HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT 
HDR 2026 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 2025/26 AMERICAN DENTAL ASSOCIATION.  ALL RIGH
HDR RESERVED.                                     
0054T  Bone srgry cmptr fluor image                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00010001            33.5675 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.00.00.00020001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00010001            33.5675 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.00.00.00010001            33.5675 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.00.00.00010001            33.5675 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.00.00.00010001            33.5675 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.00.00.00010001            33.5675 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.00.00.00010001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00001001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0274T  Prq lamot/lam dcmpr crv/thrc                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0278T  Tempr                                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00211001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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  0.000YYY.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0417T  Prgrmg eval cardiac modulj                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0417T26Prgrmg eval cardiac modulj                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0417TTCPrgrmg eval cardiac modulj                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
0418T  Interro eval cardiac modulj                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0418T26Interro eval cardiac modulj                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0418TTCInterro eval cardiac modulj                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
0419T  Dstrj neurofibroma xtnsv                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0446T  Insj impltbl glucose sensor                       A   1.11 188.02     0.26    0.09 189.22  1.460000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0447T  Rmvl impltbl glucose sensor                       A   1.31   1.63     0.30    0.08   3.02  1.690000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0448T  Remvl insj impltbl gluc sens                      A   1.86 184.18     0.43    0.17 186.21  2.460000.00.00.00201001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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  0.000000.00.00.00201001            33.5675 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.00.00.00099991            33.5675 090 99      0.00   0.00   0.00
0481T  Njx autol wbc concentrate                         C   0.00   0.00     0.00    0.00   0.00  0.009000.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
0483T  Tmvi percutaneous approach                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00202211            33.5675 090 99      0.00   0.00   0.00
0484T  Tmvi transthoracic exposure                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200211            33.5675 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.00.00.00919991            33.5675 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.00.00.00919991            33.5675 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.00.00.00919991            33.5675 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.00.00.00929991            33.5675 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.00.00.00929991            33.5675 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.00.00.00929991            33.5675 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.00.00.00999991            33.5675 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  0.009000.00.00.00999991            33.5675 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  0.009000.00.00.00999991            33.5675 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.00.00.00222101            33.5675 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.00.00.00999991            33.5675 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.00.00.00099991            33.5675 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.00.00.00000001            33.5675 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.00.00.00700001            33.5675 090 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.00.00.00700001            33.5675 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.00.00.00700001            33.5675 010 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.00.00.00700001            33.5675 090 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.00.00.00700001            33.5675 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.00.00.00700001            33.5675 010 99      0.00   0.00   0.00
0509T  Pattern erg w/i&r                                 A   0.39   1.92     1.92NA  0.02   2.33  2.331XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
0509T26Pattern erg w/i&r                                 A   0.39   0.23     0.23    0.01   0.63  0.631XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
0509TTCPattern erg w/i&r                                 A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.00720001            33.5675 010 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.00.00.00211001            33.5675 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.00.00.00211001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00999991            33.5675 090 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 020 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.00.00.00999991            33.5675 090 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 020 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.00.00.00000001            33.5675 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.00.00.00211001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00999991            33.5675 090 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 020 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.00.00.00999991            33.5675 090 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 020 99      0.00   0.00   0.00
0530T  Removal complete iims                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00002101            33.5675 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.00.00.00002101            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00002101            33.5675 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.00.00.00002101            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0583T  Tmpst auto tube dlvr sys                          A   2.63  42.27     0.97    0.16  45.06  3.760000.00.00.00312001      31231 33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0596T  Temp fml iu vlv-pmp 1st insj                      A   2.37  57.93     0.82    0.15  60.45  3.340000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0597T  Temp fml iu valve-pmp rplcmt                      A   1.02  16.78     0.52    0.06  17.86  1.600000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0598T  R-t fluor wound img 1st site                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0599T  R-t fluor wound img ea addl                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0600T  Ablt ire 1+ o/t lv/prst8 prq                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0601T  Abltj ire 1+tumors open                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0605T  Rem oct rta techl sprt min 8                      A   0.00  22.64    22.64NA  0.07  22.71 22.713XXX.00.00.00600001            33.5675 010 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0615T  Auto alys binocular eye mvmt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00210001            33.5675 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.00.00.00210001            33.5675 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.00.00.00210001            33.5675 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.00.00.00220001            33.5675 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.00.00.00020001            33.5675 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.00.00.00220001            33.5675 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.00.00.00020001            33.5675 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.00.00.00200001            33.5675 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.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
0633T26Ct breast w/3d uni c-                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00030001            33.5675 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.00.00.00030001            33.5675 090 99      3.17   3.17   0.01
0634T  Ct breast w/3d uni c+                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
0634T26Ct breast w/3d uni c+                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00030001            33.5675 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.00.00.00030001            33.5675 020 99      5.33   5.33   0.01
0635T  Ct breast w/3d uni c-/c+                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
0635T26Ct breast w/3d uni c-/c+                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00030001            33.5675 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.00.00.00030001            33.5675 020 99      5.33   5.33   0.01
0636T  Ct breast w/3d bi c-                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
0636T26Ct breast w/3d bi c-                              C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00030001            33.5675 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.00.00.00030001            33.5675 090 99      7.25   7.25   0.01
0637T  Ct breast w/3d bi c+                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
0637T26Ct breast w/3d bi c+                              C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00030001            33.5675 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.00.00.00030001            33.5675 020 99     10.61  10.61   0.01
0638T  Ct breast w/3d bi c-/c+                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
0638T26Ct breast w/3d bi c-/c+                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00030001            33.5675 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.00.00.00030001            33.5675 020 99     10.61  10.61   0.01
0639T  Wrls skn snr anisotropy meas                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0640T  Ncntc ifr spctrsc o/t pad 1                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0640T26Ncntc ifr spctrsc o/t pad 1                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0640TTCNcntc ifr spctrsc o/t pad 1                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 020 88      1.13   1.13   0.01
0643T  Tcat l ventr rstrj dev implt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00200001            33.5675 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.00.00.00200001            33.5675 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.00.00.00200001            33.5675 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.00.00.00202211            33.5675 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.00.00.00200001            33.5675 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.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
0648T26Quan mr tis wo mri 1orgn                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00430001            33.5675 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.00.00.00430001            33.5675 010 88     28.31  28.31   0.01
0649T  Quan mr tiss w/mri 1orgn                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0649T26Quan mr tiss w/mri 1orgn                          C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99     28.31  28.31   0.01
0650T  Prgrmg dev eval scrms remote                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 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.00.00.00201001            33.5675 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.00.00.00301001      0652T 33.5675 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.00.00.00301001      0652T 33.5675 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.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0656T  Ant lmbr vrt bdy teth <7 seg                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
0657T  Ant lmbr vrt bdy teth 8+ seg                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202001            33.5675 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.00.00.00200001            33.5675 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.00.00.00900001            33.5675 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.00.00.00211001            33.5675 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.00.00.00211001            33.5675 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.00.00.00202101            33.5675 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.00.00.00202101            33.5675 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.00.00.00202101            33.5675 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.00.00.00211001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00001001            33.5675 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.00.00.00201001            33.5675 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.00.00.00001001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00600001            33.5675 090 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.00.00.00600001            33.5675 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.00.00.00600001            33.5675 020 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.00.00.00600001            33.5675 090 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.00.00.00600001            33.5675 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.00.00.00600001            33.5675 020 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.00.00.00600001            33.5675 090 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.00.00.00600001            33.5675 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.00.00.00600001            33.5675 020 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.00.00.00201001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0689T26Quan us tis charac w/o dx us                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 88      2.64   2.64   0.01
0690T  Quan us tis charac w/dx us                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0692T  Therapeutic ultrafiltration                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00400001            33.5675 090 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.00.00.00400001            33.5675 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.00.00.00400001            33.5675 020 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 020 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.00.00.00211001            33.5675 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 020 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.00.00.00030001            33.5675 090 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.00.00.00030001            33.5675 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.00.00.00030001            33.5675 020 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.00.00.00929991            33.5675 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.00.00.00929991            33.5675 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.00.00.00929991            33.5675 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.00.00.00211001            33.5675 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.00.00.00201001            33.5675 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.00.00.00001001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
0714T  Tpla b9 prst8 hyprplsa<50ml                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 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.00.00.00600001            33.5675 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.00.00.00210001            33.5675 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.00.00.00210001            33.5675 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.00.00.00202001            33.5675 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.00.00.00430001            33.5675 090 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.00.00.00430001            33.5675 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.00.00.00430001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00430001            33.5675 090 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.00.00.00430001            33.5675 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.00.00.00430001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00210001            33.5675 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.00.00.00210001            33.5675 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.00.00.00210001            33.5675 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.00.00.00010001            33.5675 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.00.00.00010001            33.5675 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.00.00.00211001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00002101            33.5675 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.00.00.00201001            33.5675 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.00.00.00211001            33.5675 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.00.00.00000001            33.5675 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.00.00.00202001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00212101            33.5675 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.00.00.00200001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00200001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00020001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0779T26Gi myoelectrical actv study                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0780T  Instlj fecal microbiota ssp                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00000001            33.5675 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.00.00.00321001      31622 33.5675 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.00.00.00301001      31622 33.5675 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.00.00.00000001            33.5675 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.00.00.00200001            33.5675 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.00.00.00200001            33.5675 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.00.00.00200001            33.5675 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.00.00.00200001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00202001            33.5675 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.00.00.00501001            33.5675 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.00.00.00200001            33.5675 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.00.00.00001001            33.5675 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.00.00.00201201            33.5675 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.00.00.00201201            33.5675 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.00.00.00201201            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201201            33.5675 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.00.00.00201201            33.5675 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.00.00.00201201            33.5675 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.00.00.00600001            33.5675 090 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.00.00.00600001            33.5675 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.00.00.00600001            33.5675 020 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.00.00.00200211            33.5675 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.00.00.00200211            33.5675 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.00.00.00401001            33.5675 090 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.00.00.00401001            33.5675 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.00.00.00401001            33.5675 010 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.00.00.00401001            33.5675 090 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.00.00.00401001            33.5675 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.00.00.00401001            33.5675 010 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.00.00.00212101            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00301001      43235 33.5675 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.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
