o inj                         A   0.00   8.04     8.04NA  0.04   8.08  8.081XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9389226Tcd emboli detect w/o inj                         A   1.15   0.53     0.53    0.06   1.74  1.741XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93893  Tcd emboli detect w/inj                           A   1.15  10.82    10.82NA  0.12  12.09 12.091XXX.00.00.0060000             33.2875 090 99      3.72   3.72   0.09
93893TCTcd emboli detect w/inj                           A   0.00  10.29    10.29NA  0.04  10.33 10.331XXX.00.00.0060000             33.2875 010 99      3.19   3.19   0.01
9389326Tcd emboli detect w/inj                           A   1.15   0.53     0.53    0.08   1.76  1.761XXX.00.00.0060000             33.2875 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             33.2875 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             33.2875 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             33.2875 010 99      0.00   0.00   0.00
93922  Upr/l xtremity art 2 levels                       A   0.25   2.17     2.17NA  0.05   2.47  2.471XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93922TCUpr/l xtremity art 2 levels                       A   0.00   2.10     2.10NA  0.02   2.12  2.121XXX.00.00.0062000             33.2875 010 99      0.00   0.00   0.00
9392226Upr/l xtremity art 2 levels                       A   0.25   0.07     0.07    0.03   0.35  0.351XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93923  Upr/lxtr art stdy 3+ lvls                         A   0.45   3.37     3.37NA  0.09   3.91  3.911XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93923TCUpr/lxtr art stdy 3+ lvls                         A   0.00   3.24     3.24NA  0.03   3.27  3.271XXX.00.00.0062000             33.2875 010 99      0.00   0.00   0.00
9392326Upr/lxtr art stdy 3+ lvls                         A   0.45   0.13     0.13    0.06   0.64  0.641XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93924  Lwr xtr vasc stdy bilat                           A   0.50   4.21     4.21NA  0.09   4.80  4.801XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93924TCLwr xtr vasc stdy bilat                           A   0.00   4.07     4.07NA  0.03   4.10  4.101XXX.00.00.0062000             33.2875 010 99      0.00   0.00   0.00
9392426Lwr xtr vasc stdy bilat                           A   0.50   0.14     0.14    0.06   0.70  0.701XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93925  Lower extremity study                             A   0.80   6.30     6.30NA  0.11   7.21  7.211XXX.00.00.0062000             33.2875 090 99      7.32   7.32   0.12
93925TCLower extremity study                             A   0.00   6.06     6.06NA  0.04   6.10  6.101XXX.00.00.0062000             33.2875 010 99      7.08   7.08   0.05
9392526Lower extremity study                             A   0.80   0.24     0.24    0.07   1.11  1.111XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93926  Lower extremity study                             A   0.50   3.74     3.74NA  0.08   4.32  4.321XXX.00.00.0060000             33.2875 090 99      3.30   3.30   0.08
93926TCLower extremity study                             A   0.00   3.61     3.61NA  0.03   3.64  3.641XXX.00.00.0060000             33.2875 010 99      3.17   3.17   0.03
9392626Lower extremity study                             A   0.50   0.13     0.13    0.05   0.68  0.681XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93930  Upper extremity study                             A   0.80   5.03     5.03NA  0.11   5.94  5.941XXX.00.00.0062000             33.2875 090 99      7.33   7.33   0.12
93930TCUpper extremity study                             A   0.00   4.79     4.79NA  0.03   4.82  4.821XXX.00.00.0062000             33.2875 010 99      7.09   7.09   0.04
9393026Upper extremity study                             A   0.80   0.24     0.24    0.08   1.12  1.121XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93931  Upper extremity study                             A   0.50   3.14     3.14NA  0.07   3.71  3.711XXX.00.00.0060000             33.2875 090 99      3.32   3.32   0.07
93931TCUpper extremity study                             A   0.00   3.00     3.00NA  0.02   3.02  3.021XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9393126Upper extremity study                             A   0.50   0.14     0.14    0.05   0.69  0.691XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93970  Extremity study                                   A   0.70   4.82     4.82NA  0.09   5.61  5.611XXX.00.00.0062000             33.2875 090 99      7.29   7.29   0.11
93970TCExtremity study                                   A   0.00   4.61     4.61NA  0.03   4.64  4.641XXX.00.00.0062000             33.2875 010 99      7.08   7.08   0.05
9397026Extremity study                                   A   0.70   0.21     0.21    0.06   0.97  0.971XXX.00.00.0062000             33.2875 090 99      0.00   0.00   0.00
93971  Extremity study                                   A   0.45   3.07     3.07NA  0.05   3.57  3.571XXX.00.00.0060000             33.2875 090 99      3.32   3.32   0.05
93971TCExtremity study                                   A   0.00   2.93     2.93NA  0.02   2.95  2.951XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9397126Extremity study                                   A   0.45   0.14     0.14    0.03   0.62  0.621XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93975  Vascular study                                    A   1.16   6.64     6.64NA  0.13   7.93  7.931XXX.00.00.0060000             33.2875 090 99      7.45   7.45   0.14
93975TCVascular study                                    A   0.00   6.27     6.27NA  0.04   6.31  6.311XXX.00.00.0060000             33.2875 010 99      7.08   7.08   0.05
9397526Vascular study                                    A   1.16   0.37     0.37    0.09   1.62  1.621XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93976  Vascular study                                    A   0.80   3.89     3.89NA  0.07   4.76  4.761XXX.00.00.0060000             33.2875 090 99      3.45   3.45   0.07
93976TCVascular study                                    A   0.00   3.62     3.62NA  0.02   3.64  3.641XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9397626Vascular study                                    A   0.80   0.27     0.27    0.05   1.12  1.121XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93978  Vascular study                                    A   0.80   4.48     4.48NA  0.13   5.41  5.411XXX.00.00.0060000             33.2875 090 99      7.30   7.30   0.15
93978TCVascular study                                    A   0.00   4.26     4.26NA  0.03   4.29  4.291XXX.00.00.0060000             33.2875 010 99      7.08   7.08   0.05
9397826Vascular study                                    A   0.80   0.22     0.22    0.10   1.12  1.121XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93979  Vascular study                                    A   0.50   2.96     2.96NA  0.08   3.54  3.541XXX.00.00.0060000             33.2875 090 99      3.32   3.32   0.08
93979TCVascular study                                    A   0.00   2.82     2.82NA  0.02   2.84  2.841XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9397926Vascular study                                    A   0.50   0.14     0.14    0.06   0.70  0.701XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93980  Penile vascular study                             A   1.25   2.20     2.20NA  0.06   3.51  3.511XXX.00.00.0060000             33.2875 090 99      3.64   3.64   0.07
93980TCPenile vascular study                             A   0.00   1.74     1.74NA  0.01   1.75  1.751XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9398026Penile vascular study                             A   1.25   0.46     0.46    0.05   1.76  1.761XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93981  Penile vascular study                             A   0.44   1.64     1.64NA  0.04   2.12  2.121XXX.00.00.0060000             33.2875 090 99      3.33   3.33   0.05
93981TCPenile vascular study                             A   0.00   1.49     1.49NA  0.01   1.50  1.501XXX.00.00.0060000             33.2875 010 99      3.18   3.18   0.02
9398126Penile vascular study                             A   0.44   0.15     0.15    0.03   0.62  0.621XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93985  Dup-scan hemo compl bi std                        A   0.80   6.47     6.47NA  0.16   7.43  7.431XXX.00.00.0062000             33.2875 090 99      7.27   7.27   0.17
93985TCDup-scan hemo compl bi std                        A   0.00   6.28     6.28NA  0.04   6.32  6.321XXX.00.00.0062000             33.2875 010 99      7.08   7.08   0.05
9398526Dup-scan hemo compl bi std                        A   0.80   0.19     0.19    0.12   1.11  1.111XXX.00.00.0062000             33.2875 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             33.2875 090 99      3.29   3.29   0.10
93986TCDup-scan hemo compl uni std                       A   0.00   3.65     3.65NA  0.03   3.68  3.681XXX.00.00.0060000             33.2875 010 99      3.17   3.17   0.03
9398626Dup-scan hemo compl uni std                       A   0.50   0.12     0.12    0.07   0.69  0.691XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93990  Doppler flow testing                              A   0.50   3.80     3.80NA  0.11   4.41  4.411XXX.00.00.0060000             33.2875 090 99      3.28   3.28   0.11
93990TCDoppler flow testing                              A   0.00   3.69     3.69NA  0.03   3.72  3.721XXX.00.00.0060000             33.2875 010 99      3.17   3.17   0.03
9399026Doppler flow testing                              A   0.50   0.11     0.11    0.08   0.69  0.691XXX.00.00.0060000             33.2875 090 99      0.00   0.00   0.00
93998  Unlistd noninvas vasc dx std                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000011             33.2875 090 99      0.00   0.00   0.00
94002  Vent mgmt inpat init day                          A   1.99   0.55NA   0.55    0.16   2.70  2.700XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94004  Vent mgmt nf per day                              A   1.00   0.33NA   0.33    0.08   1.41  1.410XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94005  Home vent mgmt supervision                        B+  1.50   1.11     1.11NA  0.09   2.70  2.709XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
94010  Breathing capacity test                           A   0.17   0.63     0.63NA  0.02   0.82  0.821XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94010TCBreathing capacity test                           A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94011  Spirometry up to 2 yrs old                        A   1.75   0.64NA   0.64    0.12   2.51  2.510XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94012  Spirmtry w/brnchdil inf-2 yr                      A   2.85   1.05NA   1.05    0.20   4.10  4.100XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94014  Patient recorded spirometry                       A   0.52   1.13     1.13NA  0.03   1.68  1.684XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
94015  Patient recorded spirometry                       A   0.00   0.95     0.95NA  0.01   0.96  0.963XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94060  Evaluation of wheezing                            A   0.22   0.93     0.93NA  0.02   1.17  1.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94060TCEvaluation of wheezing                            A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9406026Evaluation of wheezing                            A   0.22   0.07     0.07    0.01   0.30  0.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94070  Evaluation of wheezing                            A   0.60   1.25     1.25NA  0.04   1.89  1.891XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94070TCEvaluation of wheezing                            A   0.00   1.06     1.06NA  0.02   1.08  1.081XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94150  Vital capacity test                               B+  0.07   0.67     0.67NA  0.02   0.76  0.761XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