0815T  Us rems b1 dns hips plvs/spi                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0815TTCUs rems b1 dns hips plvs/spi                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00200001            33.5675 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.00.00.00200001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00201201            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0826T  Prgrmg evl ldls pm 1chmbr ip                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 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.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0826TTCPrgrmg evl ldls pm 1chmbr ip                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 020 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0857T  Opto-acoustic img breast uni                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00010001            33.5675 090 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.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
0857TTCOpto-acoustic img breast uni                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00010001            33.5675 010 99      0.00   0.00   0.00
0858T  Ext trnscranl mag stimj meas                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0858TTCExt trnscranl mag stimj meas                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0859T  Ncntc ifr spctrsc o/t pad ea                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0859T26Ncntc ifr spctrsc o/t pad ea                      C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0859TTCNcntc ifr spctrsc o/t pad ea                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 020 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00201001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0865T  Quan mri alys brn w/o dx mri                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 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.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0865TTCQuan mri alys brn w/o dx mri                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
0866T  Quan mri alys brn w/dx mri                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0866TTCQuan mri alys brn w/dx mri                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0867T  Tpla b9 prst8 hyprplsa>=50ml                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0868T  Hi-res gastric ep mapping                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0868T26Hi-res gastric ep mapping                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0868TTCHi-res gastric ep mapping                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     11.35  11.35   0.01
0869T  Njx b1 sub mtrl hw fixj aug                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
0870T  Imp subq prtl ascts pmp sys                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0871T  Rplcmt subq prtl ascites pmp                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0872T  Rplcmt ndwllg bldr&prtl cath                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0873T  Revj subq prtl asct pmp sys                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0874T  Rmvl pertl ascites pmp sys                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0875T  Prgrm subq prtl asct pmp sys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0876T  Duplex scan hemo fstl lmtd                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00410001            33.5675 090 88      0.00   0.00   0.00
0876T26Duplex scan hemo fstl lmtd                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00410001            33.5675 090 88      0.00   0.00   0.00
0876TTCDuplex scan hemo fstl lmtd                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00410001            33.5675 010 88      0.00   0.00   0.00
0877T  Augmnt alys ch ct ild w/o ct                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0878T  Augmnt alys ch ct ild w/ct                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0879T  Augmnt alys ch ct ild prep                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0880T  Augmnt alys ch ct ild i&r                         C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0881T  Cryotherapy oral cavity                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0882T  Intraop ther estim pn ue 1st                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
0883T  Intraop ther estim pn ue ea                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
0884T  Esphgsc flx 1st tndsc dilat                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
0885T  Colsc flx 1st tndsc dilat                         C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
0886T  Sgmdsc flx 1st tndsc dilat                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
0887T  End-tidal ctrl inhaled anes                       C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
0888T  Histotripsy mal renal tissue                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
0889T  Prsnlz trgt dvl arhfcmrigtbs                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
0890T  Arhfcmrigtbs 1st tx day                           C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
0891T  Arhfcmrigtbs sbsq tx day                          C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
0892T  Arhfcmrigtbs sbsq per tx day                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
0893T  N-invas assmt bld oxygnation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
0893T26N-invas assmt bld oxygnation                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
0893TTCN-invas assmt bld oxygnation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00001001            33.5675 010 99      0.00   0.00   0.00
0894T  Cannulation liver allograft                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
0895T  Connj lvr algrft prfu dev 1                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00200101            33.5675 090 99      0.00   0.00   0.00
0896T  Connj lvr algrft prfu dev ea                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
0897T  N-invas augmnt arrhyt alys                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0897T26N-invas augmnt arrhyt alys                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0897TTCN-invas augmnt arrhyt alys                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
0898T  N-invas prst8 cancer est map                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0898T26N-invas prst8 cancer est map                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0898TTCN-invas prst8 cancer est map                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
0899T  N-invas deter aqmbf aug cmr                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0899T26N-invas deter aqmbf aug cmr                       C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0899TTCN-invas deter aqmbf aug cmr                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0900T  N-invas est aqmbf asstv cmr                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0900T26N-invas est aqmbf asstv cmr                       C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0900TTCN-invas est aqmbf asstv cmr                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0901T  Plmt bone marrow smplg port                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0902T  Qtc ntrvl augmnt alg aly ecg                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0903T  Ecg alg 12 lead reduced i&r                       C   0.00   0.00     0.00    0.00   0.00  0.004XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
0904T  Ecg alg 12 ld rdcd trcg only                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
0905T  Ecg alg 12 ld rdcd i&r only                       C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0906T  Coms ther 1st appl<=50 sq cm                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0907T  Coms ther ea addl<=50 sq cm                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0908T  Opn imp int nstm sys vgs nrv                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
0909T  Rplcmt int nstim sys vgs nrv                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
0910T  Rmvl int nstim sys vagus nrv                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
0911T  Elec aly nstm sys vgs nrv wo                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0912T  Elec alys nstim sys vgs smpl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0913T  Prq tcat ther rx ntrac balo1                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0914T  Prq tcat thr rx ntrc bal sep                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0915T  Insj perm ccm-d sys pg&eltrd                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0916T  Insj perm ccm-d sys pg only                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0917T  Insj perm ccm-d sys 1 lead                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0918T  Insj perm ccm-d sys dual ld                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0919T  Rmvl perm ccm-d sys pg only                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0920T  Rmvl perm ccm-d sys 1 pac ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0921T  Rmvl perm ccm-d sys 1 dfb ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0922T  Rmvl perm ccm-d sys dual ld                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0923T  Rmvl&rplcmt perm ccm-d pg                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0924T  Rpos prv ccm-d trnsvns eltrd                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0925T  Rlcj skin pocket ccm-d pg                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0926T  Prgrmg dev eval ccm-d ip                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0926T26Prgrmg dev eval ccm-d ip                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0926TTCPrgrmg dev eval ccm-d ip                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
0927T  Interrog dev eval ccm-d ip                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0927T26Interrog dev eval ccm-d ip                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0927TTCInterrog dev eval ccm-d ip                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
0928T  Rem interrog dev ccm-d phys                       C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0929T  Rem interrog dev ccm-d tech                       C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0930T  Ephys eval ccm-d ld 1st impl                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0930T26Ephys eval ccm-d ld 1st impl                      C   0.00   0.00     0.00    0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0930TTCEphys eval ccm-d ld 1st impl                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
0931T  Ephys eval ccm-d ld separate                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0931T26Ephys eval ccm-d ld separate                      C   0.00   0.00     0.00    0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0931TTCEphys eval ccm-d ld separate                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
0932T  N-invs det hrt fail aug echo                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0932T26N-invs det hrt fail aug echo                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0932TTCN-invs det hrt fail aug echo                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0933T  Tcat impl wrls l atr prs snr                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0934T  Rem mntr wrls l atr prs snr                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0935T  Cysto w/rnl pel symp dnrvtj                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00321001      52000 33.5675 090 99      0.00   0.00   0.00
0936T  Photobiomodulation ther rta                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
0937T  Xtrnl ecg rec>15d<30d                             C   0.00   0.00     0.00    0.00   0.00  0.004XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
0938T  Xtrnl ecg rec>15d<30d rec                         C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
0939T  Xtrnl ecg rec>15d<30d scan                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
0940T  Xtrnl ecg rec>15d<30d r&i                         C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0941T  Cysto flx ins&xpns urtl scaf                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
0942T  Cysto flx rmv&rplc urtl scaf                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
0943T  Cysto flx rmvl urtl scaffold                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
0944T  3d cntr simula trgt lvr les                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0944T263d cntr simula trgt lvr les                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0944TTC3d cntr simula trgt lvr les                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 030 88      7.25   7.25   0.01
0945T  Intraop assmt abnl tum tiss                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0946T  Ortho impl mvmt alys pair ct                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
0946T26Ortho impl mvmt alys pair ct                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
0946TTCOrtho impl mvmt alys pair ct                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00430001            33.5675 010 88      3.17   3.17   0.01
0947T  Mrgfus strtctc bl-br disrpj                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0947T26Mrgfus strtctc bl-br disrpj                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0947TTCMrgfus strtctc bl-br disrpj                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 030 88      0.00   0.00   0.00
0948T  Rem interrog dev ccm phys                         C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0949T  Rem interrog dev ccm tech                         C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0950T  Abltj b9 prst8 tissue hifu                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0956T  Prt crn ch cr&tun elt s-sclp                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00222101            33.5675 090 99      0.00   0.00   0.00
0957T  Rev s-sclp eltr ra rcvr&tlmt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00212101            33.5675 090 99      0.00   0.00   0.00
0958T  Rmv s-sclp eltr ra rcvr&tlmt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00212101            33.5675 090 99      0.00   0.00   0.00
0959T  Rmv/rplc magnet coil assem                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00212101            33.5675 090 99      0.00   0.00   0.00
0960T  Rpl s-sclp eltr ra rcvr&tlmt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00212101            33.5675 090 99      0.00   0.00   0.00
0961T  Shortwave ifr radiation img                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0961T26Shortwave ifr radiation img                       C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0961TTCShortwave ifr radiation img                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0962T  Asstv alg alys acous&ecg rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0962T26Asstv alg alys acous&ecg rec                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
0962TTCAsstv alg alys acous&ecg rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
0963T  Anosc sbmcsl njx bulking agt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
0964T  I&cust prep jaw xpnsj 1arch                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0965T  I&cst prp jw xpn dl arch non                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0966T  I&cst prp jw xpn dl arch fxd                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0967T  Tranal ins tmp clrc anst dev                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
0968T  Insj/rplcmt epcrnl nstim sys                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
0969T  Removal epicranial nstim sys                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
0970T  Ablt b9 brst tum perq lsr ea                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
0971T  Ablt mal brst tum pq lsr uni                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0972T  Asstv alg clsfctn burn hlg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0972T26Asstv alg clsfctn burn hlg                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
0972TTCAsstv alg clsfctn burn hlg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
0973T  Slctv nzmtc dbrdmt t/a/l 1st                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0974T  Slctv nzmtc dbrdmt t/a/l ea                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0975T  Slctv nzmtc dbrdmt s/n/hf 1                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0976T  Slctv nzmtc dbrdmt s/n/hf ea                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0977T  Upr gi bld detcj snr capsule                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0977T26Upr gi bld detcj snr capsule                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0977TTCUpr gi bld detcj snr capsule                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0978T  Submucosal cryolysis therapy                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0979T  Sbmcsl crylys ther sft palt                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0980T  Sbmcsl crylys ther tng&tnsl                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0981T  Tcat impl wrls ivc snr                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0982T  Rem mntr impl ivc snr set-up                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0983T  Rem mntr impl ivc snr phys                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0984T  Iv img xtrc cere vsl oct 1st                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0984T26Iv img xtrc cere vsl oct 1st                      C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0984TTCIv img xtrc cere vsl oct 1st                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0985T  Iv img xtrc cere vsl oct ea                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0985T26Iv img xtrc cere vsl oct ea                       C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0985TTCIv img xtrc cere vsl oct ea                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0986T  Iv img icr cere vsl oct 1st                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0986T26Iv img icr cere vsl oct 1st                       C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0986TTCIv img icr cere vsl oct 1st                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0987T  Iv img icr cere vsl oct ea                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0987T26Iv img icr cere vsl oct ea                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0987TTCIv img icr cere vsl oct ea                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0988T  Opn ins/rplc ins ptn sbq&sbf                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
0989T  Revj/rmvl ins ptn subq&subf                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0990T  Trncrv inst biod hydrgl mtrl                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0991T  Cysto lo-nrg lithtrp&mcrsphr                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00311001      52351 33.5675 090 99      0.00   0.00   0.00
0992T  N-invas assmt car rsk w/o ct                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0992T26N-invas assmt car rsk w/o ct                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0992TTCN-invas assmt car rsk w/o ct                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0993T  N-invas assmt car rsk w/ct                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0993T26N-invas assmt car rsk w/ct                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0993TTCN-invas assmt car rsk w/ct                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
0994T  Evasc dlvr a-wal stbl rx prq                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0995T  Evasc dlvr a-wal stbl rx opn                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