94150TCVital capacity test                               B+  0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0099999             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94200  Lung function test (mbc/mvv)                      A   0.05   0.38     0.38NA  0.02   0.45  0.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94200TCLung function test (mbc/mvv)                      A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9420026Lung function test (mbc/mvv)                      A   0.05   0.02     0.02    0.01   0.08  0.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94375  Respiratory flow volume loop                      A   0.31   0.84     0.84NA  0.02   1.17  1.171XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94375TCRespiratory flow volume loop                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94450  Hypoxia response curve                            A   0.40   1.96     1.96NA  0.03   2.39  2.391XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94450TCHypoxia response curve                            A   0.00   1.80     1.80NA  0.02   1.82  1.821XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9445026Hypoxia response curve                            A   0.40   0.16     0.16    0.01   0.57  0.571XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94452  Hast w/report                                     A   0.31   1.18     1.18NA  0.02   1.51  1.511XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94452TCHast w/report                                     A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94453  Hast w/oxygen titrate                             A   0.40   1.57     1.57NA  0.04   2.01  2.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94453TCHast w/oxygen titrate                             A   0.00   1.45     1.45NA  0.02   1.47  1.471XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94610  Surfactant admin thru tube                        A   1.16   0.43NA   0.43    0.08   1.67  1.670XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94617  Exercise tst brncspsm w/ecg                       A   0.70   1.93     1.93NA  0.04   2.67  2.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94617TCExercise tst brncspsm w/ecg                       A   0.00   1.71     1.71NA  0.03   1.74  1.741XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9461726Exercise tst brncspsm w/ecg                       A   0.70   0.22     0.22    0.01   0.93  0.931XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94618  Pulmonary stress testing                          A   0.48   0.51     0.51NA  0.03   1.02  1.021XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94618TCPulmonary stress testing                          A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94619  Exercise tst brncspsm wo ecg                      A   0.49   1.43     1.43NA  0.03   1.95  1.951XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94619TCExercise tst brncspsm wo ecg                      A   0.00   1.30     1.30NA  0.02   1.32  1.321XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9461926Exercise tst brncspsm wo ecg                      A   0.49   0.13     0.13    0.01   0.63  0.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94621  Cardiopulm exercise testing                       A   1.42   3.11     3.11NA  0.11   4.64  4.641XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94621TCCardiopulm exercise testing                       A   0.00   2.62     2.62NA  0.03   2.65  2.651XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94625  Phy/qhp op pulm rhb w/o mntr                      A   0.36   1.82     0.15    0.04   2.22  0.550XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94626  Phy/qhp op pulm rhb w/mntr                        A   0.56   1.80     0.20    0.05   2.41  0.810XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94640  Airway inhalation treatment                       A   0.00   0.23     0.23NA  0.01   0.24  0.245XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94644  Cbt 1st hour                                      A   0.00   1.77     1.77NA  0.02   1.79  1.795XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94645  Cbt each addl hour                                A   0.00   0.48     0.48NA  0.01   0.49  0.495XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94660  Pos airway pressure cpap                          A   0.76   1.12     0.28    0.06   1.94  1.100XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94664  Evaluate pt use of inhaler                        A   0.00   0.52     0.52NA  0.02   0.54  0.545XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
94667  Chest wall manipulation                           A   0.00   0.73     0.73NA  0.02   0.75  0.755XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94668  Chest wall manipulation                           A   0.00   1.15     1.15NA  0.03   1.18  1.185XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94669  Mechanical chest wall oscill                      A   0.00   0.60     0.60NA  0.02   0.62  0.625XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94680  Exhaled air analysis o2                           A   0.26   1.32     1.32NA  0.04   1.62  1.621XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94680TCExhaled air analysis o2                           A   0.00   1.23     1.23NA  0.02   1.25  1.251XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9468026Exhaled air analysis o2                           A   0.26   0.09     0.09    0.02   0.37  0.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94681  Exhaled air analysis o2/co2                       A   0.20   1.21     1.21NA  0.03   1.44  1.441XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94681TCExhaled air analysis o2/co2                       A   0.00   1.14     1.14NA  0.02   1.16  1.161XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9468126Exhaled air analysis o2/co2                       A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94690  Exhaled air analysis                              A   0.07   1.37     1.37NA  0.02   1.46  1.461XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94690TCExhaled air analysis                              A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94726  Pulm funct tst plethysmograp                      A   0.26   1.39     1.39NA  0.03   1.68  1.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94726TCPulm funct tst plethysmograp                      A   0.00   1.31     1.31NA  0.02   1.33  1.331XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94727  Pulm function test by gas                         A   0.26   1.06     1.06NA  0.02   1.34  1.341XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94727TCPulm function test by gas                         A   0.00   0.98     0.98NA  0.01   0.99  0.991XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94728  Airwy resist by oscillometry                      A   0.26   1.05     1.05NA  0.02   1.33  1.331XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94728TCAirwy resist by oscillometry                      A   0.00   0.96     0.96NA  0.01   0.97  0.971XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94729  Co/membane diffuse capacity                       A   0.19   1.49     1.49NA  0.02   1.70  1.701ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94729TCCo/membane diffuse capacity                       A   0.00   1.43     1.43NA  0.01   1.44  1.441ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94760  Measure blood oxygen level                        T   0.00   0.07     0.07NA  0.01   0.08  0.083XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
94761  Measure blood oxygen level                        T   0.00   0.11     0.11NA  0.01   0.12  0.123XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
94762  Measure blood oxygen level                        A   0.00   0.75     0.75NA  0.01   0.76  0.763XXX.00.00.0000000             33.2875 010 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
94780  Cars/bd tst inft-12mo 60 min                      A   0.48   1.09     0.18    0.03   1.60  0.690XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
94781  Cars/bd tst inft-12mo +30min                      A   0.17   0.46     0.06    0.01   0.64  0.240ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
94799  Unlisted pulmonary svc/px                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
94799TCUnlisted pulmonary svc/px                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9479926Unlisted pulmonary svc/px                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95004  Percut allergy skin tests                         A   0.01   0.09     0.09NA  0.01   0.11  0.110XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
95012  Exhaled nitric oxide meas                         A   0.00   0.56     0.56NA  0.01   0.57  0.575XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95017  Perq & icut allg test venoms                      A   0.07   0.18     0.03    0.01   0.26  0.110XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95018  Perq&ic allg test drugs/biol                      A   0.14   0.45     0.06    0.01   0.60  0.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95024  Icut allergy test drug/bug                        A   0.01   0.22     0.01    0.01   0.24  0.030XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
95027  Icut allergy titrate-airborn                      A   0.01   0.13     0.13NA  0.01   0.15  0.150XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
95028  Icut allergy test-delayed                         A   0.00   0.37     0.37NA  0.01   0.38  0.383XXX.00.00.0000000             33.2875 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             33.2875 020 99      0.00   0.00   0.00
95052  Photo patch test                                  A   0.00   0.18     0.18NA  0.01   0.19  0.195XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
95056  Photosensitivity tests                            A   0.00   1.55     1.55NA  0.02   1.57  1.575XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
95060  Eye allergy tests                                 A   0.00   1.17     1.17NA  0.01   1.18  1.183XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
95065  Nose allergy test                                 A   0.00   0.86     0.86NA  0.01   0.87  0.873XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
95070  Bronchial allergy tests                           A   0.00   1.03     1.03NA  0.02   1.05  1.053XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
95076  Ingest challenge ini 120 min                      A   1.50   2.14     0.62    0.06   3.70  2.180XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95079  Ingest challenge addl 60 min                      A   1.38   1.12     0.57    0.06   2.56  2.010ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95115  Immunotherapy one injection                       A   0.00   0.30     0.30NA  0.01   0.31  0.315XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95117  Immunotherapy injections                          A   0.00   0.36     0.36NA  0.01   0.37  0.375XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
95144  Antigen therapy services                          A   0.06   0.43     0.03    0.01   0.50  0.100XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95145  Antigen therapy services                          A   0.06   1.02     0.02    0.01   1.09  0.090XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95146  Antigen therapy services                          A   0.06   1.96     0.02    0.01   2.03  0.090XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95147  Antigen therapy services                          A   0.06   1.88     0.02    0.01   1.95  0.090XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95148  Antigen therapy services                          A   0.06   2.83     0.02    0.01   2.90  0.090XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95149  Antigen therapy services                          A   0.06   3.79     0.02    0.01   3.86  0.090XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95165  Antigen therapy services                          A   0.06   0.37     0.03    0.01   0.44  0.100XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95170  Antigen therapy services                          A   0.06   0.26     0.02    0.01   0.33  0.090XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95180  Rapid desensitization                             A   2.01   2.06     0.94    0.08   4.15  3.030XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95199  Unlisted all/immlg svc/px                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95249  Cont gluc mntr pt prov eqp                        A   0.00   1.92     1.92NA  0.04   1.96  1.963XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95250  Cont gluc mntr phys/qhp eqp                       A   0.00   4.39     4.39NA  0.04   4.43  4.433XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95251  Cont gluc mntr analysis i&r                       A   0.70   0.29     0.29    0.04   1.03  1.032XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 010 99      0.00   0.00   0.00
95717  Eeg phys/qhp 2-12 hr w/o vid                      A   2.00   1.02     0.97    0.16   3.18  3.130XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95718  Eeg phys/qhp 2-12 hr w/veeg                       A   2.50   1.33     1.26    0.21   4.04  3.970XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95719  Eeg phys/qhp ea incr w/o vid                      A   3.00   1.58     1.50    0.24   4.82  4.740XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95720  Eeg phy/qhp ea incr w/veeg                        A   3.86   2.04     1.93    0.32   6.22  6.110XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95721  Eeg phy/qhp>36<60 hr w/o vid                      A   3.86   2.05     1.93    0.31   6.22  6.100XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95722  Eeg phy/qhp>36<60 hr w/veeg                       A   4.70   2.45     2.31    0.39   7.54  7.400XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95723  Eeg phy/qhp>60<84 hr w/o vid                      A   4.75   2.43     2.29    0.36   7.54  7.400XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95724  Eeg phy/qhp>60<84 hr w/veeg                       A   6.00   3.03     2.86    0.45   9.48  9.310XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95725  Eeg phy/qhp>84 hr w/o vid                         A   5.40   2.92     2.71    0.43   8.75  8.540XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95726  Eeg phy/qhp>84 hr w/veeg                          A   7.58   3.99     3.75    0.60  12.17 11.930XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95782  Polysom <6 yrs 4/> paramtrs                       A   2.60  26.44    26.44NA  0.34  29.38 29.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95782TCPolysom <6 yrs 4/> paramtrs                       A   0.00  25.49    25.49NA  0.26  25.75 25.751XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9578226Polysom <6 yrs 4/> paramtrs                       A   2.60   0.95     0.95    0.08   3.63  3.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95783  Polysom <6 yrs cpap/bilvl                         A   2.83  27.94    27.94NA  0.38  31.15 31.151XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95783TCPolysom <6 yrs cpap/bilvl                         A   0.00  26.90    26.90NA  0.29  27.19 27.191XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9578326Polysom <6 yrs cpap/bilvl                         A   2.83   1.04     1.04    0.09   3.96  3.961XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95800  Slp stdy unattended                               A   0.85   3.18     3.18NA  0.05   4.08  4.081XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95800TCSlp stdy unattended                               A   0.00   2.90     2.90NA  0.02   2.92  2.921XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9580026Slp stdy unattended                               A   0.85   0.28     0.28    0.03   1.16  1.161XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95801  Slp stdy unatnd w/anal                            A   0.85   2.02     2.02NA  0.05   2.92  2.921XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95801TCSlp stdy unatnd w/anal                            A   0.00   1.70     1.70NA  0.02   1.72  1.721XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9580126Slp stdy unatnd w/anal                            A   0.85   0.32     0.32    0.03   1.20  1.201XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95803  Actigraphy testing                                A   0.90   3.13     3.13NA  0.03   4.06  4.061XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95803TCActigraphy testing                                A   0.00   2.82     2.82NA  0.01   2.83  2.831XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9580326Actigraphy testing                                A   0.90   0.31     0.31    0.02   1.23  1.231XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95805  Multiple sleep latency test                       A   1.20  11.60    11.60NA  0.16  12.96 12.961XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95805TCMultiple sleep latency test                       A   0.00  11.16    11.16NA  0.12  11.28 11.281XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9580526Multiple sleep latency test                       A   1.20   0.44     0.44    0.04   1.68  1.681XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95806  Sleep study unatt&resp efft                       A   0.93   1.85     1.85NA  0.05   2.83  2.831XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95806TCSleep study unatt&resp efft                       A   0.00   1.52     1.52NA  0.02   1.54  1.541XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9580626Sleep study unatt&resp efft                       A   0.93   0.33     0.33    0.03   1.29  1.291XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95807  Sleep study attended                              A   1.28  10.86    10.86NA  0.16  12.30 12.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95807TCSleep study attended                              A   0.00  10.45    10.45NA  0.11  10.56 10.561XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9580726Sleep study attended                              A   1.28   0.41     0.41    0.05   1.74  1.741XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95808  Polysom any age 1-3> param                        A   1.74  13.44    13.44NA  0.19  15.37 15.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95808TCPolysom any age 1-3> param                        A   0.00  12.80    12.80NA  0.13  12.93 12.931XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9580826Polysom any age 1-3> param                        A   1.74   0.64     0.64    0.06   2.44  2.441XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95810  Polysom 6/> yrs 4/> param                         A   2.50  15.98    15.98NA  0.24  18.72 18.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95810TCPolysom 6/> yrs 4/> param                         A   0.00  15.10    15.10NA  0.15  15.25 15.251XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9581026Polysom 6/> yrs 4/> param                         A   2.50   0.88     0.88    0.09   3.47  3.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95811  Polysom 6/>yrs cpap 4/> parm                      A   2.60  16.71    16.71NA  0.26  19.57 19.571XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95811TCPolysom 6/>yrs cpap 4/> parm                      A   0.00  15.80    15.80NA  0.16  15.96 15.961XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9581126Polysom 6/>yrs cpap 4/> parm                      A   2.60   0.91     0.91    0.10   3.61  3.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95812  Eeg 41-60 minutes                                 A   1.08   9.35     9.35NA  0.09  10.52 10.521XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95812TCEeg 41-60 minutes                                 A   0.00   8.81     8.81NA  0.04   8.85  8.851XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9581226Eeg 41-60 minutes                                 A   1.08   0.54     0.54    0.05   1.67  1.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95813  Eeg extnd mntr 61-119 min                         A   1.63  11.55    11.55NA  0.12  13.30 13.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95813TCEeg extnd mntr 61-119 min                         A   0.00  10.73    10.73NA  0.05  10.78 10.781XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9581326Eeg extnd mntr 61-119 min                         A   1.63   0.82     0.82    0.07   2.52  2.521XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95816  Eeg awake and drowsy                              A   1.08  10.67    10.67NA  0.10  11.85 11.851XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95816TCEeg awake and drowsy                              A   0.00  10.13    10.13NA  0.05  10.18 10.181XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9581626Eeg awake and drowsy                              A   1.08   0.54     0.54    0.05   1.67  1.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95819  Eeg awake and asleep                              A   1.08  12.46    12.46NA  0.11  13.65 13.651XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95819TCEeg awake and asleep                              A   0.00  11.92    11.92NA  0.06  11.98 11.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9581926Eeg awake and asleep                              A   1.08   0.54     0.54    0.05   1.67  1.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95822  Eeg coma or sleep only                            A   1.08  11.22    11.22NA  0.10  12.40 12.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95822TCEeg coma or sleep only                            A   0.00  10.68    10.68NA  0.05  10.73 10.731XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9582226Eeg coma or sleep only                            A   1.08   0.54     0.54    0.05   1.67  1.671XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 010 99      0.00   0.00   0.00
9582426Eeg cerebral death only                           A   0.74   0.37     0.37    0.03   1.14  1.141XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95829  Surgery electrocorticogram                        A   6.20  46.43    46.43NA  0.46  53.09 53.091XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95829TCSurgery electrocorticogram                        A   0.00  43.32    43.32NA  0.10  43.42 43.421XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9582926Surgery electrocorticogram                        A   6.20   3.11     3.11    0.36   9.67  9.671XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95830  Insert electrodes for eeg                         A   1.70  18.78     0.87    0.14  20.62  2.710XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95836  Ecog impltd brn npgt <30 d                        A   1.98   0.99     0.99    0.16   3.13  3.130XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95851  Range of motion measurements                      A   0.16   0.48     0.06    0.01   0.65  0.230XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95852  Range of motion measurements                      A   0.11   0.42     0.04    0.01   0.54  0.160XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95857  Cholinesterase challenge                          A   0.53   1.34     0.27    0.04   1.91  0.840XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95860  Muscle test one limb                              A   0.96   2.36     2.36NA  0.05   3.37  3.371XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95860TCMuscle test one limb                              A   0.00   1.87     1.87NA  0.01   1.88  1.881XXX.00.00.0000000             33.2875 6A0 99      0.00   0.00   0.00
9586026Muscle test one limb                              A   0.96   0.49     0.49    0.04   1.49  1.491XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95861  Muscle test 2 limbs                               A   1.54   3.16     3.16NA  0.08   4.78  4.781XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95861TCMuscle test 2 limbs                               A   0.00   2.39     2.39NA  0.01   2.40  2.401XXX.00.00.0000000             33.2875 6A0 99      0.00   0.00   0.00
9586126Muscle test 2 limbs                               A   1.54   0.77     0.77    0.07   2.38  2.381XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95863  Muscle test 3 limbs                               A   1.87   4.25     4.25NA  0.09   6.21  6.211XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95863TCMuscle test 3 limbs                               A   0.00   3.30     3.30NA  0.01   3.31  3.311XXX.00.00.0000000             33.2875 6A0 99      0.00   0.00   0.00
9586326Muscle test 3 limbs                               A   1.87   0.95     0.95    0.08   2.90  2.901XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95864  Muscle test 4 limbs                               A   1.99   4.84     4.84NA  0.11   6.94  6.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95864TCMuscle test 4 limbs                               A   0.00   3.83     3.83NA  0.02   3.85  3.851XXX.00.00.0000000             33.2875 6A0 99      0.00   0.00   0.00
9586426Muscle test 4 limbs                               A   1.99   1.01     1.01    0.09   3.09  3.091XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95865  Muscle test larynx                                A   1.57   2.82     2.82NA  0.07   4.46  4.461XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95865TCMuscle test larynx                                A   0.00   2.03     2.03NA  0.01   2.04  2.041XXX.00.00.0002000             33.2875 6A0 99      0.00   0.00   0.00
9586526Muscle test larynx                                A   1.57   0.79     0.79    0.06   2.42  2.421XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95866  Muscle test hemidiaphragm                         A   1.25   2.36     2.36NA  0.06   3.67  3.671XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
95866TCMuscle test hemidiaphragm                         A   0.00   1.80     1.80NA  0.01   1.81  1.811XXX.00.00.0003000             33.2875 6A0 99      0.00   0.00   0.00
9586626Muscle test hemidiaphragm                         A   1.25   0.56     0.56    0.05   1.86  1.861XXX.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
95867  Muscle test cran nerv unilat                      A   0.79   2.35     2.35NA  0.05   3.19  3.191XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95867TCMuscle test cran nerv unilat                      A   0.00   1.96     1.96NA  0.01   1.97  1.971XXX.00.00.0000000             33.2875 6A0 99      0.00   0.00   0.00
9586726Muscle test cran nerv unilat                      A   0.79   0.39     0.39    0.04   1.22  1.221XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95868  Muscle test cran nerve bilat                      A   1.18   2.91     2.91NA  0.06   4.15  4.151XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95868TCMuscle test cran nerve bilat                      A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0002000             33.2875 6A0 99      0.00   0.00   0.00
9586826Muscle test cran nerve bilat                      A   1.18   0.60     0.60    0.05   1.83  1.831XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95869  Muscle test thor paraspinal                       A   0.37   2.45     2.45NA  0.03   2.85  2.851XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95869TCMuscle test thor paraspinal                       A   0.00   2.26     2.26NA  0.01   2.27  2.271XXX.00.00.0000000             33.2875 6A0 99      0.00   0.00   0.00
9586926Muscle test thor paraspinal                       A   0.37   0.19     0.19    0.02   0.58  0.581XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95870  Muscle test nonparaspinal                         A   0.37   2.09     2.09NA  0.03   2.49  2.491XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95870TCMuscle test nonparaspinal                         A   0.00   1.90     1.90NA  0.01   1.91  1.911XXX.00.00.0000000             33.2875 6A0 99      0.00   0.00   0.00
9587026Muscle test nonparaspinal                         A   0.37   0.19     0.19    0.02   0.58  0.581XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95872  Muscle test one fiber                             A   2.88   2.60     2.60NA  0.15   5.63  5.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95872TCMuscle test one fiber                             A   0.00   1.26     1.26NA  0.01   1.27  1.271XXX.00.00.0000000             33.2875 660 99      0.00   0.00   0.00
9587226Muscle test one fiber                             A   2.88   1.34     1.34    0.14   4.36  4.361XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95873  Guide nerv destr elec stim                        A   0.37   1.73     1.73NA  0.01   2.11  2.111ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95873TCGuide nerv destr elec stim                        A   0.00   1.54     1.54NA  0.00   1.54  1.541ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
95874  Guide nerv destr needle emg                       A   0.37   1.90     1.90NA  0.01   2.28  2.281ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95874TCGuide nerv destr needle emg                       A   0.00   1.71     1.71NA  0.00   1.71  1.711ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9587426Guide nerv destr needle emg                       A   0.37   0.19     0.19    0.01   0.57  0.571ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95875  Limb exercise test                                A   1.10   2.50     2.50NA  0.06   3.66  3.661XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95875TCLimb exercise test                                A   0.00   1.93     1.93NA  0.01   1.94  1.941XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9587526Limb exercise test                                A   1.10   0.57     0.57    0.05   1.72  1.721XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95885  Musc tst done w/nerv tst lim                      A   0.35   1.49     1.49NA  0.01   1.85  1.851ZZZ.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
95885TCMusc tst done w/nerv tst lim                      A   0.00   1.31     1.31NA  0.00   1.31  1.311ZZZ.00.00.0003000             33.2875 6A0 99      0.00   0.00   0.00
9588526Musc tst done w/nerv tst lim                      A   0.35   0.18     0.18    0.01   0.54  0.541ZZZ.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