0996T  Ins&sclr fix caps bag prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
0997T  Precuneus mag stimj tx plng                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0998T  Precuneus mag stimj tx dlvr                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
0999T  Autol musc cell therapy hrvg                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
10004  Fna bx w/o img gdn ea addl                        A   0.78   0.68     0.19    0.13   1.59  1.100ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
10005  Fna bx w/us gdn 1st les                           A   1.42   2.37     0.28    0.17   3.96  1.870XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
10006  Fna bx w/us gdn ea addl                           A   0.98   0.71     0.20    0.11   1.80  1.290ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
10007  Fna bx w/fluor gdn 1st les                        A   1.76   8.28     0.37    0.27  10.31  2.400XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
10008  Fna bx w/fluor gdn ea addl                        A   1.15   2.93     0.11    0.15   4.23  1.410ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
10009  Fna bx w/ct gdn 1st les                           A   2.20   9.92     0.36    0.23  12.35  2.790XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
1000T  Autol musc cell therapy admn                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
10010  Fna bx w/ct gdn ea addl                           A   1.61   5.22     0.15    0.21   7.04  1.970ZZZ.00.00.00000001            33.5675 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.00.00.00200001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1001T  Autol musc cell therapy njx                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
10021  Fna bx w/o img gdn 1st les                        A   1.00   1.88     0.24    0.14   3.02  1.380XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
1002T  Air displacmnt plethysmograp                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1002T26Air displacmnt plethysmograp                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1002TTCAir displacmnt plethysmograp                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
10030  Img gid flu coll drg sft tis                      A   2.68  15.56     0.51    0.35  18.59  3.549000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
10035  Plmt sft tiss loclzj dev 1st                      A   1.66   8.51     0.30    0.17  10.34  2.130000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
10036  Plmt sft tiss loclzj dev ea                       A   0.83   7.76     0.16    0.11   8.70  1.100ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1003T  Arthrp 1st crp/mtcrpl prostc                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00212101            33.5675 090 99      0.00   0.00   0.00
10040  Extraction                                        A   0.89   2.42     0.30    0.08   3.39  1.270010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
1004T  Elec alys s-scl eeg wo prgrm                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1005T  Elec alys s-scl eeg prgr 1st                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
10060  I&d abscess simple/single                         A   1.19   2.53     1.69    0.13   3.85  3.010010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
10061  I&d abscess comp/multiple                         A   2.39   3.87     2.47    0.33   6.59  5.190010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
1006T  Elec alys s-scl eeg prgrm ea                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1007T  Eeg impl s-sclp eeg w/o vid                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
10080  I&d pilonidal cyst simple                         A   1.19   6.68     1.76    0.20   8.07  3.150010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
10081  I&d pilonidal cyst comp                           A   2.44   8.46     2.13    0.48  11.38  5.050010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
1008T  Rem mntr s-scl eeg sys setup                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1009T  Rem mntr s-sclp cont eeg sys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1010T  Cptr oph alys monoc eye mvmt                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
1010T26Cptr oph alys monoc eye mvmt                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
1010TTCCptr oph alys monoc eye mvmt                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
1011T  Pbm therapy of oral cavity                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
10120  Inc&rmvl fb subq tiss smpl                        A   1.19   3.38     1.73    0.14   4.71  3.060010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
10121  Inc&rmvl fb subq tiss comp                        A   2.67   5.19     2.09    0.38   8.24  5.140010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
1012T  Mtrz ab ntrno trph scl/tr mw                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
1013T  Lap srg imp/rpl eso nea&pg/r                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
10140  I&d hmtma seroma/fluid collj                      A   1.54   3.47     1.71    0.21   5.22  3.460010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
1014T  Lap rv/rmv eso sph nstm eltr                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
1015T  Rev/rmv lw esoph sphnc npg/r                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
10160  Pnxr aspir absc hmtma bulla                       A   1.22   2.56     1.36    0.16   3.94  2.740010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
1016T  Elec alys npgs esoph intraop                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1017T  Elec aly npgs esoph sbsq w/o                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
10180  I&d complex po wound infctj                       A   2.24   5.89     2.52    0.50   8.63  5.260010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
1018T  Elec alys npgs esoph sbsq w/                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1019T  Lymphovenous bypass per xtr                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
1020T  Raman spectroscopy 1+skn les                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
1021T  Active thrc irrigation spx                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
1022T  Prq tis dsplmt ntra-abdl/pel                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
1023T  Prq tis dsplmt intrathoracic                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
1024T  Perq tiss dsplmt soft tissue                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
1025T  Alt elec fld dos&dlv sim mdl                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1025T26Alt elec fld dos&dlv sim mdl                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
1025TTCAlt elec fld dos&dlv sim mdl                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
11000  Dbrdmt ecz/infected skin<10%                      A   0.59   1.13     0.09    0.05   1.77  0.730000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11001  Dbrdmt ecz/infct skn ea addl                      A   0.29   0.49     0.06    0.03   0.81  0.380ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11004  Dbrdmt skin xtrnl gent&per                        A  10.53   2.46NA   2.46    2.12  15.11 15.110000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11005  Dbrdmt skin abdominal wall                        A  13.88   3.41NA   3.41    3.45  20.74 20.740000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
11006  Dbrdmt skin xtrnl gent per                        A  12.77   3.09NA   3.09    2.82  18.68 18.680000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11008  Rmv prstc mtrl/mesh abd wall                      A   4.88   1.19NA   1.19    1.25   7.32  7.320ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
11010  Debride skin at fx site                           A   4.09   9.21     2.63    0.75  14.05  7.470010.10.80.10221001            33.5675 090 99      0.00   0.00   0.00
11011  Debride skin musc at fx site                      A   4.82  10.33     2.16    0.95  16.10  7.930000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
11012  Deb skin bone at fx site                          A   6.70  12.54     2.83    1.32  20.56 10.850000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
11042  Dbrdmt subq tis 1st 20sqcm/<                      A   0.98   2.86     0.56    0.13   3.97  1.670000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11043  Dbrdmt musc&/fsca 1st 20/<                        A   2.63   4.12     1.09    0.42   7.17  4.140000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11044  Dbrdmt bone 1st 20 sq cm/<                        A   4.00   4.96     1.38    0.64   9.60  6.020000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11045  Dbrdmt subq tiss each addl                        A   0.49   0.69     0.10    0.07   1.25  0.660ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
11046  Dbrdmt musc&/fsca ea addl                         A   1.00   1.10     0.24    0.19   2.29  1.430ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
11047  Dbrdmt bone each addl                             A   1.76   1.74     0.44    0.35   3.85  2.550ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
11055  Paring/cutg b9 hyprker les 1                      R   0.34   1.73     0.04    0.03   2.10  0.410000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11056  Parng/cutg b9 hyprkr les 2-4                      R   0.49   1.90     0.06    0.04   2.43  0.590000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11057  Parng/cutg b9 hyprkr les >4                       R   0.63   1.98     0.08    0.05   2.66  0.760000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11102  Tangntl bx skin single les                        A   0.64   2.16     0.20    0.06   2.86  0.900000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11103  Tangntl bx skin ea sep/addl                       A   0.37   1.05     0.12    0.04   1.46  0.530ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11104  Punch bx skin single lesion                       A   0.81   2.73     0.24    0.09   3.63  1.140000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11105  Punch bx skin ea sep/addl                         A   0.44   1.30     0.13    0.07   1.81  0.640ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11106  Incal bx skn single les                           A   0.98   3.43     0.29    0.12   4.53  1.390000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11107  Incal bx skn ea sep/addl                          A   0.53   1.53     0.16    0.06   2.12  0.750ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11200  Rmvl skin tags up to&inc 15                       A   0.80   1.88     1.19    0.08   2.76  2.070010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11201  Rmvl skin tags ea addl 10                         A   0.28   0.24     0.08    0.03   0.55  0.390ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11300  Shave skin lesion 0.5 cm/<                        A   0.59   2.24     0.18    0.06   2.89  0.830000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11301  Shave skin lesion 0.6-1.0 cm                      A   0.88   2.52     0.29    0.08   3.48  1.250000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11302  Shave skin lesion 1.1-2.0 cm                      A   1.02   2.83     0.34    0.09   3.94  1.450000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11303  Shave skin lesion >2.0 cm                         A   1.22   3.06     0.38    0.13   4.41  1.730000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11305  Shave skin lesion 0.5 cm/<                        A   0.78   2.18     0.13    0.07   3.03  0.980000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11306  Shave skin lesion 0.6-1.0 cm                      A   0.94   2.51     0.20    0.08   3.53  1.220000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11307  Shave skin lesion 1.1-2.0 cm                      A   1.17   2.68     0.26    0.11   3.96  1.540000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11308  Shave skin lesion >2.0 cm                         A   1.42   2.66     0.24    0.13   4.21  1.790000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11310  Shave skin lesion 0.5 cm/<                        A   0.78   2.49     0.24    0.07   3.34  1.090000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11311  Shave skin lesion 0.6-1.0 cm                      A   1.07   2.78     0.34    0.11   3.96  1.520000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11312  Shave skin lesion 1.1-2.0 cm                      A   1.27   3.11     0.41    0.13   4.51  1.810000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11313  Shave skin lesion >2.0 cm                         A   1.64   3.48     0.50    0.17   5.29  2.310000.00.00.00290001            33.5675 090 99      0.00   0.00   0.00
11400  Exc tr-ext b9+marg 0.5 cm<                        A   0.88   2.84     1.30    0.11   3.83  2.290010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11401  Exc tr-ext b9+marg 0.6-1 cm                       A   1.25   3.23     1.42    0.16   4.64  2.830010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11402  Exc tr-ext b9+marg 1.1-2 cm                       A   1.41   3.53     1.48    0.18   5.12  3.070010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11403  Exc tr-ext b9+marg 2.1-3cm                        A   1.79   3.94     2.02    0.25   5.98  4.060010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11404  Exc tr-ext b9+marg 3.1-4 cm                       A   2.06   4.50     2.13    0.36   6.92  4.550010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11406  Exc tr-ext b9+marg >4.0 cm                        A   3.43   5.92     2.75    0.64   9.99  6.820010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11420  Exc h-f-nk-sp b9+marg 0.5/<                       A   1.00   2.63     1.17    0.11   3.74  2.280010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11421  Exc h-f-nk-sp b9+marg 0.6-1                       A   1.43   3.17     1.36    0.17   4.77  2.960010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11422  Exc h-f-nk-sp b9+marg 1.1-2                       A   1.64   3.53     1.87    0.21   5.38  3.720010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11423  Exc h-f-nk-sp b9+marg 2.1-3                       A   2.01   3.97     2.02    0.27   6.25  4.300010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11424  Exc h-f-nk-sp b9+marg 3.1-4                       A   2.42   4.51     2.15    0.37   7.30  4.940010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11426  Exc h-f-nk-sp b9+marg >4 cm                       A   3.99   5.55     2.70    0.64  10.18  7.330010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11440  Exc face-mm b9+marg 0.5 cm/<                      A   1.02   3.12     1.80    0.11   4.25  2.930010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11441  Exc face-mm b9+marg 0.6-1 cm                      A   1.49   3.52     1.92    0.19   5.20  3.600010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11442  Exc face-mm b9+marg 1.1-2 cm                      A   1.73   3.86     2.00    0.22   5.81  3.950010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11443  Exc face-mm b9+marg 2.1-3 cm                      A   2.28   4.31     2.19    0.30   6.89  4.770010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11444  Exc face-mm b9+marg 3.1-4 cm                      A   3.11   5.09     2.45    0.43   8.63  5.990010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11446  Exc face-mm b9+marg >4 cm                         A   4.68   6.57     3.10    0.68  11.93  8.460010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11450  Exc skn hdrdnt ax smpl/ntrm                       A   3.14   9.95     3.77    0.72  13.81  7.630090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
11451  Exc skn hdrdnt ax complex                         A   4.32  11.87     4.26    1.00  17.19  9.580090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
11462  Exc skn hdrdnt ing smpl/ntrm                      A   2.93   9.89     3.70    0.64  13.46  7.270090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
11463  Exc skn hdrdnt ing complex                        A   4.32  11.99     4.25    0.88  17.19  9.450090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
11470  Exc skn h/p/p/u smpl/ntrm                         A   3.65  10.57     3.97    0.79  15.01  8.410090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
11471  Exc skn h/p/p/u complex                           A   4.77  11.84     4.24    0.92  17.53  9.930090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
11600  Exc tr-ext mal+marg 0.5 cm/<                      A   1.59   4.14     1.45    0.21   5.94  3.250010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11601  Exc tr-ext mal+marg 0.6-1 cm                      A   2.02   4.54     1.58    0.24   6.80  3.840010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11602  Exc tr-ext mal+marg 1.1-2 cm                      A   2.21   4.76     1.65    0.23   7.20  4.090010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11603  Exc tr-ext mal+marg 2.1-3 cm                      A   2.75   5.19     1.81    0.33   8.27  4.890010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11604  Exc tr-ext mal+marg 3.1-4 cm                      A   3.09   5.82     1.93    0.40   9.31  5.420010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11606  Exc tr-ext mal+marg >4 cm                         A   4.89   8.15     2.51    0.84  13.88  8.240010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11620  Exc h-f-nk-sp mal+marg 0.5/<                      A   1.60   4.14     1.46    0.21   5.95  3.270010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11621  Exc s/n/h/f/g mal+mrg 0.6-1                       A   2.03   4.57     1.60    0.24   6.84  3.870010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11622  Exc s/n/h/f/g mal+mrg 1.1-2                       A   2.35   4.87     1.70    0.26   7.48  4.310010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11623  Exc s/n/h/f/g mal+mrg 2.1-3                       A   3.03   5.43     1.91    0.38   8.84  5.320010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11624  Exc s/n/h/f/g mal+mrg 3.1-4                       A   3.53   6.15     2.07    0.48  10.16  6.080010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11626  Exc s/n/h/f/g mal+mrg >4 cm                       A   4.49   7.30     2.36    0.76  12.55  7.610010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11640  Exc f/e/e/n/l mal+mrg 0.5cm<                      A   1.63   4.23     1.49    0.20   6.06  3.320010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11641  Exc f/e/e/n/l mal+mrg 0.6-1                       A   2.12   4.72     1.65    0.26   7.10  4.030010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11642  Exc f/e/e/n/l mal+mrg 1.1-2                       A   2.55   5.14     1.78    0.30   7.99  4.630010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11643  Exc f/e/e/n/l mal+mrg 2.1-3                       A   3.33   5.70     2.03    0.43   9.46  5.790010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11644  Exc f/e/e/n/l mal+mrg 3.1-4                       A   4.23   6.94     2.36    0.59  11.76  7.180010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11646  Exc f/e/e/n/l mal+mrg >4 cm                       A   6.10   8.38     2.92    0.95  15.43  9.970010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11719  Trim nail(s) any number                           R   0.17   0.25     0.02    0.01   0.43  0.200000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11720  Debride nail 1-5                                  A   0.31   0.64     0.04    0.03   0.98  0.380000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11721  Debride nail 6 or more                            A   0.53   0.77     0.06    0.05   1.35  0.640000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11730  Avulsion nail plate simple 1                      A   1.02   2.24     0.36    0.08   3.34  1.460000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11732  Avlsn nail plate simple each                      A   0.37   0.57     0.05    0.03   0.97  0.450ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
11740  Evacuation subungual hmtma                        A   0.36   1.33     0.55    0.03   1.72  0.940000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11750  Excision nail&nail matrix                         A   1.54   3.04     1.14    0.14   4.72  2.820010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11755  Biopsy nail unit                                  A   1.22   2.25     0.30    0.11   3.58  1.630000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11760  Repair of nail bed                                A   1.59   3.81     1.33    0.19   5.59  3.110010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11762  Reconstruction of nail bed                        A   2.87   5.60     2.03    0.34   8.81  5.240010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11765  Wedge excision skn nail fold                      A   1.19   3.60     1.39    0.09   4.88  2.670010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11770  Exc pilonidal cyst simple                         A   2.59   8.48     2.22    0.61  11.68  5.420010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