95886  Musc test done w/n test comp                      A   0.86   1.99     1.99NA  0.03   2.88  2.881ZZZ.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
95886TCMusc test done w/n test comp                      A   0.00   1.56     1.56NA  0.00   1.56  1.561ZZZ.00.00.0003000             33.2875 6A0 99      0.00   0.00   0.00
9588626Musc test done w/n test comp                      A   0.86   0.43     0.43    0.03   1.32  1.321ZZZ.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
95887  Musc tst done w/n tst nonext                      A   0.71   1.74     1.74NA  0.03   2.48  2.481ZZZ.00.00.0003000             33.2875 090 99      0.00   0.00   0.00
95887TCMusc tst done w/n tst nonext                      A   0.00   1.40     1.40NA  0.00   1.40  1.401ZZZ.00.00.0003000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
95905  Motor &/ sens nrve cndj test                      A   0.05   0.94     0.94NA  0.02   1.01  1.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95905TCMotor &/ sens nrve cndj test                      A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
95907  Nvr cndj tst 1-2 studies                          A   1.00   1.65     1.65NA  0.05   2.70  2.701XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95907TCNvr cndj tst 1-2 studies                          A   0.00   1.14     1.14NA  0.01   1.15  1.151XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9590726Nvr cndj tst 1-2 studies                          A   1.00   0.51     0.51    0.04   1.55  1.551XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95908  Nrv cndj tst 3-4 studies                          A   1.25   2.04     2.04NA  0.06   3.35  3.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95908TCNrv cndj tst 3-4 studies                          A   0.00   1.40     1.40NA  0.01   1.41  1.411XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9590826Nrv cndj tst 3-4 studies                          A   1.25   0.64     0.64    0.05   1.94  1.941XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95909  Nrv cndj tst 5-6 studies                          A   1.50   2.45     2.45NA  0.07   4.02  4.021XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95909TCNrv cndj tst 5-6 studies                          A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9590926Nrv cndj tst 5-6 studies                          A   1.50   0.76     0.76    0.06   2.32  2.321XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95910  Nrv cndj test 7-8 studies                         A   2.00   3.16     3.16NA  0.09   5.25  5.251XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95910TCNrv cndj test 7-8 studies                         A   0.00   2.15     2.15NA  0.01   2.16  2.161XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9591026Nrv cndj test 7-8 studies                         A   2.00   1.01     1.01    0.08   3.09  3.091XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95911  Nrv cndj test 9-10 studies                        A   2.50   3.72     3.72NA  0.11   6.33  6.331XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95911TCNrv cndj test 9-10 studies                        A   0.00   2.46     2.46NA  0.01   2.47  2.471XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9591126Nrv cndj test 9-10 studies                        A   2.50   1.26     1.26    0.10   3.86  3.861XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95912  Nrv cndj test 11-12 studies                       A   3.00   4.26     4.26NA  0.14   7.40  7.401XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95912TCNrv cndj test 11-12 studies                       A   0.00   2.77     2.77NA  0.02   2.79  2.791XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9591226Nrv cndj test 11-12 studies                       A   3.00   1.49     1.49    0.12   4.61  4.611XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95913  Nrv cndj test 13/> studies                        A   3.56   4.82     4.82NA  0.16   8.54  8.541XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95913TCNrv cndj test 13/> studies                        A   0.00   3.07     3.07NA  0.02   3.09  3.091XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9591326Nrv cndj test 13/> studies                        A   3.56   1.75     1.75    0.14   5.45  5.451XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95919  Quan puplmtry phy/qhp uni/bi                      A   0.18   0.27     0.27NA  0.02   0.47  0.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95919TCQuan puplmtry phy/qhp uni/bi                      A   0.00   0.17     0.17NA  0.01   0.18  0.181XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9591926Quan puplmtry phy/qhp uni/bi                      A   0.18   0.10     0.10    0.01   0.29  0.291XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95921  Autonomic nrv parasym inervj                      A   0.90   1.69     1.69NA  0.04   2.63  2.631XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95921TCAutonomic nrv parasym inervj                      A   0.00   1.32     1.32NA  0.01   1.33  1.331XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9592126Autonomic nrv parasym inervj                      A   0.90   0.37     0.37    0.03   1.30  1.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95922  Autonomic nrv adrenrg inervj                      A   0.96   1.83     1.83NA  0.05   2.84  2.841XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95922TCAutonomic nrv adrenrg inervj                      A   0.00   1.47     1.47NA  0.02   1.49  1.491XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9592226Autonomic nrv adrenrg inervj                      A   0.96   0.36     0.36    0.03   1.35  1.351XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95923  Autonomic nrv syst funj test                      A   0.90   2.71     2.71NA  0.05   3.66  3.661XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95923TCAutonomic nrv syst funj test                      A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9592326Autonomic nrv syst funj test                      A   0.90   0.37     0.37    0.04   1.31  1.311XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95924  Ans parasymp & symp w/tilt                        A   1.73   2.69     2.69NA  0.11   4.53  4.531XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95924TCAns parasymp & symp w/tilt                        A   0.00   1.96     1.96NA  0.02   1.98  1.981XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
9592426Ans parasymp & symp w/tilt                        A   1.73   0.73     0.73    0.09   2.55  2.551XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95925  Somatosensory testing                             A   0.54   4.68     4.68NA  0.06   5.28  5.281XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95925TCSomatosensory testing                             A   0.00   4.43     4.43NA  0.03   4.46  4.461XXX.00.00.0002000             33.2875 210 99      0.00   0.00   0.00
9592526Somatosensory testing                             A   0.54   0.25     0.25    0.03   0.82  0.821XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95926  Somatosensory testing                             A   0.54   4.14     4.14NA  0.05   4.73  4.731XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95926TCSomatosensory testing                             A   0.00   3.90     3.90NA  0.03   3.93  3.931XXX.00.00.0002000             33.2875 210 99      0.00   0.00   0.00
9592626Somatosensory testing                             A   0.54   0.24     0.24    0.02   0.80  0.801XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95927  Somatosensory testing                             A   0.54   4.87     4.87NA  0.06   5.47  5.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95927TCSomatosensory testing                             A   0.00   4.63     4.63NA  0.04   4.67  4.671XXX.00.00.0000000             33.2875 210 99      0.00   0.00   0.00
9592726Somatosensory testing                             A   0.54   0.24     0.24    0.02   0.80  0.801XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95928  C motor evoked uppr limbs                         A   1.50   5.63     5.63NA  0.09   7.22  7.221XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95928TCC motor evoked uppr limbs                         A   0.00   4.88     4.88NA  0.02   4.90  4.901XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
9592826C motor evoked uppr limbs                         A   1.50   0.75     0.75    0.07   2.32  2.321XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95929  C motor evoked lwr limbs                          A   1.50   5.72     5.72NA  0.08   7.30  7.301XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95929TCC motor evoked lwr limbs                          A   0.00   4.97     4.97NA  0.02   4.99  4.991XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
9592926C motor evoked lwr limbs                          A   1.50   0.75     0.75    0.06   2.31  2.311XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95930  Visual ep test cns w/i&r                          A   0.35   1.65     1.65NA  0.02   2.02  2.021XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95930TCVisual ep test cns w/i&r                          A   0.00   1.47     1.47NA  0.01   1.48  1.481XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
9593026Visual ep test cns w/i&r                          A   0.35   0.18     0.18    0.01   0.54  0.541XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95933  Blink reflex test                                 A   0.59   1.84     1.84NA  0.04   2.47  2.471XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95933TCBlink reflex test                                 A   0.00   1.54     1.54NA  0.01   1.55  1.551XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9593326Blink reflex test                                 A   0.59   0.30     0.30    0.03   0.92  0.921XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95937  Neuromuscular junction test                       A   0.65   2.43     2.43NA  0.04   3.12  3.121XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95937TCNeuromuscular junction test                       A   0.00   2.10     2.10NA  0.01   2.11  2.111XXX.00.00.0000000             33.2875 7A0 99      0.00   0.00   0.00
9593726Neuromuscular junction test                       A   0.65   0.33     0.33    0.03   1.01  1.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95938  Somatosensory testing                             A   0.86  10.30    10.30NA  0.09  11.25 11.251XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95938TCSomatosensory testing                             A   0.00   9.87     9.87NA  0.05   9.92  9.921XXX.00.00.0002000             33.2875 210 99      0.00   0.00   0.00
9593826Somatosensory testing                             A   0.86   0.43     0.43    0.04   1.33  1.331XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95939  C motor evoked upr&lwr limbs                      A   2.25  14.33    14.33NA  0.16  16.74 16.741XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95939TCC motor evoked upr&lwr limbs                      A   0.00  13.21    13.21NA  0.06  13.27 13.271XXX.00.00.0002000             33.2875 210 99      0.00   0.00   0.00
9593926C motor evoked upr&lwr limbs                      A   2.25   1.12     1.12    0.10   3.47  3.471XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
95940  Ionm in operatng room 15 min                      A   0.60   0.31NA   0.31    0.04   0.95  0.950XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
95954  Eeg monitoring/giving drugs                       A   2.45   9.17     9.17NA  0.19  11.81 11.811XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95954TCEeg monitoring/giving drugs                       A   0.00   8.43     8.43NA  0.08   8.51  8.511XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9595426Eeg monitoring/giving drugs                       A   2.45   0.74     0.74    0.11   3.30  3.301XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95955  Eeg during surgery                                A   1.01   4.65     4.65NA  0.05   5.71  5.711XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95955TCEeg during surgery                                A   0.00   4.14     4.14NA  0.01   4.15  4.151XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
9595526Eeg during surgery                                A   1.01   0.51     0.51    0.04   1.56  1.561XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95957  Eeg digital analysis                              A   1.98   6.70     6.70NA  0.12   8.80  8.801XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95957TCEeg digital analysis                              A   0.00   5.77     5.77NA  0.04   5.81  5.811XXX.00.00.0000000             33.2875 010 99      0.00   0.00   0.00
9595726Eeg digital analysis                              A   1.98   0.93     0.93    0.08   2.99  2.991XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95958  Eeg monitoring/function test                      A   4.24  16.49    16.49NA  0.28  21.01 21.011XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95958TCEeg monitoring/function test                      A   0.00  14.34    14.34NA  0.09  14.43 14.431XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9595826Eeg monitoring/function test                      A   4.24   2.15     2.15    0.19   6.58  6.581XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95961  Electrode stimulation brain                       A   2.97   6.54     6.54NA  0.34   9.85  9.851XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95961TCElectrode stimulation brain                       A   0.00   5.07     5.07NA  0.02   5.09  5.091XXX.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9596126Electrode stimulation brain                       A   2.97   1.47     1.47    0.32   4.76  4.761XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95962  Electrode stim brain add-on                       A   3.21   4.88     4.88NA  0.26   8.35  8.351ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95962TCElectrode stim brain add-on                       A   0.00   3.26     3.26NA  0.02   3.28  3.281ZZZ.00.00.0000000             33.2875 030 99      0.00   0.00   0.00
9596226Electrode stim brain add-on                       A   3.21   1.62     1.62    0.24   5.07  5.071ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
9596526Meg spontaneous                                   A   7.99   3.73     3.73    0.35  12.07 12.071XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
9596626Meg evoked single                                 A   3.99   1.57     1.57    0.26   5.82  5.821XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
9596726Meg evoked each addl                              A   3.49   1.32     1.32    0.24   5.05  5.051ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95970  Alys npgt w/o prgrmg                              A   0.35   0.18     0.16    0.03   0.56  0.540XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95971  Alys smpl sp/pn npgt w/prgrm                      A   0.78   0.59     0.30    0.07   1.44  1.150XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95972  Alys cplx sp/pn npgt w/prgrm                      A   0.80   0.82     0.31    0.08   1.70  1.190XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95976  Alys smpl cn npgt prgrmg                          A   0.73   0.37     0.35    0.07   1.17  1.150XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95977  Alys cplx cn npgt prgrmg                          A   0.97   0.49     0.46    0.10   1.56  1.530XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95980  Io anal gast n-stim init                          A   0.80   0.35NA   0.35    0.19   1.34  1.340XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95981  Io anal gast n-stim subsq                         A   0.30   0.81     0.17    0.06   1.17  0.530XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95982  Io ga n-stim subsq w/reprog                       A   0.65   1.01     0.31    0.12   1.78  1.080XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95983  Alys brn npgt prgrmg 15 min                       A   0.91   0.49     0.46    0.09   1.49  1.460XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95984  Alys brn npgt prgrmg addl 15                      A   0.80   0.42     0.40    0.08   1.30  1.280ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95990  Spin/brain pump refil & main                      A   0.00   2.66     2.66NA  0.05   2.71  2.715XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95991  Spin/brain pump refil & main                      A   0.77   2.46     0.32    0.09   3.32  1.180XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95992  Canalith repositioning proc                       A   0.75   0.49     0.28    0.03   1.27  1.060XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
95999  Unlisted neurological dx px                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96000  Motion analysis video/3d                          A   1.80   0.60NA   0.60    0.06   2.46  2.467XXX.00.00.0002000             33.2875 090 99      0.00   0.00   0.00
96001  Motion test w/ft press meas                       A   2.15   0.95NA   0.95    0.16   3.26  3.267XXX.00.00.0002000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
96004  Phys review of motion tests                       A   2.14   0.89     0.89    0.16   3.19  3.192XXX.00.00.0002000             33.2875 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             33.2875 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             33.2875 030 99      0.00   0.00   0.00
9602026Functional brain mapping                          A   3.43   1.05     1.05    0.14   4.62  4.621XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96040  Genetic counseling 30 min                         B+  0.00   1.51     1.51NA  0.04   1.55  1.559XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96105  Assessment of aphasia                             A   1.75   1.06     1.06NA  0.07   2.88  2.880XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96110  Developmental screen w/score                      N+  0.00   0.34     0.34NA  0.01   0.35  0.359XXX.00.00.0099999             33.2875 040 99      0.00   0.00   0.00
96112  Devel tst phys/qhp 1st hr                         A   2.56   1.01     0.98    0.15   3.72  3.690XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96113  Devel tst phys/qhp ea addl                        A   1.16   0.57     0.46    0.07   1.80  1.690ZZZ.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96116  Nubhvl xm phys/qhp 1st hr                         A   1.86   0.82     0.43    0.08   2.76  2.370XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96121  Nubhvl xm phy/qhp ea addl hr                      A   1.71   0.50     0.22    0.04   2.25  1.970ZZZ.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96125  Cognitive test by hc pro                          A   1.70   1.31     1.31NA  0.06   3.07  3.077XXX.00.00.0050000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
96130  Psycl tst eval phys/qhp 1st                       A   2.56   0.92     0.57    0.12   3.60  3.250XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96131  Psycl tst eval phys/qhp ea                        A   1.96   0.56     0.24    0.05   2.57  2.250ZZZ.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96132  Nrpsyc tst eval phys/qhp 1st                      A   2.56   1.20     0.49    0.09   3.85  3.140XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96133  Nrpsyc tst eval phys/qhp ea                       A   1.96   0.91     0.25    0.05   2.92  2.260ZZZ.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96136  Psycl/nrpsyc tst phy/qhp 1st                      A   0.55   0.68     0.12    0.02   1.25  0.690XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96137  Psycl/nrpsyc tst phy/qhp ea                       A   0.46   0.66     0.06    0.01   1.13  0.530ZZZ.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96138  Psycl/nrpsyc tech 1st                             A   0.00   1.02     1.02NA  0.01   1.03  1.030XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96139  Psycl/nrpsyc tst tech ea                          A   0.00   1.05     1.05NA  0.01   1.06  1.060ZZZ.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96146  Psycl/nrpsyc tst auto result                      A   0.00   0.06     0.06NA  0.01   0.07  0.070XXX.00.00.0000000             33.2875 040 99      0.00   0.00   0.00
96156  Hlth bhv assmt/reassessment                       A   2.20   0.70     0.36    0.07   2.97  2.630XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96158  Hlth bhv ivntj indiv 1st 30                       A   1.52   0.45     0.20    0.04   2.01  1.760XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96159  Hlth bhv ivntj indiv ea addl                      A   0.52   0.15     0.06    0.01   0.68  0.590ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96160  Pt-focused hlth risk assmt                        A   0.00   0.09     0.09NA  0.00   0.09  0.095ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96161  Caregiver health risk assmt                       A   0.00   0.09     0.09NA  0.00   0.09  0.095ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96164  Hlth bhv ivntj grp 1st 30                         A   0.22   0.08     0.05    0.01   0.31  0.280XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96165  Hlth bhv ivntj grp ea addl                        A   0.10   0.04     0.02    0.00   0.14  0.120ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96167  Hlth bhv ivntj fam 1st 30                         A   1.62   0.46     0.20    0.04   2.12  1.860XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96168  Hlth bhv ivntj fam ea addl                        A   0.58   0.17     0.07    0.01   0.76  0.660ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96170  Hlth bhv ivntj fam wo pt 1st                      N+  1.50   0.73     0.58    0.09   2.32  2.179XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96171  Hlth bhv ivntj fam w/o pt ea                      N+  0.54   0.26     0.21    0.03   0.83  0.789ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96202  Mlt fam grp bhv train 1st 60                      A   0.43   0.27     0.19    0.01   0.71  0.630XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96203  Mlt fam grp bhv train ea add                      A   0.12   0.05     0.05    0.00   0.17  0.170ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96360  Hydration iv infusion init                        A   0.17   0.79     0.79NA  0.01   0.97  0.975XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96361  Hydrate iv infusion add-on                        A   0.09   0.27     0.27NA  0.01   0.37  0.375ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96365  Ther/proph/diag iv inf init                       A   0.21   1.63     1.63NA  0.04   1.88  1.885XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
96367  Tx/proph/dg addl seq iv inf                       A   0.19   0.65     0.65NA  0.01   0.85  0.855ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
96369  Sc ther infusion up to 1 hr                       A   0.21   4.00     4.00NA  0.03   4.24  4.245XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96370  Sc ther infusion addl hr                          A   0.18   0.29     0.29NA  0.01   0.48  0.485ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96371  Sc ther infusion reset pump                       A   0.00   1.80     1.80NA  0.01   1.81  1.815ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96372  Ther/proph/diag inj sc/im                         A   0.17   0.25     0.25NA  0.01   0.43  0.435XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96373  Ther/proph/diag inj ia                            A   0.17   0.38     0.38NA  0.01   0.56  0.565XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96374  Ther/proph/diag inj iv push                       A   0.18   0.90     0.90NA  0.02   1.10  1.105XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
96377  Applicaton on-body injector                       A   0.17   0.37     0.37NA  0.01   0.55  0.555XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96379  Unl ther/prop/diag inj/inf                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96380  Admn rsv monoc antb im cnsl                       A   0.24   0.43     0.43NA  0.01   0.68  0.680XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96381  Admn rsv monoc antb im njx                        A   0.17   0.41     0.41NA  0.01   0.59  0.590XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96401  Chemo anti-neopl sq/im                            A   0.21   1.90     1.90NA  0.04   2.15  2.155XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96402  Chemo hormon antineopl sq/im                      A   0.19   0.85     0.85NA  0.02   1.06  1.065XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96405  Chemo intralesional up to 7                       A   0.52   1.94     0.30    0.03   2.49  0.850000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
96406  Chemo intralesional over 7                        A   0.80   3.03     0.46    0.06   3.89  1.320000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
96409  Chemo iv push sngl drug                           A   0.24   2.70     2.70NA  0.06   3.00  3.005XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96411  Chemo iv push addl drug                           A   0.20   1.40     1.40NA  0.03   1.63  1.635ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96413  Chemo iv infusion 1 hr                            A   0.28   3.53     3.53NA  0.07   3.88  3.885XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96415  Chemo iv infusion addl hr                         A   0.19   0.62     0.62NA  0.02   0.83  0.835ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96416  Chemo prolong infuse w/pump                       A   0.21   3.54     3.54NA  0.07   3.82  3.825XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96417  Chemo iv infus each addl seq                      A   0.21   1.66     1.66NA  0.04   1.91  1.915ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96420  Chemo ia push tecnique                            A   0.17   2.83     2.83NA  0.06   3.06  3.065XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96422  Chemo ia infusion up to 1 hr                      A   0.17   4.42     4.42NA  0.09   4.68  4.685XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96423  Chemo ia infuse each addl hr                      A   0.17   1.96     1.96NA  0.05   2.18  2.185ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96425  Chemotherapy infusion method                      A   0.17   4.77     4.77NA  0.11   5.05  5.055XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96440  Chmotx admn plrl cav thrcnts                      A   2.12  20.12     1.75    0.14  22.38  4.010000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96446  Chemotx admn pertl cav impl                       A   0.37   4.33     0.15    0.09   4.79  0.615XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96450  Chemotherapy into cns                             A   1.53   3.18     0.59    0.14   4.85  2.260000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96521  Refill/maint portable pump                        A   0.21   3.44     3.44NA  0.07   3.72  3.725XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96522  Refill/maint pump/resvr syst                      A   0.21   3.25     3.25NA  0.07   3.53  3.535XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96523  Irrig drug delivery device                        T   0.04   0.70     0.70NA  0.01   0.75  0.755XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96542  Chemotherapy injection                            A   0.75   3.11     0.44    0.06   3.92  1.250XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96547  Intraop hipec px 1st 60 min                       C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96548  Ntraop hipec px ea add 30min                      C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96549  Unlisted chemotherapy px                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96567  Pdt dstr prmlg les skn                            A   0.00   4.10     4.10NA  0.01   4.11  4.115XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96570  Photodynmc tx 30 min add-on                       A   1.10   0.30     0.30    0.09   1.49  1.490ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