11771  Exc pilonidal cyst xtnsv                          A   5.94  13.36     5.86    1.43  20.73 13.230090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
11772  Exc pilonidal cyst comp                           A   7.17  16.50     8.30    1.70  25.37 17.170090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
11900  Inject skin lesions </w 7                         A   0.51   1.14     0.16    0.05   1.70  0.720000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11901  Inject skin lesions >7                            A   0.78   1.21     0.24    0.07   2.06  1.090000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11920  Correct skin color 6.0 cm/<                       R   1.57   4.63     1.22    0.28   6.48  3.070000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11921  Correct skn color 6.1-20.0cm                      R   1.88   4.76     1.24    0.35   6.99  3.470000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11922  Correct skin color ea 20.0cm                      R   0.48   1.42     0.17    0.08   1.98  0.730ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
11950  Subq njx filling matrl 1cc/<                      R   0.82   1.67     0.36    0.15   2.64  1.330000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11951  Subq njx fil matrl 1.1-5.0cc                      R   1.16   2.14     0.49    0.21   3.51  1.860000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11952  Subq njx fil matrl 5.1-10cc                       R   1.65   2.74     0.67    0.30   4.69  2.620000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11954  Subq njx fil matrl>10.0 cc                        R   1.80   3.04     0.73    0.35   5.19  2.880000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11960  Insert tissue expander(s)                         A  11.20  15.21NA  15.21    1.98  28.39 28.390090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
11970  Rplcmt tiss xpndr perm implt                      A   7.30   6.84NA   6.84    1.35  15.49 15.490090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
11971  Rmvl tis xpndr wo insj implt                      A   6.84   7.32NA   7.32    1.28  15.44 15.440090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
11976  Remove contraceptive capsule                      R   1.74   2.35     0.36    0.30   4.39  2.400000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11980  Implant hormone pellet(s)                         A   1.07   1.67     0.23    0.15   2.89  1.450000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
11981  Insertion drug dlvr implant                       A   1.11   1.90     0.32    0.21   3.22  1.640000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11982  Remove drug implant device                        A   1.31   1.89     0.35    0.23   3.43  1.890000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
11983  Remove/insert drug implant                        A   1.86   2.13     0.46    0.34   4.33  2.660000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
12001  Rpr s/n/ax/gen/trnk 2.5cm/<                       A   0.82   2.41     0.32    0.18   3.41  1.320000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12002  Rpr s/n/ax/gen/trnk2.6-7.5cm                      A   1.11   2.82     0.37    0.24   4.17  1.720000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12004  Rpr s/n/ax/gen/trk7.6-12.5cm                      A   1.40   3.12     0.43    0.33   4.85  2.160000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12005  Rpr s/n/a/gen/trk12.6-20.0cm                      A   1.92   3.97     0.34    0.43   6.32  2.690000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12006  Rpr s/n/a/gen/trk20.1-30.0cm                      A   2.33   4.35     0.43    0.51   7.19  3.270000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12007  Rpr s/n/ax/gen/trnk >30.0 cm                      A   2.83   4.21     0.56    0.62   7.66  4.010000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
12011  Rpr f/e/e/n/l/m 2.5 cm/<                          A   1.04   2.91     0.36    0.23   4.18  1.630000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12013  Rpr f/e/e/n/l/m 2.6-5.0 cm                        A   1.19   2.90     0.21    0.27   4.36  1.670000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12014  Rpr f/e/e/n/l/m 5.1-7.5 cm                        A   1.53   3.27     0.27    0.36   5.16  2.160000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12015  Rpr f/e/e/n/l/m 7.6-12.5 cm                       A   1.93   3.94     0.33    0.44   6.31  2.700000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12016  Rpr fe/e/en/l/m 12.6-20.0 cm                      A   2.61   4.79     0.44    0.61   8.01  3.660000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
12017  Rpr fe/e/en/l/m 20.1-30.0 cm                      A   3.10   0.74NA   0.74    0.78   4.62  4.620000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
12018  Rpr f/e/e/n/l/m >30.0 cm                          A   3.52   0.81NA   0.81    0.88   5.21  5.210000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
12020  Tx supfc wnd dehsn smpl clsr                      A   2.60   6.45     2.32    0.43   9.48  5.350010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12021  Tx supfc wnd dehsn w/packing                      A   1.84   3.39     1.86    0.33   5.56  4.030010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12031  Intmd rpr s/a/t/ext 2.5 cm/<                      A   1.95   5.60     1.81    0.23   7.78  3.990010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12032  Intmd rpr s/a/t/ext 2.6-7.5                       A   2.46   6.26     2.22    0.26   8.98  4.940010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12034  Intmd rpr s/tr/ext 7.6-12.5                       A   2.90   6.73     2.10    0.39  10.02  5.390010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12035  Intmd rpr s/a/t/ext 12.6-20                       A   3.41   8.37     2.69    0.62  12.40  6.720010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12036  Intmd rpr s/a/t/ext 20.1-30                       A   4.12   9.35     3.07    0.90  14.37  8.090010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12037  Intmd rpr s/tr/ext >30.0 cm                       A   4.88  10.10     3.26    1.07  16.05  9.210010.10.80.10200101            33.5675 090 99      0.00   0.00   0.00
12041  Intmd rpr n-hf/genit 2.5cm/<                      A   2.05   5.57     1.57    0.25   7.87  3.870010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12042  Intmd rpr n-hf/genit2.6-7.5                       A   2.72   6.11     2.02    0.30   9.13  5.040010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12044  Intmd rpr n-hf/genit7.6-12.5                      A   3.11   8.07     2.16    0.44  11.62  5.710010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12045  Intmd rpr n-hf/genit12.6-20                       A   3.66   9.22     3.68    0.70  13.58  8.040010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12046  Intmd rpr n-hf/genit20.1-30                       A   4.19  11.37     4.07    1.12  16.68  9.380010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
12047  Intmd rpr n-hf/genit >30.0cm                      A   4.83  12.15     4.23    1.29  18.27 10.350010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
12051  Intmd rpr face/mm 2.5 cm/<                        A   2.27   5.91     1.91    0.29   8.47  4.470010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12052  Intmd rpr face/mm 2.6-5.0 cm                      A   2.80   6.20     2.03    0.34   9.34  5.170010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12053  Intmd rpr face/mm 5.1-7.5 cm                      A   3.09   7.33     2.12    0.39  10.81  5.600010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12054  Intmd rpr face/mm 7.6-12.5cm                      A   3.41   7.80     1.98    0.51  11.72  5.900010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12055  Intmd rpr face/mm 12.6-20 cm                      A   4.39  11.07     3.54    0.88  16.34  8.810010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
12056  Intmd rpr face/mm 20.1-30.0                       A   5.17  12.54     4.31    0.96  18.67 10.440010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
12057  Intmd rpr face/mm >30.0 cm                        A   5.85  12.48     4.51    1.09  19.42 11.450010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
13100  Cmplx rpr trunk 1.1-2.5 cm                        A   2.93   6.83     1.84    0.36  10.12  5.130010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13101  Cmplx rpr trunk 2.6-7.5 cm                        A   3.41   7.88     2.48    0.40  11.69  6.290010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13102  Cmplx rpr trunk addl 5cm/<                        A   1.21   2.19     0.38    0.20   3.60  1.790ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
13120  Cmplx rpr s/a/l 1.1-2.5 cm                        A   3.15   6.98     2.41    0.38  10.51  5.940010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13121  Cmplx rpr s/a/l 2.6-7.5 cm                        A   3.90   8.17     2.11    0.44  12.51  6.450010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13122  Cmplx rpr s/a/l addl 5 cm/>                       A   1.40   2.23     0.42    0.21   3.84  2.030ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
13131  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   3.64   7.44     2.04    0.43  11.51  6.110010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13132  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   4.66   8.67     2.35    0.51  13.84  7.520010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13133  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   2.14   2.62     0.65    0.27   5.03  3.060ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
13151  Cmplx rpr e/n/e/l 1.1-2.5 cm                      A   4.23   7.82     2.25    0.50  12.55  6.980010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13152  Cmplx rpr e/n/e/l 2.6-7.5 cm                      A   5.21   8.87     2.52    0.61  14.69  8.340010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
13153  Cmplx rpr e/n/e/l addl 5cm/<                      A   2.32   2.98     0.72    0.36   5.66  3.400ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
13160  Sec clsr surg wnd/dehsn xtn                       A  11.74   8.34NA   8.34    2.10  22.18 22.180090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14000  Tis trnfr trunk 10 sq cm/<                        A   6.21  12.68     6.63    1.09  19.98 13.930090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14001  Tis trnfr trunk 10.1-30sqcm                       A   8.56  15.49     7.83    1.63  25.68 18.020090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14020  Tis trnfr s/a/l 10 sq cm/<                        A   7.04  13.44     7.07    1.00  21.48 15.110090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14021  Tis trnfr s/a/l 10.1-30 sqcm                      A   9.48  15.64     7.78    1.31  26.43 18.570090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14040  Tis trnfr f/c/c/m/n/a/g/h/f                       A   8.39  13.51     6.89    1.07  22.97 16.350090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14041  Tis trnfr f/c/c/m/n/a/g/h/f                       A  10.56  15.89     7.70    1.28  27.73 19.540090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14060  Tis trnfr e/n/e/l 10 sq cm/<                      A   9.00  13.04     7.10    1.07  23.11 17.170090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14061  Tis trnfr e/n/e/l10.1-30sqcm                      A  11.19  17.36     8.40    1.33  29.88 20.920090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
14301  Tis trnfr any 30.1-60 sq cm                       A  12.33  19.17     8.63    2.04  33.54 23.000090.10.71.19202001            33.5675 090 99      0.00   0.00   0.00
14302  Tis trnfr addl 30 sq cm                           A   3.64   2.35     1.17    0.66   6.65  5.470ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
14350  Filleted finger/toe flap                          A  10.77   6.53NA   6.53    1.11  18.41 18.410090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15002  Wound prep trk/arm/leg                            A   3.56   6.66     1.69    0.65  10.87  5.900000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
15003  Wound prep addl 100 cm                            A   0.78   1.28     0.23    0.18   2.24  1.190ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
15004  Wound prep f/n/hf/g                               A   4.47   7.02     1.76    0.62  12.11  6.850000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
15005  Wnd prep f/n/hf/g addl cm                         A   1.56   1.83     0.44    0.34   3.73  2.340ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
15011  Hrv skn cll ssp agrft 1st 25                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
15012  Hrv skn cll ssp agrft ea add                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15013  Prepj skn cll ssp agrft 1st                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
15014  Prepj skn cll ssp agrft ea                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15015  App skn cl ssp agrft t/a/l 1                      C   0.00   0.00     0.00    0.00   0.00  0.000090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15016  App skn cl ssp agrf t/a/l ea                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15017  App skn cll ssp f/n/g/hf 1st                      C   0.00   0.00     0.00    0.00   0.00  0.000090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15018  App skn cll ssp f/n/g/hf ea                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15040  Harvest cultured skin graft                       A   1.95   5.86     1.08    0.38   8.19  3.410000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15050  Pinch graft up to 2 cm diam                       A   5.43  11.79     6.48    0.92  18.14 12.830090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15100  Splt agrft t/a/l 1st 100sqcm                      A   9.65  16.06     8.21    1.91  27.62 19.770090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15101  Splt agrft t/a/l ea addl 100                      A   1.68   3.97     0.95    0.38   6.03  3.010ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15110  Epidrm agrft t/a/l 1st 100                        A  10.70  14.05     7.21    2.19  26.94 20.100090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15111  Epidrm agrft t/a/l ea addl                        A   1.80   1.42     0.49    0.42   3.64  2.710ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15115  Epdrm agrft f/s/n/h/f/g/m 1                       A  11.00  12.92     6.58    1.91  25.83 19.490090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15116  Epdrm agrft f/s/n/h/f/g/m ea                      A   2.44   1.93     0.67    0.56   4.93  3.670ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
15120  Splt agrft f/s/n/h/f/g/m 1st                      A   9.90  14.64     6.88    1.63  26.17 18.410090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15121  Splt agrft f/s/n/h/f/g/m ea                       A   1.95   4.25     1.20    0.42   6.62  3.570ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
15130  Drm agrft t/a/l 1st 100 sqcm                      A   7.34  14.40     7.79    1.35  23.09 16.480090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15131  Drm agrft t/a/l ea addl                           A   1.46   1.37     0.53    0.26   3.09  2.250ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
15135  Drm agrft f/s/n/h/f/g/m 1st                       A  10.75  14.63     7.82    1.61  26.99 20.180090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15136  Drm agrft f/s/n/h/f/g/m ea                        A   1.46   1.32     0.53    0.26   3.04  2.250ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
15150  Tis cltr skn agrft t/a/l 1st                      A   9.16  11.24     6.86    2.46  22.86 18.480090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15151  Tis cltr skn agrft t/a/l add                      A   1.95   1.30     0.47    0.50   3.75  2.920ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15152  Tis cltr skn agrft t/a/l ea                       A   2.44   1.54     0.59    0.64   4.62  3.670ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15155  Tis cltr agrft f/s/n/h/f/g 1                      A   9.89  13.68     7.95    1.83  25.40 19.670090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15156  Tis clt agrft f/s/n/h/f/g ad                      A   2.68   1.66     0.65    0.71   5.05  4.040ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
15157  Tis clt agrft f/s/n/h/f/g ea                      A   2.93   1.94     0.71    0.79   5.66  4.430ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
15200  Fth/gft fr trnk 20 sq cm/<                        A   8.92  15.80     7.70    1.50  26.22 18.120090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15201  Fth/gft fr trnk each addl                         A   1.29   2.92     0.42    0.23   4.44  1.940ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15220  Fth/gft fr s/a/l 20 sq cm/<                       A   7.89  14.43     7.09    1.12  23.44 16.100090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15221  Fth/gft fr s/a/l each addl                        A   1.16   2.65     0.37    0.20   4.01  1.730ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15240  Fth/gft f/c/c/m/n/ax/g/h/f20                      A  10.15  16.59     9.42    1.33  28.07 20.900090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15241  Fth/gft f/c/c/m/n/a/g/h/f ea                      A   1.81   3.28     0.58    0.29   5.38  2.680ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15260  Fth/gft fr n/e/e/l 20 sqcm/<                      A  11.35  17.31     9.12    1.31  29.97 21.780090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15261  Fth/gft fr n/e/e/l each addl                      A   2.17   3.75     0.90    0.30   6.22  3.370ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15271  Skin sub graft trnk/arm/leg                       A   1.46   3.06     0.58    0.21   4.73  2.250000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
15272  Skin sub graft t/a/l add-on                       A   0.32   0.40     0.07    0.05   0.77  0.440ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15273  Skin sub grft t/arm/lg child                      A   3.41   5.61     1.11    0.62   9.64  5.140000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
15274  Skn sub grft t/a/l child add                      A   0.78   1.65     0.22    0.17   2.60  1.170ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15275  Skin sub graft face/nk/hf/g                       A   1.78   2.82     0.54    0.20   4.80  2.520000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
15276  Skin sub graft f/n/hf/g addl                      A   0.49   0.45     0.10    0.07   1.01  0.660ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15277  Skn sub grft f/n/hf/g child                       A   3.90   6.20     1.30    0.71  10.81  5.910000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
15278  Skn sub grft f/n/hf/g ch add                      A   0.98   1.85     0.28    0.20   3.03  1.460ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
15570  Skin pedicle flap trunk                           A   9.95  17.44     8.20    1.99  29.38 20.140090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15572  Skin pedicle flap arms/legs                       A   9.87  16.35     8.43    1.76  27.98 20.060090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15574  Pedcle fh/ch/ch/m/n/ax/g/h/f                      A  10.43  14.25     7.19    1.53  26.21 19.150090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15576  Pedicle e/n/e/l/ntroral                           A   9.14  13.52     6.60    1.13  23.79 16.870090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15600  Delay flap trunk                                  A   1.96   8.85     4.04    0.37  11.18  6.370090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15610  Delay flap arms/legs                              A   2.46   8.84     4.17    0.42  11.72  7.050090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15620  Delay flap f/c/c/n/ax/g/h/f                       A   3.66   9.64     4.88    0.58  13.88  9.120090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15630  Delay flap eye/nos/ear/lip                        A   3.98   9.55     4.80    0.54  14.07  9.320090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15650  Transfer skin pedicle flap                        A   4.65  12.13     5.94    0.87  17.65 11.460090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15730  Mdfc flap w/prsrv vasc pedcl                      A  13.16  28.48     8.77    1.49  43.13 23.420090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15731  Forehead flap w/vasc pedicle                      A  14.02  18.22    10.11    2.14  34.38 26.270090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15733  Musc myoq/fscq flp h&n pedcl                      A  15.29   9.32NA   9.32    2.58  27.19 27.190090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15734  Muscle-skin graft trunk                           A  22.43  14.11NA  14.11    4.98  41.52 41.520090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15736  Muscle-skin graft arm                             A  16.61  13.35NA  13.35    3.31  33.27 33.270090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15738  Muscle-skin graft leg                             A  18.56  12.20NA  12.20    3.62  34.38 34.380090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15740  Island pedicle flap graft                         A  11.51  18.07     9.14    1.84  31.42 22.490090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15750  Neurovascular pedicle flap                        A  12.64  10.10NA  10.10    2.40  25.14 25.140090.10.71.19202001            33.5675 090 99      0.00   0.00   0.00
15756  Free myo/skin flap microvasc                      A  36.02  16.83NA  16.83    5.89  58.74 58.740090.10.71.19202201            33.5675 090 99      0.00   0.00   0.00
15757  Free skin flap microvasc                          A  36.22  16.32NA  16.32    5.71  58.25 58.250090.10.71.19202201            33.5675 090 99      0.00   0.00   0.00
15758  Free fascial flap microvasc                       A  35.98  16.41NA  16.41    5.73  58.12 58.120090.10.71.19202201            33.5675 090 99      0.00   0.00   0.00
15760  Composite skin graft                              A   9.61  14.73     7.36    1.33  25.67 18.300090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15769  Grfg autol soft tiss dir exc                      A   6.51   5.77NA   5.77    1.33  13.61 13.610090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
15770  Derma-fat-fascia graft                            A   8.74   8.00NA   8.00    1.41  18.15 18.150090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15771  Grfg autol fat lipo 50 cc/<                       A   6.56  12.05     6.39    1.23  19.84 14.180090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
15772  Grfg autol fat lipo ea addl                       A   2.44   3.27     0.89    0.45   6.16  3.780ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15773  Grfg autol fat lipo 25 cc/<                       A   6.66  10.97     5.82    1.12  18.75 13.600090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
15774  Gfrg autol fat lipo ea addl                       A   2.35   3.23     0.86    0.43   6.01  3.640ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15775  Hair trnspl 1-15 punch grfts                      R   3.85   7.48     2.12    0.71  12.04  6.680000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
15776  Hair trnspl >15 punch grafts                      R   5.39   9.89     2.68    1.02  16.30  9.090000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
15777  Acellular derm matrix implt                       A   3.56   2.48     1.23    0.67   6.71  5.460ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
15778  Impl absrb msh/prsth dly cls                      A   6.87   2.01NA   2.01    1.70  10.58 10.580000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
15780  Dermabrasion total face                           A   8.51  15.44     7.54    0.84  24.79 16.890090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15781  Dermabrasion segmental face                       A   4.89  10.11     5.56    0.58  15.58 11.030090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15782  Dermabrasion other than face                      A   4.33   9.48     4.83    0.43  14.24  9.590090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15783  Dermabrasion suprfl any site                      A   4.30   8.49     4.46    0.43  13.22  9.190090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15786  Abrasion lesion single                            A   2.03   4.72     1.33    0.20   6.95  3.560010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
15787  Abrasion lesions add-on                           A   0.32   0.60     0.09    0.02   0.94  0.430ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15788  Chemical peel facial epidrm                       R   2.04   9.17     3.60    0.22  11.43  5.860090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15789  Chemical peel facial dermal                       R   4.79  10.42     5.42    0.50  15.71 10.710090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15792  Chem peel nonfacial epidrm                        R   1.81   7.85     3.73    0.21   9.87  5.750090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15793  Chemical peel nonfacial drm                       A   3.86   9.78     5.21    0.45  14.09  9.520090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15820  Blepharoplasty lower eyelid                       A   6.11  11.02     6.90    0.48  17.61 13.490090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
15821  Blepharp lwr eyelid fat pad                       A   6.67  11.67     7.16    0.65  18.99 14.480090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
15822  Blepharoplasty upper eyelid                       A   4.50   9.13     5.66    0.49  14.12 10.650090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
15823  Blepharp upr eyelid xcsv skn                      A   6.64  11.73     7.20    0.58  18.95 14.420090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
15824  Rhytidectomy forehead                             R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
15825  Rhytdct nck pltysml tghtg                         R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
15826  Rhytidectomy glblr frn lines                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
15828  Rhytidectomy cheek chn & nck                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
15829  Rhytidectomy smas flap                            R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
15830  Exc excessive skin abdomen                        R  16.68  11.92NA  11.92    3.35  31.95 31.950090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15832  Exc excessive skin thigh                          A  12.53  10.33NA  10.33    2.36  25.22 25.220090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
15833  Exc excessive skin leg                            A  11.60  10.14NA  10.14    2.15  23.89 23.890090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
15834  Exc excessive skin hip                            A  11.87  10.24NA  10.24    2.19  24.30 24.300090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
15835  Exc excessive skin buttock                        A  12.67  10.27NA  10.27    2.35  25.29 25.290090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15836  Exc excessive skin arm                            A  10.34   9.56NA   9.56    1.92  21.82 21.820090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
15837  Exc excsv skin forearm/hand                       A   9.31  17.02     8.67    1.73  28.06 19.710090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15838  Exc excsv submental fat pad                       A   8.04   8.44NA   8.44    1.48  17.96 17.960090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15839  Exc excessive skn other area                      A  10.24  16.54     8.25    1.93  28.71 20.420090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15840  Nerve palsy fascial graft                         A  14.62   9.65NA   9.65    2.27  26.54 26.540090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15841  Nerve palsy muscle graft                          A  25.34  17.28NA  17.28    4.71  47.33 47.330090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15842  Nerve palsy microsurg graft                       A  39.98  23.36NA  23.36    7.43  70.77 70.770090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15845  Skin and muscle repair face                       A  13.96  12.42NA  12.42    2.59  28.97 28.970090.10.71.19202001            33.5675 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.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
15851  Removal sutr/staple req anes                      A   1.07   0.55NA   0.55    0.13   1.75  1.750000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
15852  Dressing change not for burn                      A   0.84   0.20NA   0.20    0.12   1.16  1.160000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
15853  Removal sutr/stapl xreq anes                      A   0.00   0.39     0.39NA  0.01   0.40  0.405ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15854  Removal sutr&stapl xreq anes                      A   0.00   0.52     0.52NA  0.01   0.53  0.535ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
15860  Iv njx tst vasc flo flap/grf                      A   1.90   0.52NA   0.52    0.37   2.79  2.790000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
15876  Suction lipectomy head&neck                       R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
15877  Suction lipectomy trunk                           R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
15878  Suction lipectomy upr extrem                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
15879  Suction lipectomy lwr extrem                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
15920  Exc coccygl pr ulc prim sutr                      A   8.08   8.57NA   8.57    2.16  18.81 18.810090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15922  Exc coccygl pr ulc flap clsr                      A  10.12   9.89NA   9.89    1.88  21.89 21.890090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15931  Exc sacral pr ulc prim sutr                       A   9.82   7.93NA   7.93    2.41  20.16 20.160090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15933  Exc sac pr ulc prim str ostc                      A  11.48  10.51NA  10.51    2.65  24.64 24.640090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15934  Exc sacral pr ulc skn flap                        A  13.34  10.78NA  10.78    2.48  26.60 26.600090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15935  Exc sac pr ulc skn flp ostc                       A  15.39  13.04NA  13.04    2.86  31.29 31.290090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15936  Exc sac pr ulc prep mus flap                      A  12.83   9.28NA   9.28    2.98  25.09 25.090090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15937  Exc sac pr ulc prep mus ostc                      A  14.76  10.05NA  10.05    2.72  27.53 27.530090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15940  Exc ischial pr ulc prim sutr                      A   9.95   7.67NA   7.67    2.27  19.89 19.890090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15941  Exc isch pr ulc prm sut ostc                      A  12.10  11.58NA  11.58    2.25  25.93 25.930090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15944  Exc isch pr ulc skn flp clsr                      A  12.13  11.10NA  11.10    2.25  25.48 25.480090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15945  Exc isch pr ulc skn flp ostc                      A  13.41  11.85NA  11.85    2.49  27.75 27.750090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
15946  Exc isch pr ulc prep mus flp                      A  23.52  15.33NA  15.33    4.88  43.73 43.730090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15950  Exc trchntr pr ulc prim sutr                      A   7.83   8.34NA   8.34    1.45  17.62 17.620090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
15951  Exc trchntr pr ulc ostc                           A  11.29  11.28NA  11.28    2.09  24.66 24.660090.10.71.19200101            33.5675 090 99      0.00   0.00   0.00
15952  Exc trchntr pr ulc flp clsr                       A  12.00  10.72NA  10.72    2.22  24.94 24.940090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
15953  Exc trchntr pr ulc flp ostc                       A  13.23  11.79NA  11.79    2.47  27.49 27.490090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15956  Exc trchntr pr ulc prep flap                      A  16.37  12.71NA  12.71    3.65  32.73 32.730090.10.71.19201101            33.5675 090 99      0.00   0.00   0.00
15958  Exc trchntr pr ulc prep ostc                      A  16.33  12.90NA  12.90    3.22  32.45 32.450090.10.71.19201101            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
16000  Initial treatment of burn(s)                      A   0.87   1.68     0.24    0.15   2.70  1.260000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
16020  Dress/debrid p-thick burn s                       A   0.69   1.97     0.82    0.12   2.78  1.630000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
16025  Dress/debrid p-thick burn m                       A   1.70   2.99     1.08    0.27   4.96  3.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
16030  Dress/debrid p-thick burn l                       A   2.03   3.94     1.22    0.43   6.40  3.680000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
16035  Escharotomy 1st incision                          A   3.65   1.05NA   1.05    0.65   5.35  5.350000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
16036  Escharotomy ea addl incision                      A   1.46   0.38NA   0.38    0.36   2.20  2.200ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
17000  Destruct premalg lesion                           A   0.59   1.34     0.78    0.06   1.99  1.430010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17003  Destruct premalg les 2-14                         A   0.04   0.15     0.01    0.00   0.19  0.050ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
17004  Destroy premal lesions 15/>                       A   1.34   3.39     1.01    0.13   4.86  2.480010.10.80.10001001            33.5675 090 99      0.00   0.00   0.00
17106  Dstr cut vsc prlf les<10sqcm                      A   3.60   6.22     3.15    0.42  10.24  7.170090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
17107  Dstr cut vsc prlf les10-50sq                      A   4.67   8.10     4.09    0.49  13.26  9.250090.10.71.19201001            33.5675 090 99      0.00   0.00   0.00
17108  Dstr cut vsc prlf les>50sqcm                      A   7.30  10.72     5.37    0.91  18.93 13.580090.10.71.19200001            33.5675 090 99      0.00   0.00   0.00
17110  Destruction b9 les up to 14                       A   0.68   2.58     1.12    0.07   3.33  1.870010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17111  Destruction b9 lesions 15/>                       A   0.95   2.86     1.18    0.08   3.89  2.210010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17250  Chem caut of granltj tissue                       A   0.49   2.14     0.50    0.07   2.70  1.060000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
17260  Dstrj mal les t/a/l 0.5 cm/<                      A   0.94   1.88     0.75    0.08   2.90  1.770010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17261  Dstrj mal les t/a/l .6-1.0cm                      A   1.19   3.01     0.92    0.12   4.32  2.230010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17262  Dstrj mal les t/a/l 1.1-2.0                       A   1.59   3.45     1.04    0.16   5.20  2.790010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17263  Dstrj mal les t/a/l 2.1-3.0                       A   1.79   3.67     1.10    0.18   5.64  3.070010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17264  Dstrj mal les t/a/l 3.1-4.0                       A   1.94   3.92     1.14    0.19   6.05  3.270010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17266  Dstrj mal les t/a/l >4.0 cm                       A   2.33   4.34     1.26    0.23   6.90  3.820010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17270  Dstr mal les s/n/h/f/g .5 /<                      A   1.34   2.93     0.96    0.13   4.40  2.430010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17271  Dstr mal les s/n/h/f/g 0.6-1                      A   1.50   3.21     1.02    0.15   4.86  2.670010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17272  Dstr mal les s/n/h/f/g 1.1-2                      A   1.77   3.54     1.09    0.18   5.49  3.040010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17273  Dstr mal les s/n/h/f/g 2.1-3                      A   2.05   3.86     1.18    0.20   6.11  3.430010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17274  Dstr mal les s/n/h/f/g 3.1-4                      A   2.57   4.34     1.34    0.25   7.16  4.160010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17276  Dstr mal les s/n/h/f/g >4.0                       A   3.17   4.85     1.51    0.34   8.36  5.020010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17280  Dstr mal ls f/e/e/n/l/m .5/<                      A   1.19   2.83     0.92    0.12   4.14  2.230010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17281  Dstr mal ls f/e/e/n/l/m .6-1                      A   1.73   3.35     1.08    0.17   5.25  2.980010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17282  Dstr mal ls f/e/e/n/l/m1.1-2                      A   2.04   3.76     1.17    0.20   6.00  3.410010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17283  Dstr mal ls f/e/e/n/l/m2.1-3                      A   2.62   4.24     1.35    0.25   7.11  4.220010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17284  Dstr mal ls f/e/e/n/l/m3.1-4                      A   3.12   4.69     1.50    0.33   8.14  4.950010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17286  Dstr mal ls f/e/e/n/l/m>4.0                       A   4.37   5.71     1.89    0.46  10.54  6.720010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17311  Mohs 1 stage h/n/hf/g                             A   6.05  13.33     1.95    0.59  19.97  8.590000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
17312  Mohs addl stage                                   A   3.22   8.51     1.03    0.33  12.06  4.580ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
17313  Mohs 1 stage t/a/l                                A   5.42  12.80     1.76    0.53  18.75  7.710000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
17314  Mohs addl stage t/a/l                             A   2.98   8.27     0.91    0.29  11.54  4.180ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
17315  Mohs surg addl block                              A   0.85   1.45     0.28    0.07   2.37  1.200ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
17340  Cryotherapy for acne                              A   0.75   0.76     0.44    0.07   1.58  1.260010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17360  Chemical exfoliation acne                         A   1.42   2.06     0.76    0.14   3.62  2.320010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
17380  Electrolysis epilation ea 30                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
19000  Puncture aspir cyst breast                        A   0.82   1.95     0.16    0.11   2.88  1.090000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
19001  Puncture aspir cyst brst ea                       A   0.41   0.33     0.08    0.05   0.79  0.540ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
19020  Mastotomy expl drg absc dp                        A   3.73  10.75     4.82    0.92  15.40  9.470090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19030  Njx px only mam ducto/glcto                       A   1.49   3.13     0.28    0.15   4.77  1.920000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
19081  Bx breast 1st lesion strtctc                      A   3.21  10.76     0.58    0.35  14.32  4.140000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19082  Bx breast add lesion strtctc                      A   1.61   9.10     0.30    0.17  10.88  2.080ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19083  Bx breast 1st lesion us imag                      A   3.02  10.88     0.55    0.34  14.24  3.910000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19084  Bx breast add lesion us imag                      A   1.51   9.03     0.28    0.16  10.70  1.950ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19085  Bx breast 1st lesion mr imag                      A   3.55  17.62     0.63    0.35  21.52  4.530000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19086  Bx breast add lesion mr imag                      A   1.77  14.62     0.32    0.17  16.56  2.260ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19100  Bx breast percut w/o image                        A   1.24   3.35     0.31    0.30   4.89  1.850000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
19101  Biopsy of breast open                             A   3.15   6.55     2.54    0.79  10.49  6.480010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
19105  Cryosurg ablate fa each                           A   3.60  71.34     1.22    0.98  75.92  5.800000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
19110  Nipple exploration                                A   4.33  10.54     5.19    1.13  16.00 10.650090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19112  Excise breast duct fistula                        A   3.71  10.42     5.19    1.01  15.14  9.910090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