96571  Photodynamic tx addl 15 min                       A   0.55   0.15     0.15    0.04   0.74  0.740ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
96573  Pdt dstr prmlg les phys/qhp                       A   0.48   6.30     6.30NA  0.02   6.80  6.800000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96574  Dbrdmt prmlg les w/pdt                            A   1.01   7.27     7.27NA  0.05   8.33  8.330000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96900  Ultraviolet light therapy                         A   0.00   0.74     0.74NA  0.01   0.75  0.755XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96902  Trichogram                                        B+  0.41   0.22     0.16    0.02   0.65  0.599XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
96904  Whole body photography                            R   0.00   2.05     2.05NA  0.01   2.06  2.065XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96910  Photochemotherapy with uv-b                       A   0.00   3.54     3.54NA  0.02   3.56  3.565XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96912  Photochemotherapy with uv-a                       A   0.00   3.01     3.01NA  0.02   3.03  3.035XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96913  Photochemotherapy uv-a or b                       A   0.00   4.56     4.56NA  0.03   4.59  4.595XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96920  Excimer lsr psriasis<250sqcm                      A   1.15   3.47     0.68    0.05   4.67  1.880000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
96921  Excimer lsr psriasis 250-500                      A   1.30   3.76     0.77    0.06   5.12  2.130000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
96922  Excimer lsr psriasis>500sqcm                      A   2.10   4.78     1.24    0.09   6.97  3.430000.00.00.0020100             33.2875 090 99      0.00   0.00   0.00
96931  Rcm celulr subcelulr img skn                      A   0.80   4.25     4.25NA  0.04   5.09  5.094XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
96932  Rcm celulr subcelulr img skn                      A   0.00   3.80     3.80NA  0.01   3.81  3.813XXX.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
96933  Rcm celulr subcelulr img skn                      A   0.80   0.45     0.45NA  0.03   1.28  1.282XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96934  Rcm celulr subcelulr img skn                      A   0.76   2.74     2.74NA  0.03   3.53  3.534ZZZ.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
96935  Rcm celulr subcelulr img skn                      A   0.00   2.32     2.32NA  0.00   2.32  2.323ZZZ.00.00.0000000             33.2875 020 99      0.00   0.00   0.00
96936  Rcm celulr subcelulr img skn                      A   0.76   0.42     0.42NA  0.03   1.21  1.212ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
96999  Unlisted spec derm svc/px                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97010  Hot or cold packs therapy                         B+  0.06   0.12     0.12NA  0.01   0.19  0.199XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
97012  Mechanical traction therapy                       A   0.25   0.16     0.16NA  0.01   0.42  0.427XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97014  Electric stimulation therapy                      I+  0.18   0.18     0.18NA  0.01   0.37  0.379XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
97024  Diathermy eg microwave                            A   0.06   0.15     0.15NA  0.01   0.22  0.227XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97026  Infrared therapy                                  R   0.06   0.13     0.13NA  0.01   0.20  0.207XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97028  Ultraviolet therapy                               A   0.08   0.16     0.16NA  0.01   0.25  0.257XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97032  Appl modality 1+estim ea 15                       A   0.25   0.17     0.17NA  0.01   0.43  0.437XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97033  App mdlty 1+iontphrsis ea 15                      A   0.26   0.31     0.31NA  0.01   0.58  0.587XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97034  App mdlty 1+cntrst bth ea 15                      A   0.21   0.20     0.20NA  0.01   0.42  0.427XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97035  App mdlty 1+ultrasound ea 15                      A   0.21   0.20     0.20NA  0.01   0.42  0.427XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97036  App mdlty 1+hubbrd tnk ea 15                      A   0.28   0.76     0.76NA  0.01   1.05  1.057XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97037  Appl modality 1+lllt po pain                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
97039  Unlisted modality                                 C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97110  Therapeutic exercises                             A   0.45   0.42     0.42NA  0.01   0.88  0.887XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97112  Neuromuscular reeducation                         A   0.50   0.50     0.50NA  0.01   1.01  1.017XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97113  Aquatic therapy/exercises                         A   0.48   0.61     0.61NA  0.01   1.10  1.107XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97116  Gait training therapy                             A   0.45   0.42     0.42NA  0.01   0.88  0.887XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97124  Massage therapy                                   A   0.35   0.55     0.55NA  0.01   0.91  0.917XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97129  Ther ivntj 1st 15 min                             A   0.50   0.16     0.15    0.01   0.67  0.660XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97130  Ther ivntj ea addl 15 min                         A   0.48   0.15     0.14    0.01   0.64  0.630ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97139  Unlisted therapeutic px                           C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97140  Manual therapy 1/> regions                        A   0.43   0.37     0.37NA  0.01   0.81  0.817XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97150  Group therapeutic procedures                      A   0.29   0.24     0.24NA  0.01   0.54  0.547XXX.00.00.0050000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
97161  Pt eval low complex 20 min                        A   1.54   1.43     1.43NA  0.04   3.01  3.017XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97162  Pt eval mod complex 30 min                        A   1.54   1.43     1.43NA  0.04   3.01  3.017XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97163  Pt eval high complex 45 min                       A   1.54   1.43     1.43NA  0.04   3.01  3.017XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97164  Pt re-eval est plan care                          A   0.96   1.10     1.10NA  0.03   2.09  2.097XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97165  Ot eval low complex 30 min                        A   1.54   1.46     1.46NA  0.04   3.04  3.047XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97166  Ot eval mod complex 45 min                        A   1.54   1.46     1.46NA  0.04   3.04  3.047XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97167  Ot eval high complex 60 min                       A   1.54   1.46     1.46NA  0.04   3.04  3.047XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97168  Ot re-eval est plan care                          A   0.96   1.11     1.11NA  0.03   2.10  2.107XXX.00.00.0050000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
97530  Therapeutic activities                            A   0.44   0.65     0.65NA  0.01   1.10  1.107XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97533  Sensory integration                               A   0.48   1.38     1.38NA  0.01   1.87  1.877XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97535  Self care mngment training                        A   0.45   0.52     0.52NA  0.01   0.98  0.987XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97537  Community/work reintegration                      A   0.48   0.46     0.46NA  0.01   0.95  0.957XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97542  Wheelchair mngment training                       A   0.48   0.46     0.46NA  0.01   0.95  0.957XXX.00.00.0050000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
97550  Caregiver traing 1st 30 min                       A   1.00   0.56     0.33    0.03   1.59  1.360XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97551  Caregiver traing ea addl 15                       A   0.54   0.24     0.18    0.01   0.79  0.730ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97552  Group caregiver training                          A   0.23   0.43     0.08    0.01   0.67  0.320XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97597  Dbrdmt opn wnd 1st 20 cm/<                        A   0.77   2.20     0.22    0.06   3.03  1.050000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97598  Dbrdmt opn wnd addl 20cm/<                        A   0.50   0.79     0.17    0.06   1.35  0.730ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
97605  Neg prs wnd ther dme<=50sqcm                      A   0.55   0.73     0.16    0.01   1.29  0.720XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97606  Neg prs wnd ther dme>50 sqcm                      A   0.60   0.92     0.18    0.01   1.53  0.790XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97607  Neg prs wnd thr ndme<=50sqcm                      A   0.41   9.98     0.16    0.06  10.45  0.630XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97608  Neg prs wnd ther ndme>50sqcm                      A   0.46  10.26     0.19    0.09  10.81  0.740XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97610  Low frequency non-thermal us                      A   0.40  12.42     0.12    0.01  12.83  0.530XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97750  Physical performance test                         A   0.45   0.56     0.56NA  0.01   1.02  1.027XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97755  Assistive technology assess                       A   0.62   0.51     0.51NA  0.02   1.15  1.157XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97760  Orthotic mgmt&traing 1st enc                      A   0.50   0.92     0.92NA  0.01   1.43  1.437XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97761  Prosthetic traing 1st enc                         A   0.50   0.74     0.74NA  0.01   1.25  1.257XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97763  Orthc/prostc mgmt sbsq enc                        A   0.48   1.08     1.08NA  0.01   1.57  1.577XXX.00.00.0050000             33.2875 090 99      0.00   0.00   0.00
97799  Unlisted physcl med/rehab px                      C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97802  Medical nutrition indiv in                        A   0.53   0.55     0.41    0.01   1.09  0.950XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97803  Med nutrition indiv subseq                        A   0.45   0.49     0.35    0.01   0.95  0.810XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97804  Medical nutrition group                           A   0.25   0.24     0.20    0.01   0.50  0.460XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
97810  Acupunct w/o stimul 15 min                        A   0.60   0.51     0.27    0.04   1.15  0.910XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
97811  Acupunct w/o stimul addl 15m                      A   0.50   0.32     0.23    0.03   0.85  0.760ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
97813  Acupunct w/stimul 15 min                          A   0.65   0.67     0.30    0.04   1.36  0.990XXX.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
97814  Acupunct w/stimul addl 15m                        A   0.55   0.51     0.25    0.04   1.10  0.840ZZZ.00.00.0000100             33.2875 090 99      0.00   0.00   0.00
98925  Osteopath manj 1-2 regions                        A   0.46   0.45     0.19    0.03   0.94  0.680000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98926  Osteopath manj 3-4 regions                        A   0.71   0.60     0.28    0.04   1.35  1.030000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98927  Osteopath manj 5-6 regions                        A   0.96   0.75     0.36    0.05   1.76  1.370000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98928  Osteopath manj 7-8 regions                        A   1.21   0.87     0.45    0.07   2.15  1.730000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98929  Osteopath manj 9-10 regions                       A   1.46   0.99     0.53    0.08   2.53  2.070000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98940  Chiropract manj 1-2 regions                       A   0.46   0.35     0.18    0.01   0.82  0.650000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98941  Chiropract manj 3-4 regions                       A   0.71   0.46     0.28    0.01   1.18  1.000000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98942  Chiropractic manj 5 regions                       A   0.96   0.55     0.37    0.01   1.52  1.340000.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98943  Chiropract manj xtrspinl 1/>                      N+  0.46   0.28     0.18    0.03   0.77  0.679XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
98960  Self-mgmt educ & train 1 pt                       B+  0.00   0.90     0.90NA  0.02   0.92  0.929XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
98961  Self-mgmt educ/train 2-4 pt                       B+  0.00   0.43     0.43NA  0.01   0.44  0.449XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
98962  Self-mgmt educ/train 5-8 pt                       B+  0.00   0.32     0.32NA  0.01   0.33  0.339XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