19120  Removal of breast lesion                          A   5.77   9.94     4.99    1.45  17.16 12.210090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19125  Excision breast lesion                            A   6.52  10.81     5.35    1.68  19.01 13.550090.10.71.19211101            33.5675 090 99      0.00   0.00   0.00
19126  Excision addl breast lesion                       A   2.86   0.72NA   0.72    0.73   4.31  4.310ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
19281  Perq device breast 1st imag                       A   1.95   4.89     0.35    0.19   7.03  2.490000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19282  Perq device breast ea imag                        A   0.98   3.87     0.18    0.08   4.93  1.240ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19283  Perq dev breast 1st strtctc                       A   1.95   5.33     0.36    0.21   7.49  2.520000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19284  Perq dev breast add strtctc                       A   0.98   4.35     0.18    0.11   5.44  1.270ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19285  Perq dev breast 1st us imag                       A   1.66   8.65     0.31    0.18  10.49  2.150000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19286  Perq dev breast add us imag                       A   0.83   7.66     0.16    0.09   8.58  1.080ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19287  Perq dev breast 1st mr guide                      A   2.49  15.22     0.45    0.23  17.94  3.170000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19288  Perq dev breast add mr guide                      A   1.25  12.31     0.23    0.12  13.68  1.600ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19294  Prepj tum cav iort prtl mast                      A   2.93   0.74NA   0.74    0.76   4.43  4.430ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19296  Place po breast cath for rad                      A   3.54 115.12     1.36    0.90 119.56  5.800000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19297  Place breast cath for rad                         A   1.68   0.40NA   0.40    0.41   2.49  2.490ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
19298  Place breast rad tube/caths                       A   5.61  19.44     1.84    0.44  25.49  7.890000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
19300  Mastectomy for gynecomastia                       A   5.18  12.69     6.36    1.21  19.08 12.750090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19301  Partial mastectomy                                A   9.88   6.52NA   6.52    2.54  18.94 18.940090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
19302  P-mastectomy w/ln removal                         A  13.64   8.82NA   8.82    3.51  25.97 25.970090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19303  Mast simple complete                              A  14.63   9.04NA   9.04    3.75  27.42 27.420090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19305  Mast radical                                      A  17.02  11.42NA  11.42    4.39  32.83 32.830090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19306  Mast rad urban type                               A  17.68  12.83NA  12.83    4.73  35.24 35.240090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19307  Mast mod rad                                      A  17.54  11.66NA  11.66    4.53  33.73 33.730090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19316  Mastopexy                                         A  10.81   8.89NA   8.89    2.13  21.83 21.830090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19318  Breast reduction                                  A  15.63  10.76NA  10.76    2.96  29.35 29.350090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19325  Breast augmentation w/implt                       A   7.92   7.55NA   7.55    1.48  16.95 16.950090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
19328  Rmvl intact breast implant                        A   7.25   6.72NA   6.72    1.40  15.37 15.370090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19330  Rmvl ruptured breast implant                      A   8.78   7.27NA   7.27    1.69  17.74 17.740090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19340  Insj breast implt sm d mast                       A  10.22   8.76NA   8.76    2.01  20.99 20.990090.10.71.19211101            33.5675 090 99      0.00   0.00   0.00
19342  Insj/rplcmt brst implt sep d                      A  10.22   8.66NA   8.66    1.91  20.79 20.790090.10.71.19210101            33.5675 090 99      0.00   0.00   0.00
19350  Nipple/areola reconstruction                      A   8.88  16.21     7.89    1.67  26.76 18.440090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19355  Correct inverted nipple(s)                        A   8.31  14.53     6.99    1.53  24.37 16.830090.10.71.19210001            33.5675 090 99      0.00   0.00   0.00
19357  Tiss xpndr plmt brst rcnstj                       A  14.47  14.93NA  14.93    2.72  32.12 32.120090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19361  Brst rcnstj latsms drsi flap                      A  22.78  14.31NA  14.31    4.29  41.38 41.380090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19364  Brst rcnstj free flap                             A  41.52  21.49NA  21.49    7.93  70.94 70.940090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19367  Brst rcnstj 1 pdcl tram flap                      A  26.13  15.70NA  15.70    4.85  46.68 46.680090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19368  Brst rcnstj 1pdcl tram anast                      A  33.05  17.28NA  17.28    6.15  56.48 56.480090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19369  Brst rcnstj 2 pdcl tram flap                      A  30.53  16.36NA  16.36    5.68  52.57 52.570090.10.71.19212101            33.5675 090 99      0.00   0.00   0.00
19370  Revj peri-implt capsule brst                      A   8.94   7.82NA   7.82    1.68  18.44 18.440090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19371  Peri-implt capslc brst compl                      A   9.73   7.87NA   7.87    1.84  19.44 19.440090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19380  Revj reconstructed breast                         A  10.89   9.09NA   9.09    2.05  22.03 22.030090.10.71.19211001            33.5675 090 99      0.00   0.00   0.00
19396  Design custom breast implant                      A   2.12   6.22     1.27    0.39   8.73  3.780000.00.00.00210001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
20100  Expl pentrg wound neck                            A  10.12   4.00NA   4.00    2.22  16.34 16.340010.10.80.10212001            33.5675 090 99      0.00   0.00   0.00
20101  Expl pentrg wound chest                           A   3.15  14.76     2.05    0.84  18.75  6.040010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20102  Expl pentrg wnd abd/flnk/bk                       A   3.88  14.95     2.47    0.99  19.82  7.340010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20103  Expl pentrg wound extremity                       A   5.21  11.49     3.24    1.03  17.73  9.480010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
20150  Excision epiphyseal bar                           A  14.38  10.14NA  10.14    3.05  27.57 27.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20200  Muscle biopsy superficial                         A   1.42   5.45     0.91    0.37   7.24  2.700000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20205  Deep muscle biopsy                                A   2.29   7.20     1.46    0.65  10.14  4.400000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20206  Biopsy muscle perq needle                         A   0.97   5.20     0.45    0.11   6.28  1.530000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20220  Bone biopsy trocar/ndl supfc                      A   1.61   4.90     0.51    0.17   6.68  2.290000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20225  Bone biopsy trocar/ndl deep                       A   2.39   8.27     0.74    0.26  10.92  3.390000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20240  Bone biopsy open superficial                      A   2.54   0.95NA   0.95    0.30   3.79  3.790000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20245  Bone biopsy open deep                             A   5.85   2.18NA   2.18    1.05   9.08  9.080000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20250  Biopsy vrt bdy open thoracic                      A   5.06   5.08NA   5.08    1.46  11.60 11.600010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20251  Biopsy vrt bdy open lmbr/crv                      A   5.58   5.37NA   5.37    1.66  12.61 12.610010.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
20500  Njx sinus tract therapeutic                       A   1.25   2.45     1.10    0.15   3.85  2.500010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20501  Njx sinus tract diagnostic                        A   0.74   3.25     0.12    0.07   4.06  0.930000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20520  Rmvl fb musc/tdn simple                           A   1.85   4.76     2.13    0.27   6.88  4.250010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20525  Rmvl fb musc/tdn deep/comp                        A   3.45  10.77     2.87    0.66  14.88  6.980010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20526  Ther injection carp tunnel                        A   0.92   1.55     0.39    0.17   2.64  1.480000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20527  Njx nzm palmar fascial cord                       A   0.98   1.65     0.58    0.19   2.82  1.750000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20550  Njx 1 tendon sheath/ligament                      A   0.73   0.99     0.18    0.09   1.81  1.000000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20551  Njx 1 tendon origin/insj                          A   0.73   1.00     0.18    0.08   1.81  0.990000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20552  Njx 1/mlt trigger point 1/2                       A   0.64   0.84     0.36    0.07   1.55  1.070000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20553  Njx 1/mlt trigger points 3/>                      A   0.73   0.98     0.41    0.08   1.79  1.220000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20555  Place ndl musc/tis for rt                         A   5.85   2.06NA   2.06    0.46   8.37  8.370000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
20560  Ndl insj w/o njx 1 or 2 musc                      A   0.31   0.42     0.05    0.01   0.74  0.370XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
20561  Ndl insj w/o njx 3+ musc                          A   0.47   0.64     0.09    0.03   1.14  0.590XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
20600  Drain/inj joint/bursa w/o us                      A   0.64   0.96     0.22    0.08   1.68  0.940000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20604  Drain/inj joint/bursa w/us                        A   0.87   1.63     0.21    0.11   2.61  1.190000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20605  Drain/inj joint/bursa w/o us                      A   0.66   0.97     0.22    0.08   1.71  0.960000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20606  Drain/inj joint/bursa w/us                        A   0.98   1.72     0.24    0.12   2.82  1.340000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20610  Drain/inj joint/bursa w/o us                      A   0.77   1.16     0.29    0.13   2.06  1.190000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20611  Drain/inj joint/bursa w/us                        A   1.07   1.91     0.29    0.14   3.12  1.500000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20612  Aspirate/inj ganglion cyst                        A   0.68   1.26     0.33    0.09   2.03  1.100000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20615  Treatment of bone cyst                            A   2.27   4.95     1.80    0.25   7.47  4.320010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20650  Insert and remove bone pin                        A   2.22   4.87     2.19    0.38   7.47  4.790010.10.80.10201101            33.5675 090 99      0.00   0.00   0.00
20660  Apply rem fixation device                         A   3.90   1.27NA   1.27    1.26   6.43  6.430000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
20661  Application halo cranial                          A   5.13   9.68NA   9.68    1.76  16.57 16.570090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
20662  Application halo pelvic                           A   6.22   7.46NA   7.46    1.32  15.00 15.000090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
20663  Application halo femoral                          A   5.60   7.11NA   7.11    1.21  13.92 13.920090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
20664  Appl halo cranial 6+pins                          A   9.81  14.26NA  14.26    4.13  28.20 28.200090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
20665  Rmvl tongs/halo anthr indiv                       A   1.33   2.09     1.13    0.11   3.53  2.570010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
20670  Removal implant superficial                       A   1.75   9.07     2.17    0.27  11.09  4.190010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
20680  Removal of implant deep                           A   5.81  12.05     4.94    1.06  18.92 11.810090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
20690  Appl unipln uni ext fixj sys                      A   8.56   6.05NA   6.05    1.73  16.34 16.340090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
20692  Appl mltpln uni ext fixj sys                      A  15.86  12.56NA  12.56    2.93  31.35 31.350090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20693  Adjmt/revj ext fixj sys anes                      A   5.91   5.91NA   5.91    1.05  12.87 12.870090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
20694  Rmvl ext fixj sys under anes                      A   4.17   8.87     4.87    0.79  13.83  9.830090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
20696  App mltpln uni xtrnl fix 1st                      A  17.12  11.66NA  11.66    3.01  31.79 31.790090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20697  App mltpln uni xtrnl fix xch                      A   0.00  57.17    57.17NA  0.03  57.20 57.203000.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
20700  Mnl prep&insj dp rx dlvr dev                      A   1.46   0.82     0.40    0.26   2.54  2.120ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
20701  Rmvl deep rx delivery device                      A   1.10   0.66     0.33    0.21   1.97  1.640ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
20702  Mnl prep&insj imed rx dev                         A   2.44   1.50     0.75    0.49   4.43  3.680ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
20703  Rmvl imed rx delivery device                      A   1.76   1.11     0.56    0.38   3.25  2.700ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
20704  Mnl prep&insj i-artic rx dev                      A   2.54   1.61     0.80    0.51   4.66  3.850ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
20705  Rmvl i-artic rx delivery dev                      A   2.10   1.31     0.65    0.43   3.84  3.180ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
20802  Replantation arm complete                         A  41.55  23.01NA  23.01    8.86  73.42 73.420090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20805  Replant forearm complete                          A  50.17  25.91NA  25.91   10.72  86.80 86.800090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20808  Replantation hand complete                        A  61.51  29.52NA  29.52   13.14 104.17104.170090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20816  Replantation digit complete                       A  31.15  17.18NA  17.18    6.63  54.96 54.960090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20822  Replantation digit complete                       A  25.99  16.45NA  16.45    5.54  47.98 47.980090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20824  Replantation thumb complete                       A  31.15  17.34NA  17.34    6.63  55.12 55.120090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20827  Replantation thumb complete                       A  26.79  16.71NA  16.71    5.71  49.21 49.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20838  Replantation foot complete                        A  41.81  23.93NA  23.93    8.93  74.67 74.670090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20900  Removal of bone for graft                         A   2.93   8.51     1.40    0.48  11.92  4.810000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
20902  Removal of bone for graft                         A   4.47   1.94NA   1.94    0.83   7.24  7.240000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
20910  Remove cartilage for graft                        A   5.39   7.35NA   7.35    1.15  13.89 13.890090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
20912  Remove cartilage for graft                        A   6.38   5.65NA   5.65    1.00  13.03 13.030090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
20920  Removal of fascia for graft                       A   5.37   4.55NA   4.55    0.79  10.71 10.710090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
20922  Removal of fascia for graft                       A   6.76  11.41     5.82    1.51  19.68 14.090090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20924  Removal of tendon for graft                       A   6.51   6.33NA   6.33    1.23  14.07 14.070090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20931  Sp bone algrft struct add-on                      A   1.76   0.59NA   0.59    0.59   2.94  2.940ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
20932  Osteoart algrft w/surf & b1                       A  12.68   4.04NA   4.04    2.70  19.42 19.420ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
20933  Hemicrt intrclry algrft prtl                      A  11.64   3.71NA   3.71    2.48  17.83 17.830ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
20934  Intercalary algrft compl                          A  12.68   4.04NA   4.04    2.70  19.42 19.420ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
20937  Sp bone agrft morsel add-on                       A   2.72   0.90NA   0.90    0.79   4.41  4.410ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
20938  Sp bone agrft struct add-on                       A   2.94   0.99NA   0.99    0.96   4.89  4.890ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
20939  Bone marrow aspir bone grfg                       A   1.13   0.37NA   0.37    0.34   1.84  1.840ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
20950  Mntr intrstitial fluid press                      A   1.23   6.88     1.05    0.22   8.33  2.500000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
20955  Fibula bone graft microvasc                       A  39.25  21.35NA  21.35    7.30  67.90 67.900090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20956  Iliac bone graft microvasc                        A  40.15  21.79NA  21.79    8.58  70.52 70.520090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20957  Mt bone graft microvasc                           A  41.54  23.14NA  23.14    8.86  73.54 73.540090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20962  Other bone graft microvasc                        A  38.23  26.32NA  26.32    8.15  72.70 72.700090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20969  Bone/skin graft microvasc                         A  44.29  18.42NA  18.42    6.82  69.53 69.530090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20970  Bone/skin graft iliac crest                       A  43.47  23.32NA  23.32    9.28  76.07 76.070090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
20972  Bone/skin graft metatarsal                        A  43.40  23.14NA  23.14    9.26  75.80 75.800090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
20973  Bone/skin graft great toe                         A  46.09  24.00NA  24.00    9.86  79.95 79.950090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
20974  Estim aid bone healg n-invas                      A   0.60   2.09     0.76    0.16   2.85  1.520000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
20975  Estim aid bone healg invasiv                      A   2.54   1.76NA   1.76    0.75   5.05  5.050000.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
20979  Lw ntsty us stimj bone healg                      A   0.60   0.97     0.12    0.07   1.64  0.790000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
20982  Ablate bone tumor(s) perq                         A   6.84  96.34     1.71    1.08 104.26  9.630000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20983  Ablate bone tumor(s) perq                         A   6.71 139.34     1.52    0.83 146.88  9.060000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
20985  Cptr-asst dir ms px                               A   2.44   0.77NA   0.77    0.50   3.71  3.710ZZZ.00.00.00000001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
21010  Incision of jaw joint                             A  10.76   7.82NA   7.82    1.56  20.14 20.140090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21011  Exc face les sc <2 cm                             A   2.92   8.38     4.04    0.53  11.83  7.490090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21012  Exc face les sbq 2 cm/>                           A   4.34   4.45NA   4.45    0.91   9.70  9.700090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21013  Exc face tum deep < 2 cm                          A   5.28  10.67     4.87    0.98  16.93 11.130090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21014  Exc face tum deep 2 cm/>                          A   6.95   6.11NA   6.11    1.32  14.38 14.380090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21015  Resect face/scalp tum < 2 cm                      A   9.64   7.82NA   7.82    1.69  19.15 19.150090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21016  Resect face/scalp tum 2 cm/>                      A  14.88   9.36NA   9.36    2.75  26.99 26.990090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21025  Excision of bone lower jaw                        A   9.78  14.06     7.28    1.31  25.15 18.370090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21026  Excision of facial bone(s)                        A   5.56  10.94     6.07    0.75  17.25 12.380090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21029  Contour of face bone lesion                       A   8.18  14.83     7.57    1.35  24.36 17.100090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21030  Excise max/zygoma b9 tumor                        A   4.79   8.87     4.70    0.59  14.25 10.080090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
21031  Remove exostosis mandible                         A   3.22   8.01     3.93    0.43  11.66  7.580090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
21032  Remove exostosis maxilla                          A   3.26   7.80     3.62    0.43  11.49  7.310090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21034  Excise max/zygoma mal tumor                       A  16.95  19.64    10.13    2.50  39.09 29.580090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21040  Excise mandible lesion                            A   4.79   8.99     4.73    0.59  14.37 10.110090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21044  Removal of jaw bone lesion                        A  12.48   8.57NA   8.57    1.85  22.90 22.900090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21045  Extensive jaw surgery                             A  17.91  11.15NA  11.15    2.71  31.77 31.770090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21046  Remove mandible cyst complex                      A  13.85  11.32NA  11.32    1.76  26.93 26.930090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
21047  Excise lwr jaw cyst w/repair                      A  19.57  10.05NA  10.05    2.61  32.23 32.230090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21048  Remove maxilla cyst complex                       A  14.34  11.05NA  11.05    1.76  27.15 27.150090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
21049  Excis uppr jaw cyst w/repair                      A  18.84   9.27NA   9.27    2.46  30.57 30.570090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21050  Removal of jaw joint                              A  11.47  10.70NA  10.70    1.66  23.83 23.830090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21060  Remove jaw joint cartilage                        A  10.79   9.13NA   9.13    1.56  21.48 21.480090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21070  Remove coronoid process                           A   8.40   6.54NA   6.54    1.23  16.17 16.170090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21073  Mnpj of tmj w/anesth                              A   3.36   9.03     2.85    0.48  12.87  6.690090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21076  Impres&prep surg obt prosth                       A  13.07  12.80     4.07    1.67  27.54 18.810010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
21077  Impres&prep orbital prosth                        A  32.86  29.07     9.15    3.75  65.68 45.760090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21079  Impres&prep intrm obt prosth                      A  21.75  21.26     6.72    2.55  45.56 31.020090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21080  Impres&prep def obt prosth                        A  24.43  24.45     7.48    2.91  51.79 34.820090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21081  Impres&prep mndbl res prosth                      A  22.28  22.71     6.95    2.68  47.67 31.910090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21082  Impres&prep paltl aug prosth                      A  20.32  22.14     7.02    2.40  44.86 29.740090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21083  Impres&prep paltl lft prosth                      A  18.79  21.33     6.49    2.14  42.26 27.420090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21084  Impres&prep sp aid prosth                         A  21.92  23.80     7.22    2.50  48.22 31.640090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21085  Impres&prep oral surg splint                      A   8.77  11.42     3.03    1.07  21.26 12.870010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
21086  Impres&prep auricular prosth                      A  24.26  21.70     6.71    2.76  48.72 33.730090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21087  Impres&prep nasal prosth                          A  24.26  21.70     6.71    2.76  48.72 33.730090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21088  Impres&prep facial prosth                         C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.21000001            33.5675 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.00.00.00001111            33.5675 090 99      0.00   0.00   0.00
21100  Maxillofacial fixation                            A   4.61  13.77     4.83    0.51  18.89  9.950090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21110  Interdental fixation                              A   5.84  19.58    13.65    0.71  26.13 20.200090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21116  Injection jaw joint x-ray                         A   0.79   5.75     0.25    0.12   6.66  1.160000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
21120  Genioplasty augmentation                          A   4.97  15.53     8.74    0.92  21.42 14.630090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
21121  Geniop sldg osteot 1                              A   7.61  10.98     6.10    0.87  19.46 14.580090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21122  Geniop sldg osteot 2/>                            A   8.49  10.90NA  10.90    1.57  20.96 20.960090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21123  Geniop sldg augmentation                          A  11.06  10.62NA  10.62    1.61  23.29 23.290090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21125  Augmentation mndblr prostc                        A  10.53  65.97     6.39    1.21  77.71 18.130090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21127  Augmentation mndblr b1 grf                        A  12.13 105.28     7.31    1.39 118.80 20.830090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21137  Rdctj forehead cntrg only                         A   9.98   8.68NA   8.68    1.85  20.51 20.510090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21138  Rdctj forehead cntrg&prostc                       A  12.55   9.86NA   9.86    2.34  24.75 24.750090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21139  Rdctj forehead cntrg&setback                      A  14.64  12.11NA  12.11    2.72  29.47 29.470090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21141  Rcnstj midface lefort i 1pc                       A  19.08  14.34NA  14.34    2.76  36.18 36.180090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21142  Rcnstj midface lefort i 2pcs                      A  19.77  14.43NA  14.43    2.87  37.07 37.070090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21143  Rcnstj mdface lefort i 3/>pc                      A  20.52  14.63NA  14.63    2.98  38.13 38.130090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21145  Rcnstj mdfc lefort i 1 w/grf                      A  23.34  14.92NA  14.92    3.38  41.64 41.640090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21146  Rcnstj mdfc lefort i 2 w/grf                      A  24.25  15.74NA  15.74    3.51  43.50 43.500090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21147  Rcnstj mdfc lefort i 3/>grf                       A  25.81  16.11NA  16.11    3.75  45.67 45.670090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21150  Rcnstj mdfc lefrtii ant ntru                      A  25.31  13.37NA  13.37    3.69  42.37 42.370090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21151  Rcnstj mdfc lefrtii w/b1 grf                      A  28.29  14.10NA  14.10    4.13  46.52 46.520090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21154  Rcnstj mdfc lefort iii w/o i                      A  30.51  15.14NA  15.14    4.46  50.11 50.110090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21155  Rcnstj mdfc lefort iii w/i                        A  34.34  16.08NA  16.08    5.01  55.43 55.430090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21159  Rcnst mdfc lfrtiii advm wo i                      A  42.06  17.96NA  17.96    6.15  66.17 66.170090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21160  Rcnst mdfc lfrtiii advm w/i                       A  46.01  18.92NA  18.92    6.71  71.64 71.640090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21172  Rcnst supr-lat orb rm&lw fhd                      A  27.50  23.42NA  23.42   11.63  62.55 62.550090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21175  Rcnst bfrnt sp orb rm&lw fhd                      A  32.72  19.04NA  19.04    6.08  57.84 57.840090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21179  Rcnstj forehead with grafts                       A  22.08  14.03NA  14.03    4.10  40.21 40.210090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21180  Rcnstj forehead w/autograft                       A  24.94  15.21NA  15.21    4.63  44.78 44.780090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21181  Rcnst cntrg b9 tum crnl xtrc                      A  10.02   8.26NA   8.26    1.86  20.14 20.140090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21182  Reconstruct cranial bone                          A  31.77  17.69NA  17.69    5.90  55.36 55.360090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21183  Reconstruct cranial bone                          A  34.81  18.81NA  18.81    6.46  60.08 60.080090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21184  Reconstruct cranial bone                          A  37.65  19.84NA  19.84    7.01  64.50 64.500090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21188  Reconstruction of midface                         A  22.57  16.94NA  16.94    3.27  42.78 42.780090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21193  Reconst lwr jaw w/o graft                         A  18.43  12.08NA  12.08    2.68  33.19 33.190090.10.69.21222101            33.5675 090 99      0.00   0.00   0.00
21194  Reconst lwr jaw w/graft                           A  21.27  13.97NA  13.97    3.07  38.31 38.310090.10.69.21222001            33.5675 090 99      0.00   0.00   0.00
21195  Reconst lwr jaw w/o fixation                      A  18.68  15.06NA  15.06    2.71  36.45 36.450090.10.69.21222001            33.5675 090 99      0.00   0.00   0.00
21196  Reconst lwr jaw w/fixation                        A  20.31  15.56NA  15.56    2.95  38.82 38.820090.10.69.21222101            33.5675 090 99      0.00   0.00   0.00
21198  Reconstr lwr jaw segment                          A  15.32   9.88NA   9.88    2.01  27.21 27.210090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21199  Reconstr lwr jaw w/advance                        A  16.31   8.45NA   8.45    2.37  27.13 27.130090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21206  Reconstruct upper jaw bone                        A  15.20   9.19NA   9.19    1.76  26.15 26.150090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21208  Augmentation of facial bones                      A  11.13  37.17     7.64    1.31  49.61 20.080090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21209  Reduction of facial bones                         A   7.62  15.46     8.02    0.93  24.01 16.570090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21210  Face bone graft                                   A  11.40  40.96     8.01    1.34  53.70 20.750090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21215  Lower jaw bone graft                              A  11.92 110.02     8.24    1.41 123.35 21.570090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
21230  Rib cartilage graft                               A  10.89   7.11NA   7.11    1.75  19.75 19.750090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21235  Ear cartilage graft                               A   7.31  13.74     6.82    1.02  22.07 15.150090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21240  Reconstruction of jaw joint                       A  15.67  10.48NA  10.48    2.10  28.25 28.250090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21242  Reconstruction of jaw joint                       A  14.23  11.35NA  11.35    2.06  27.64 27.640090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21243  Reconstruction of jaw joint                       A  23.92  16.40NA  16.40    3.28  43.60 43.600090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21244  Reconstruction of lower jaw                       A  13.28  11.65NA  11.65    1.94  26.87 26.870090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21245  Reconstruction of jaw                             A  12.79  23.87    11.31    1.85  38.51 25.950090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21246  Reconstruction of jaw                             A  12.60   8.56NA   8.56    1.83  22.99 22.990090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21247  Reconstruct lower jaw bone                        A  23.76  15.28NA  15.28    3.45  42.49 42.490090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21248  Reconstruction of jaw                             A  12.42  16.71     7.79    1.51  30.64 21.720090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21249  Reconstruction of jaw                             A  18.30  21.44     9.64    2.31  42.05 30.250090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21255  Reconstruct lower jaw bone                        A  18.00  15.95NA  15.95    2.61  36.56 36.560090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21256  Reconstruction of orbit                           A  17.22  12.97NA  12.97    3.19  33.38 33.380090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21260  Revise eye sockets                                A  17.45  16.80NA  16.80    3.23  37.48 37.480090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21261  Revise eye sockets                                A  33.22  25.75NA  25.75    6.17  65.14 65.140090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21263  Revise eye sockets                                A  30.23  24.66NA  24.66    5.61  60.50 60.500090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21267  Revise eye sockets                                A  20.17  19.99NA  19.99    3.75  43.91 43.910090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21268  Revise eye sockets                                A  26.39  23.25NA  23.25    4.89  54.53 54.530090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21270  Augmentation cheek bone                           A  10.36  20.78     7.94    1.92  33.06 20.220090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21275  Revision orbitofacial bones                       A  11.47   9.28NA   9.28    2.13  22.88 22.880090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21280  Medial canthopexy                                 A   6.95   8.04NA   8.04    0.71  15.70 15.700090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21282  Lateral canthopexy                                A   4.16   6.39NA   6.39    0.51  11.06 11.060090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
21295  Revision of jaw muscle/bone                       A   1.85   3.43NA   3.43    0.26   5.54  5.540090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21296  Revision of jaw muscle/bone                       A   4.66   5.74NA   5.74    0.67  11.07 11.070090.10.69.21210001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
21315  Clsd tx nsl fx mnpj wo stblj                      A   0.94   3.69     0.51    0.16   4.79  1.610000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
21320  Clsd tx nsl fx w/mnpj&stablj                      A   1.55   4.83     0.67    0.23   6.61  2.450000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
21325  Open tx nose fx uncomplicatd                      A   4.08   7.71NA   7.71    0.59  12.38 12.380090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21330  Open tx nose fx w/skele fixj                      A   5.65   8.20NA   8.20    0.83  14.68 14.680090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21335  Open tx nose & septal fx                          A   8.79   9.31NA   9.31    1.33  19.43 19.430090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21336  Open tx septal fx w/wo stabj                      A   6.60   9.88NA   9.88    0.98  17.46 17.460090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21337  Closed tx septal&nose fx                          A   3.31   8.96     4.63    0.50  12.77  8.440090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21338  Open nasoethmoid fx w/o fixj                      A   6.70  11.08NA  11.08    0.99  18.77 18.770090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21339  Open nasoethmoid fx w/ fixj                       A   8.29  11.46NA  11.46    1.21  20.96 20.960090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21340  Perq tx nasoethmoid fx                            A  11.20   6.93NA   6.93    1.63  19.76 19.760090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21343  Open tx dprsd front sinus fx                      A  13.96  13.17NA  13.17    2.05  29.18 29.180090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21344  Open tx compl front sinus fx                      A  21.03  12.31NA  12.31    3.05  36.39 36.390090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
21345  Closed tx nose/jaw fx                             A   8.83  13.81     6.89    1.29  23.93 17.010090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21346  Opn tx nasomax fx w/fixj                          A  11.16  14.57NA  14.57    1.63  27.36 27.360090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
21347  Opn tx nasomax fx multple                         A  13.19  13.01NA  13.01    1.92  28.12 28.120090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21348  Opn tx nasomax fx w/graft                         A  17.08   8.81NA   8.81    2.49  28.38 28.380090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
21355  Perq tx malar fracture                            A   4.34   8.38     3.85    0.62  13.34  8.810010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
21356  Opn tx dprsd zygomatic arch                       A   4.71  12.17     5.78    0.88  17.76 11.370010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
21360  Opn tx dprsd malar fracture                       A   7.01   5.98NA   5.98    1.04  14.03 14.030090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
21365  Opn tx complx malar fx                            A  16.35   9.88NA   9.88    2.59  28.82 28.820090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21366  Opn tx complx malar w/grft                        A  18.14  12.59NA  12.59    3.36  34.09 34.090090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
21385  Opn tx orbit fx transantral                       A   9.33   9.13NA   9.13    1.73  20.19 20.190090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21386  Opn tx orbit fx periorbital                       A   9.33   7.83NA   7.83    1.73  18.89 18.890090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
21387  Opn tx orbit fx combined                          A   9.86   9.33NA   9.33    1.83  21.02 21.020090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
21390  Opn tx orbit periorbtl implt                      A  10.95   8.79NA   8.79    1.47  21.21 21.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21395  Opn tx orbit periorbt w/grft                      A  14.33   9.87NA   9.87    2.65  26.85 26.850090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21400  Closed tx orbit w/o manipulj                      A   1.46   5.43     3.48    0.25   7.14  5.190090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21401  Closed tx orbit w/manipulj                        A   3.59  12.28     5.20    0.66  16.53  9.450090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