98966  Hc pro phone call 5-10 min                        A   0.25   0.13     0.08    0.01   0.39  0.340XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98967  Hc pro phone call 11-20 min                       A   0.50   0.20     0.14    0.02   0.72  0.660XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98968  Hc pro phone call 21-30 min                       A   0.75   0.22     0.15    0.02   0.99  0.920XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98970  Qnhp ol dig assmt&mgmt 5-10                       A   0.25   0.09     0.09    0.01   0.35  0.350XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98971  Qnhp ol dig assmt&mgmt 11-20                      A   0.44   0.16     0.16    0.02   0.62  0.620XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98972  Qnhp ol dig assmt&mgmt 21+                        A   0.69   0.21     0.20    0.02   0.92  0.910XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98975  Rem ther mntr 1st setup&edu                       A   0.00   0.58     0.58NA  0.02   0.60  0.600XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98976  Rem ther mntr dev sply resp                       A   0.00   1.41     1.41NA  0.01   1.42  1.420XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98977  Rem ther mntr dv sply mscskl                      A   0.00   1.41     1.41NA  0.01   1.42  1.420XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98978  Rem ther mntr dev sply cbt                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98980  Rem ther mntr 1st 20 min                          A   0.62   0.86     0.25    0.04   1.52  0.910XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
98981  Rem ther mntr ea addl 20 min                      A   0.61   0.55     0.25    0.04   1.20  0.900ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99091  Collj & interpj data ea 30 d                      A   1.10   0.43     0.43    0.08   1.61  1.610XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99100  Anes pt exteme age<1 yr&>70                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99116  Anes comp tot bdy hypthrm                         B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99135  Anes comp ctrld hypotension                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99140  Anes comp emergency cond                          B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99151  Mod sed same phys/qhp <5 yrs                      A   0.50   1.29     0.18    0.03   1.82  0.719XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99152  Mod sed same phys/qhp 5/>yrs                      A   0.25   1.23     0.08    0.03   1.51  0.369XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99153  Mod sed same phys/qhp ea                          A   0.00   0.33     0.33NA  0.02   0.35  0.353ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99155  Mod sed oth phys/qhp <5 yrs                       A   1.90   0.34NA   0.34    0.21   2.45  2.459XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99156  Mod sed oth phys/qhp 5/>yrs                       A   1.65   0.40NA   0.40    0.17   2.22  2.229XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99157  Mod sed other phys/qhp ea                         A   1.25   0.40NA   0.40    0.11   1.76  1.769ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99170  Anogenital exam child w imag                      A   1.75   3.08     0.64    0.12   4.95  2.510000.00.00.0020100             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99173  Visual acuity screen                              N+  0.00   0.09     0.09NA  0.01   0.10  0.109XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99174  Ocular instrumnt screen bil                       N+  0.00   0.18     0.18NA  0.01   0.19  0.199XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99175  Induction of vomiting                             A   0.00   0.89     0.89NA  0.01   0.90  0.905XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99177  Ocular instrumnt screen bil                       N+  0.00   0.14     0.14NA  0.01   0.15  0.159XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99183  Hyperbaric oxygen therapy                         A   2.11   0.77     0.77    0.26   3.14  3.142XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99184  Hypothermia ill neonate                           A   4.50   1.53NA   1.53    0.31   6.34  6.340XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99188  App topical fluoride varnish                      N+  0.20   0.14     0.08    0.01   0.35  0.290XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99195  Phlebotomy                                        A   0.00   2.81     2.81NA  0.06   2.87  2.875XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99199  Unlisted special svc px/rprt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99202  Office o/p new sf 15 min                          A   0.93   1.16     0.40    0.08   2.17  1.410XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99203  Office o/p new low 30 min                         A   1.60   1.59     0.68    0.16   3.35  2.440XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99204  Office o/p new mod 45 min                         A   2.60   2.18     1.13    0.24   5.02  3.970XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99205  Office o/p new hi 60 min                          A   3.50   2.79     1.57    0.33   6.62  5.400XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99211  Off/op est may x req phy/qhp                      A   0.18   0.51     0.07    0.01   0.70  0.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99212  Office o/p est sf 10 min                          A   0.70   0.94     0.29    0.06   1.70  1.050XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99213  Office o/p est low 20 min                         A   1.30   1.33     0.56    0.10   2.73  1.960XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99214  Office o/p est mod 30 min                         A   1.92   1.79     0.83    0.14   3.85  2.890XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99215  Office o/p est hi 40 min                          A   2.80   2.40     1.27    0.22   5.42  4.290XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99221  1st hosp ip/obs sf/low 40                         A   1.63   0.65NA   0.65    0.18   2.46  2.460XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99222  1st hosp ip/obs moderate 55                       A   2.60   1.05NA   1.05    0.23   3.88  3.880XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99223  1st hosp ip/obs high 75                           A   3.50   1.38NA   1.38    0.26   5.14  5.140XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99231  Sbsq hosp ip/obs sf/low 25                        A   1.00   0.38NA   0.38    0.09   1.47  1.470XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99232  Sbsq hosp ip/obs moderate 35                      A   1.59   0.63NA   0.63    0.12   2.34  2.340XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99233  Sbsq hosp ip/obs high 50                          A   2.40   0.94NA   0.94    0.18   3.52  3.520XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99234  Hosp ip/obs sm dt sf/low 45                       A   2.00   0.73NA   0.73    0.17   2.90  2.900XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99235  Hosp ip/obs same date mod 70                      A   3.24   1.25NA   1.25    0.24   4.73  4.730XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99236  Hosp ip/obs same date hi 85                       A   4.30   1.56NA   1.56    0.32   6.18  6.180XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99238  Hosp ip/obs dschrg mgmt 30/<                      A   1.50   0.80NA   0.80    0.11   2.41  2.410XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99239  Hosp ip/obs dschrg mgmt >30                       A   2.15   1.10NA   1.10    0.15   3.40  3.400XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99242  Off/op consltj new/est sf 20                      I+  1.08   1.10     0.51    0.07   2.25  1.669XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99243  Off/op cnsltj new/est low 30                      I+  1.80   1.46     0.71    0.11   3.37  2.629XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99244  Off/op cnsltj new/est mod 40                      I+  2.69   1.96     1.14    0.16   4.81  3.999XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99245  Off/op consltj new/est hi 55                      I+  3.75   2.30     1.38    0.23   6.28  5.369XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99252  Ip/obs consltj new/est sf 35                      I+  1.50   0.52NA   0.52    0.09   2.11  2.119XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99253  Ip/obs cnsltj new/est low 45                      I+  2.00   0.84NA   0.84    0.12   2.96  2.969XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99254  Ip/obs cnsltj new/est mod 60                      I+  2.72   1.23NA   1.23    0.16   4.11  4.119XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99255  Ip/obs consltj new/est hi 80                      I+  3.86   1.44NA   1.44    0.23   5.53  5.539XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99281  Emr dpt vst mayx req phy/qhp                      A   0.25   0.06NA   0.06    0.03   0.34  0.340XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99282  Emergency dept visit sf mdm                       A   0.93   0.21NA   0.21    0.10   1.24  1.240XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99283  Emergency dept visit low mdm                      A   1.60   0.34NA   0.34    0.17   2.11  2.110XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99284  Emergency dept visit mod mdm                      A   2.74   0.56NA   0.56    0.29   3.59  3.590XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99285  Emergency dept visit hi mdm                       A   4.00   0.78NA   0.78    0.42   5.20  5.200XXX.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99291  Critical care first hour                          A   4.50   3.26     1.39    0.42   8.18  6.310XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99292  Critical care addl 30 min                         A   2.25   1.10     0.70    0.23   3.58  3.180ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99304  1st nf care sf/low mdm 25                         A   1.50   0.78     0.78    0.11   2.39  2.390XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99305  1st nf care moderate mdm 35                       A   2.50   1.30     1.30    0.17   3.97  3.970XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99306  1st nf care high mdm 50                           A   3.50   1.69     1.69    0.23   5.42  5.420XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99307  Sbsq nf care sf mdm 10                            A   0.70   0.45     0.45    0.05   1.20  1.200XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99308  Sbsq nf care low mdm 20                           A   1.30   0.83     0.83    0.09   2.22  2.220XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99309  Sbsq nf care moderate mdm 30                      A   1.92   1.16     1.16    0.13   3.21  3.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99310  Sbsq nf care high mdm 45                          A   2.80   1.58     1.58    0.20   4.58  4.580XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99315  Nf dschrg mgmt 30 min/less                        A   1.50   0.83     0.83    0.10   2.43  2.430XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99316  Nf dschrg mgmt 30 min+                            A   2.50   1.23     1.23    0.17   3.90  3.900XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99341  Home/res vst new sf mdm 15                        A   1.00   0.42     0.42NA  0.05   1.47  1.470XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99342  Home/res vst new low mdm 30                       A   1.65   0.60     0.60NA  0.08   2.33  2.330XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99344  Home/res vst new mod mdm 60                       A   2.87   1.20     1.20NA  0.16   4.23  4.230XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99345  Home/res vst new high mdm 75                      A   3.88   1.88     1.88NA  0.25   6.01  6.010XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99347  Home/res vst est sf mdm 20                        A   0.90   0.40     0.40NA  0.05   1.35  1.350XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99348  Home/res vst est low mdm 30                       A   1.50   0.70     0.70NA  0.08   2.28  2.280XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99349  Home/res vst est mod mdm 40                       A   2.44   1.19     1.19NA  0.16   3.79  3.790XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99350  Home/res vst est high mdm 60                      A   3.60   1.68     1.68NA  0.24   5.52  5.520XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99358  Prolong service w/o contact                       I+  1.80   0.74     0.70    0.11   2.65  2.610XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99359  Prolong serv w/o contact add                      I+  0.75   0.33     0.29    0.05   1.13  1.090ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99360  Physician standby services                        X+  1.20   0.47NA   0.47    0.07   1.74  1.749XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99366  Team conf w/pat by hc prof                        B+  0.82   0.35     0.32    0.05   1.22  1.199XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99367  Team conf w/o pat by phys                         B+  1.10   0.43NA   0.43    0.07   1.60  1.609XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99368  Team conf w/o pat by hc pro                       B+  0.72   0.28NA   0.28    0.04   1.04  1.049XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99374  Home health care supervision                      B+  1.10   0.87     0.43    0.07   2.04  1.609XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99375  Home health care supervision                      I+  1.73   1.20     0.67    0.10   3.03  2.509XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99377  Hospice care supervision                          B+  1.10   0.87     0.43    0.07   2.04  1.609XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99378  Hospice care supervision                          I+  1.73   1.20     0.67    0.10   3.03  2.509XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99379  Nursing fac care supervision                      B+  1.10   0.87     0.43    0.07   2.04  1.609XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99380  Nursing fac care supervision                      B+  1.73   1.20     0.67    0.10   3.03  2.509XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99381  Init pm e/m new pat infant                        N+  1.50   1.68     0.58    0.09   3.27  2.179XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99382  Init pm e/m new pat 1-4 yrs                       N+  1.60   1.72     0.62    0.10   3.42  2.329XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99383  Prev visit new age 5-11                           N+  1.70   1.75     0.66    0.10   3.55  2.469XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99384  Prev visit new age 12-17                          N+  2.00   1.86     0.78    0.12   3.98  2.909XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99385  Prev visit new age 18-39                          N+  1.92   1.83     0.74    0.12   3.87  2.789XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99386  Prev visit new age 40-64                          N+  2.33   1.99     0.90    0.14   4.46  3.379XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99387  Init pm e/m new pat 65+ yrs                       N+  2.50   2.19     0.97    0.15   4.84  3.629XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99391  Per pm reeval est pat infant                      N+  1.37   1.49     0.53    0.08   2.94  1.989XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99392  Prev visit est age 1-4                            N+  1.50   1.54     0.58    0.09   3.13  2.179XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99393  Prev visit est age 5-11                           N+  1.50   1.53     0.58    0.09   3.12  2.179XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99394  Prev visit est age 12-17                          N+  1.70   1.61     0.66    0.10   3.41  2.469XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99395  Prev visit est age 18-39                          N+  1.75   1.63     0.68    0.11   3.49  2.549XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99396  Prev visit est age 40-64                          N+  1.90   1.69     0.74    0.12   3.71  2.769XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99397  Per pm reeval est pat 65+ yr                      N+  2.00   1.87     0.78    0.12   3.99  2.909XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99401  Prev med cnsl indiv apprx 15                      N+  0.48   0.64     0.19    0.03   1.15  0.709XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99402  Prev med cnsl indiv apprx 30                      N+  0.98   0.83     0.38    0.06   1.87  1.429XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99403  Prev med cnsl indiv apprx 45                      N+  1.46   1.02     0.57    0.09   2.57  2.129XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99404  Prev med cnsl indiv apprx 60                      N+  1.95   1.21     0.76    0.12   3.28  2.839XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99406  Behav chng smoking 3-10 min                       A   0.24   0.18     0.09    0.02   0.44  0.350XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99407  Behav chng smoking > 10 min                       A   0.50   0.28     0.20    0.04   0.82  0.740XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99408  Audit/dast 15-30 min                              N+  0.65   0.33     0.25    0.04   1.02  0.949XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99409  Audit/dast over 30 min                            N+  1.30   0.59     0.50    0.08   1.97  1.889XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99411  Preventive counseling group                       N+  0.15   0.44     0.06    0.01   0.60  0.229XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99412  Preventive counseling group                       N+  0.25   0.48     0.10    0.02   0.75  0.379XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99415  Prolng clin staff svc 1st hr                      A   0.00   0.60     0.60NA  0.02   0.62  0.623ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99416  Prolng clin staff svc ea add                      A   0.00   0.28     0.28NA  0.01   0.29  0.293ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99417  Prolng op e/m each 15 min                         I+  0.61   0.27     0.24    0.04   0.92  0.899ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99418  Prolng ip/obs e/m ea 15 min                       I+  0.81   0.31NA   0.31    0.05   1.17  1.179ZZZ.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99421  Ol dig e/m svc 5-10 min                           A   0.25   0.18     0.11    0.02   0.45  0.380XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99422  Ol dig e/m svc 11-20 min                          A   0.50   0.34     0.21    0.04   0.88  0.750XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99423  Ol dig e/m svc 21+ min                            A   0.80   0.54     0.34    0.06   1.40  1.200XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99424  Prin care mgmt phys 1st 30                        A   1.45   0.92     0.65    0.11   2.48  2.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99425  Prin care mgmt phys ea addl                       A   1.00   0.73     0.45    0.07   1.80  1.520ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99426  Prin care mgmt staff 1st 30                       A   1.00   0.78     0.39    0.08   1.86  1.470XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99427  Prin care mgmt staff ea addl                      A   0.71   0.66     0.27    0.05   1.42  1.030ZZZ.00.00.0000000             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99437  Chrnc care mgmt phys ea addl                      A   1.00   0.72     0.43    0.07   1.79  1.500ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99439  Chrnc care mgmt staf ea addl                      A   0.70   0.69     0.29    0.05   1.44  1.040ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99441  Phone e/m phys/qhp 5-10 min                       A   0.70   0.94     0.29    0.05   1.69  1.040XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99442  Phone e/m phys/qhp 11-20 min                      A   1.30   1.33     0.56    0.09   2.72  1.950XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99443  Phone e/m phys/qhp 21-30 min                      A   1.92   1.79     0.83    0.14   3.85  2.890XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99446  Ntrprof ph1/ntrnet/ehr 5-10                       A   0.35   0.15     0.15    0.03   0.53  0.530XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99447  Ntrprof ph1/ntrnet/ehr 11-20                      A   0.70   0.31     0.31    0.07   1.08  1.080XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99448  Ntrprof ph1/ntrnet/ehr 21-30                      A   1.05   0.46     0.46    0.09   1.60  1.600XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99449  Ntrprof ph1/ntrnet/ehr 31/>                       A   1.40   0.62     0.62    0.11   2.13  2.130XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99452  Ntrprof ph1/ntrnet/ehr rfrl                       A   0.70   0.27     0.27    0.04   1.01  1.010XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99453  Rem mntr physiol param setup                      A   0.00   0.58     0.58NA  0.02   0.60  0.600XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99454  Rem mntr physiol param dev                        A   0.00   1.41     1.41NA  0.01   1.42  1.420XXX.00.00.0000000             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99457  Rem physiol mntr 1st 20 min                       A   0.61   0.82     0.24    0.04   1.47  0.890XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99458  Rem physiol mntr ea addl 20                       A   0.61   0.53     0.24    0.04   1.18  0.890ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99459  Pelvic examination                                A   0.00   0.68     0.68NA  0.00   0.68  0.680ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99460  Init nb em per day hosp                           A   1.92   0.70NA   0.70    0.13   2.75  2.750XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99461  Init nb em per day non-fac                        A   1.26   1.40     0.46    0.09   2.75  1.810XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99462  Sbsq nb em per day hosp                           A   0.84   0.31NA   0.31    0.06   1.21  1.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99463  Same day nb discharge                             A   2.13   0.93NA   0.93    0.15   3.21  3.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99464  Attendance at delivery                            A   1.50   0.55NA   0.55    0.10   2.15  2.150XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99465  Nb resuscitation                                  A   2.93   1.08NA   1.08    0.20   4.21  4.210XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99466  Ped crit care transport                           A   4.79   1.75NA   1.75    0.33   6.87  6.870XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99467  Ped crit care transport addl                      A   2.40   0.88NA   0.88    0.17   3.45  3.450ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99468  Neonate crit care initial                         A  18.46   6.76NA   6.76    1.26  26.48 26.480XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99469  Neonate crit care subsq                           A   7.99   2.92NA   2.92    0.54  11.45 11.450XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99471  Ped critical care initial                         A  15.98   5.85NA   5.85    1.11  22.94 22.940XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99472  Ped critical care subsq                           A   7.99   3.12NA   3.12    0.64  11.75 11.750XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99473  Self-meas bp pt educaj/train                      A   0.00   0.42     0.42NA  0.01   0.43  0.430XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99474  Self-meas bp 2 readg bid 30d                      A   0.18   0.31     0.07    0.01   0.50  0.260XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99475  Ped crit care age 2-5 init                        A  11.25   4.34NA   4.34    0.94  16.53 16.530XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99476  Ped crit care age 2-5 subsq                       A   6.75   2.64NA   2.64    0.56   9.95  9.950XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99477  Init day hosp neonate care                        A   7.00   2.56NA   2.56    0.47  10.03 10.030XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99478  Ic lbw inf < 1500 gm subsq                        A   2.75   1.01NA   1.01    0.19   3.95  3.950XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99479  Ic lbw inf 1500-2500 g subsq                      A   2.50   0.92NA   0.92    0.17   3.59  3.590XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99480  Ic inf pbw 2501-5000 g subsq                      A   2.40   0.88NA   0.88    0.17   3.45  3.450XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99483  Assmt & care pln pt cog imp                       A   3.84   4.09     1.64    0.26   8.19  5.740XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99484  Care mgmt svc bhvl hlth cond                      A   0.93   0.66     0.32    0.06   1.65  1.310XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99485  Suprv interfacilty transport                      B+  1.50   0.58NA   0.58    0.09   2.17  2.179XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99486  Suprv interfac trnsport addl                      B+  1.30   0.50NA   0.50    0.08   1.88  1.889XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99487  Cplx chrnc care 1st 60 min                        A   1.81   2.10     0.75    0.12   4.03  2.680XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99489  Cplx chrnc care ea addl 30                        A   1.00   1.10     0.42    0.07   2.17  1.490ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99490  Chrnc care mgmt staff 1st 20                      A   1.00   0.81     0.42    0.07   1.88  1.490XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99491  Chrnc care mgmt phys 1st 30                       A   1.50   0.94     0.64    0.10   2.54  2.240XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99492  1st psyc collab care mgmt                         A   1.88   2.60     0.79    0.12   4.60  2.790XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99493  Sbsq psyc collab care mgmt                        A   2.05   2.01     0.86    0.14   4.20  3.050XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99494  1st/sbsq psyc collab care                         A   0.82   0.91     0.35    0.05   1.78  1.220ZZZ.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99495  Transj care mgmt mod f2f 14d                      A   2.78   3.25     1.20    0.18   6.21  4.160XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99496  Transj care mgmt high f2f 7d                      A   3.79   4.37     1.62    0.24   8.40  5.650XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99497  Advncd care plan 30 min                           A   1.50   0.86     0.64    0.10   2.46  2.240XXX.00.00.0000000             33.2875 090 99      0.00   0.00   0.00
99498  Advncd care plan addl 30 min                      A   1.40   0.63     0.61    0.10   2.13  2.110ZZZ.00.00.0000000             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
99600  Unlisted home visit svc/px                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99601  Home nfs visit <2 hrs                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 090 99      0.00   0.00   0.00
99602  Home nfs visit each addl hr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             33.2875 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             33.2875 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             33.2875 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             33.2875 090 99      0.00   0.00   0.00
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