21406  Opn tx orbit fx w/o implant                       A   7.23   7.68NA   7.68    1.33  16.24 16.240090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21407  Opn tx orbit fx w/implant                         A   8.79   7.29NA   7.29    1.21  17.29 17.290090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21408  Opn tx orbit fx w/bone grft                       A  12.46   9.60NA   9.60    2.32  24.38 24.380090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
21421  Cltx palatal/max fx wire fix                      A   5.87  13.23     8.85    0.66  19.76 15.380090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21422  Optx palatal/max fracture                         A   8.51   7.92NA   7.92    1.24  17.67 17.670090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21423  Optx palatal/max fx comp                          A  10.58   9.07NA   9.07    1.96  21.61 21.610090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
21431  Cltx craniofacial separation                      A   7.70  10.79NA  10.79    0.88  19.37 19.370090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21432  Optx cranfcl sep w/wiring                         A   8.60   9.93NA   9.93    1.59  20.12 20.120090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21433  Optx cranfcl sep comp mlt                         A  25.63  15.31NA  15.31    4.76  45.70 45.700090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21435  Optx crnfc sep comp int&/xtr                      A  19.75  14.36NA  14.36    3.66  37.77 37.770090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21436  Optx crnfcl sep comp mlt int                      A  29.54  19.00NA  19.00    5.49  54.03 54.030090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
21440  Cltx mndblr/max alv ridge fx                      A   3.35  19.95    14.18    0.48  23.78 18.010090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21445  Optx mndblr/max alv ridge fx                      A   6.10  15.76    10.18    0.69  22.55 16.970090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21450  Cltx mndblr fx w/o mnpj                           A   3.62  13.87     9.74    0.41  17.90 13.770090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21451  Cltx mndblr fx w/mnpj                             A   5.51  17.22    12.08    0.62  23.35 18.210090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21452  Perq tx mndblr fx xtrnl fixj                      A   2.34  20.23    11.06    0.35  22.92 13.750090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21453  Cltx mndblr fx ntrdntl fixj                       A   6.47  26.10    19.25    0.98  33.55 26.700090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21454  Optx mndblr fx xtrnl fixj                         A   7.18   5.49NA   5.49    0.82  13.49 13.490090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
21461  Optx mndblr fx wo ntrdntl                         A   9.08  43.24    18.66    1.31  53.63 29.050090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
21462  Optx mndblr fx w/ntrdntl                          A  10.73  48.58    20.79    1.61  60.92 33.130090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21465  Optx mndblr cndylr fx                             A  12.79   7.42NA   7.42    1.46  21.67 21.670090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21470  Optx complicated mndblr fx                        A  17.10  11.46NA  11.46    2.56  31.12 31.120090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21480  Cltx tmprmand dislc 1st/sbsq                      A   0.59   4.43     0.19    0.13   5.15  0.910000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
21485  Cltx tmprmand dislc comp                          A   4.65  24.67    17.77    0.67  29.99 23.090090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
21490  Optx tmprmand dislocation                         A  12.63   7.29NA   7.29    1.44  21.36 21.360090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21497  Interdental wirg oth/thn fx                       A   4.52  16.45    11.80    0.50  21.47 16.820090.10.69.21200001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
21501  I&d dp absc/hmtma sft ts nck                      A   3.88  10.79     5.10    0.83  15.50  9.810090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21502  I&d dp abs/hmtm nck rib ostc                      A   7.36   6.11NA   6.11    1.85  15.32 15.320090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21510  Inc deep opng b1 crtx thorax                      A   6.05   6.30NA   6.30    1.51  13.86 13.860090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
21550  Biopsy of neck/chest                              A   2.06   5.78     1.94    0.30   8.14  4.300010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
21552  Exc neck les sc 3 cm/>                            A   6.33   5.02NA   5.02    1.50  12.85 12.850090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21554  Exc neck tum deep 5 cm/>                          A  10.85   7.14NA   7.14    2.39  20.38 20.380090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21555  Exc neck les sc < 3 cm                            A   3.86   9.17     4.23    0.82  13.85  8.910090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21556  Exc neck tum deep < 5 cm                          A   7.47   5.76NA   5.76    1.48  14.71 14.710090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21557  Resect neck thorax tumor<5cm                      A  14.38   8.92NA   8.92    3.12  26.42 26.420090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21558  Resect neck tumor 5 cm/>                          A  21.04  11.03NA  11.03    4.50  36.57 36.570090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21600  Partial removal of rib                            A   7.08   8.24NA   8.24    1.68  17.00 17.000090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21601  Exc chest wall tumor w/ribs                       A  17.34  11.50NA  11.50    4.44  33.28 33.280090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
21602  Exc ch wal tum w/o lymphadec                      A  21.64  18.83NA  18.83    5.31  45.78 45.780090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
21603  Exc ch wal tum w/lymphadec                        A  24.54  19.34NA  19.34    6.18  50.06 50.060090.10.71.19202101            33.5675 090 99      0.00   0.00   0.00
21610  Costotransversectomy                              A  15.51  14.38NA  14.38    6.55  36.44 36.440090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21615  Excision 1st &/cervical rib                       A  10.19   4.71NA   4.71    2.54  17.44 17.440090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
21616  Exc 1st&/crv rib w/sympth                         A  12.37   4.41NA   4.41    3.16  19.94 19.940090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
21620  Ostectomy sternum partial                         A   7.10   6.16NA   6.16    1.72  14.98 14.980090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21627  Sternal debridement                               A   7.12   7.81NA   7.81    1.70  16.63 16.630090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21630  Radical resection sternum                         A  18.70  12.88NA  12.88    3.47  35.05 35.050090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21685  Hyoid myotomy & suspension                        A  14.88   8.72NA   8.72    2.22  25.82 25.820090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
21700  Revision of neck muscle                           A   6.15   2.23NA   2.23    1.57   9.95  9.950090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
21705  Revision of neck muscle/rib                       A   9.67   2.65NA   2.65    2.48  14.80 14.800090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
21720  Revision of neck muscle                           A   5.66   9.16NA   9.16    2.38  17.20 17.200090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21725  Revision of neck muscle                           A   7.01   6.94NA   6.94    1.48  15.43 15.430090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21740  Reconstruction of sternum                         A  17.13   8.19NA   8.19    4.31  29.63 29.630090.10.69.21202101            33.5675 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  0.000090.10.69.21202101            33.5675 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  0.000090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21750  Repair of sternum separation                      A  11.12   5.93NA   5.93    2.73  19.78 19.780090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
21811  Optx of rib fx w/fixj scope                       A  10.52   3.19NA   3.19    2.60  16.31 16.310000.00.00.00212001            33.5675 090 99      0.00   0.00   0.00
21812  Treatment of rib fracture                         A  12.68   3.87NA   3.87    3.07  19.62 19.620000.00.00.00212001            33.5675 090 99      0.00   0.00   0.00
21813  Treatment of rib fracture                         A  17.17   4.92NA   4.92    4.60  26.69 26.690000.00.00.00212001            33.5675 090 99      0.00   0.00   0.00
21820  Treat sternum fracture                            A   1.33   3.76     3.44    0.29   5.38  5.060090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21825  Treat sternum fracture                            A   7.57   7.44NA   7.44    1.87  16.88 16.880090.10.69.21202101            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
21920  Biopsy soft tissue of back                        A   2.06   5.54     1.90    0.30   7.90  4.260010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
21925  Biopsy soft tissue of back                        A   4.51  10.72     5.62    1.03  16.26 11.160090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21930  Exc back les sc < 3 cm                            A   4.82  10.30     4.63    1.07  16.19 10.520090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
21931  Exc back les sc 3 cm/>                            A   6.71   5.21NA   5.21    1.66  13.58 13.580090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21932  Exc back tum deep < 5 cm                          A   9.57   6.96NA   6.96    2.25  18.78 18.780090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21933  Exc back tum deep 5 cm/>                          A  10.85   7.47NA   7.47    2.64  20.96 20.960090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
21935  Resect back tum < 5 cm                            A  15.33   9.68NA   9.68    3.61  28.62 28.620090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
21936  Resect back tum 5 cm/>                            A  21.99  11.94NA  11.94    5.23  39.16 39.160090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22010  I&d p-spine c/t/cerv-thor                         A  12.43  12.05NA  12.05    3.99  28.47 28.470090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
22015  I&d abscess p-spine l/s/ls                        A  12.32  11.66NA  11.66    3.62  27.60 27.600090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
22100  Remove part of neck vertebra                      A  10.73  14.53NA  14.53    4.51  29.77 29.770090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22101  Remove part thorax vertebra                       A  10.80  11.75NA  11.75    3.43  25.98 25.980090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22102  Remove part lumbar vertebra                       A  10.80   8.47NA   8.47    1.75  21.02 21.020090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22103  Remove extra spine segment                        A   2.28   0.69NA   0.69    0.50   3.47  3.470ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
22110  Remove part of neck vertebra                      A  13.65  12.46NA  12.46    4.40  30.51 30.510090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22112  Remove part thorax vertebra                       A  13.72  15.57NA  15.57    5.77  35.06 35.060090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22114  Remove part lumbar vertebra                       A  13.72  15.57NA  15.57    5.77  35.06 35.060090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22116  Remove extra spine segment                        A   2.26   0.75NA   0.75    0.76   3.77  3.770ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
22206  Incis spine 3 column thorac                       A  36.25  20.14NA  20.14   12.03  68.42 68.420090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22207  Incis spine 3 column lumbar                       A  35.76  19.61NA  19.61   10.93  66.30 66.300090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22208  Incis spine 3 column adl seg                      A   9.42   3.19NA   3.19    3.20  15.81 15.810ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
22210  Incis 1 vertebral seg cerv                        A  24.75  18.44NA  18.44    8.11  51.30 51.300090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22212  Incis 1 vertebral seg thorac                      A  20.47  16.78NA  16.78    6.34  43.59 43.590090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22214  Incis 1 vertebral seg lumbar                      A  20.49  16.58NA  16.58    6.17  43.24 43.240090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22216  Incis addl spine segment                          A   5.88   1.95NA   1.95    1.77   9.60  9.600ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
22220  Osteot dsc ant 1 vrt sgm crv                      A  22.37  17.24NA  17.24    7.06  46.67 46.670090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22222  Osteot dsc ant 1vrt sgm thrc                      A  22.51  21.11NA  21.11    9.50  53.12 53.120090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22224  Osteot dsc ant 1vrt sgm lmbr                      A  22.51  16.07NA  16.07    5.74  44.32 44.320090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22226  Osteot dsc ant 1vrt sgm ea                        A   5.88   1.93NA   1.93    1.76   9.57  9.570ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
22310  Closed tx vert fx w/o manj                        A   3.36   6.07     4.58    0.79  10.22  8.730090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
22315  Closed tx vert fx w/manj                          A   9.86  17.69    10.23    2.54  30.09 22.630090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
22318  Treat odontoid fx w/o graft                       A  22.15  17.52NA  17.52    8.97  48.64 48.640090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22319  Treat odontoid fx w/graft                         A  24.70  19.05NA  19.05   10.44  54.19 54.190090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22325  Treat spine fracture                              A  19.37  17.07NA  17.07    6.80  43.24 43.240090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22326  Treat neck spine fracture                         A  20.32  16.37NA  16.37    7.43  44.12 44.120090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22327  Treat thorax spine fracture                       A  20.25  17.55NA  17.55    7.21  45.01 45.010090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22328  Treat each add spine fx                           A   4.49   1.51NA   1.51    1.56   7.56  7.560ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
22505  Manipulation of spine                             A   1.82   2.00NA   2.00    0.78   4.60  4.600010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
22510  Perq cervicothoracic inject                       A   7.70  43.93     2.61    1.16  52.79 11.470010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
22511  Perq lumbosacral injection                        A   7.15  44.89     2.60    1.07  53.11 10.820010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
22512  Vertebroplasty addl inject                        A   3.90  17.53     0.81    0.72  22.15  5.430ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
22513  Perq vertebral augmentation                       A   8.43 163.68     3.58    1.57 173.68 13.580010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
22514  Perq vertebral augmentation                       A   7.79 164.59     3.47    1.44 173.82 12.700010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
22515  Perq vertebral augmentation                       A   3.90  84.46     0.97    0.79  89.15  5.660ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
22532  Arthrd lat xtrcvtry tq thrc                       A  25.34  17.77NA  17.77    8.75  51.86 51.860090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22533  Arthrd lat xtrcvtry tq lmbr                       A  24.17  15.51NA  15.51    6.66  46.34 46.340090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22534  Arthrd lat xtrcvtry tq ea ad                      A   5.84   1.94NA   1.94    1.91   9.69  9.690ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22548  Arthrd ant toral/xoral c1-c2                      A  26.38  20.66NA  20.66   11.15  58.19 58.190090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22551  Arthrd ant ntrbdy cervical                        A  24.38  15.43NA  15.43    8.24  48.05 48.050090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22552  Arthrd ant ntrbd cervical ea                      A   6.34   2.13NA   2.13    2.10  10.57 10.570ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22554  Arthrd ant ntrbd min dsc crv                      A  17.25  13.35NA  13.35    5.81  36.41 36.410090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22556  Arthrd ant ntrbd min dsc thc                      A  24.08  16.08NA  16.08    7.71  47.87 47.870090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22558  Arthrd ant ntrbd min dsc lum                      A  22.94  13.20NA  13.20    6.49  42.63 42.630090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22585  Arthrd ant ntrbd min dsc ea                       A   5.38   1.62NA   1.62    1.61   8.61  8.610ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22586  Arthrd pre-sac ntrbdy l5-s1                       A  27.42  21.11NA  21.11   11.59  60.12 60.120090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22590  Arthrd pst tq craniocervical                      A  21.22  17.41NA  17.41    8.05  46.68 46.680090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22595  Arthrd pst tq atlas-axis                          A  20.12  17.09NA  17.09    7.67  44.88 44.880090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22600  Arthrd pst tq 1ntrspc crv                         A  16.97  15.37NA  15.37    6.07  38.41 38.410090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22610  Arthrd pst tq 1ntrspc thrc                        A  16.85  14.96NA  14.96    5.78  37.59 37.590090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22612  Arthrd pst tq 1ntrspc lumbar                      A  22.94  14.38NA  14.38    6.62  43.94 43.940090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22614  Arthrd pst tq 1ntrspc ea add                      A   6.27   2.11NA   2.11    2.08  10.46 10.460ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22630  Arthrd pst tq 1ntrspc lum                         A  21.54  15.81NA  15.81    7.88  45.23 45.230090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22632  Arthrd pst tq 1ntrspc lm ea                       A   5.09   1.73NA   1.73    1.79   8.61  8.610ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22633  Arthrd cmbn 1ntrspc lumbar                        A  26.13  16.31NA  16.31    8.46  50.90 50.900090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22634  Arthrd cmbn 1ntrspc ea addl                       A   7.76   2.61NA   2.61    2.58  12.95 12.950ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22800  Arthrd pst dfrm<6 vrt sgm                         A  19.01  14.54NA  14.54    5.76  39.31 39.310090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22802  Arthrd pst dfrm 7-12 vrt sgm                      A  31.31  17.86NA  17.86    8.80  57.97 57.970090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22804  Arthrd pst dfrm 13+ vrt sgm                       A  36.56  19.62NA  19.62   10.36  66.54 66.540090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22808  Arthrd ant dfrm 2-3 vrt sgm                       A  26.82  17.22NA  17.22    8.49  52.53 52.530090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22810  Arthrd ant dfrm 4-7 vrt sgm                       A  30.71  16.51NA  16.51    6.55  53.77 53.770090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22812  Arthrd ant dfrm 8+ vrt sgm                        A  33.39  18.50NA  18.50    7.12  59.01 59.010090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22818  Kyphectomy 1-2 segments                           A  33.47  16.63NA  16.63    7.14  57.24 57.240090.11.76.13202221            33.5675 090 99      0.00   0.00   0.00
22819  Kyphectomy 3 or more                              A  38.40  19.34NA  19.34    8.18  65.92 65.920090.11.76.13202221            33.5675 090 99      0.00   0.00   0.00
22830  Exploration of spinal fusion                      A  10.94   9.42NA   9.42    3.34  23.70 23.700090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22836  Ant thrc vrt body tethrg <7                       A  31.20  16.33NA  16.33    6.64  54.17 54.170090.10.69.21200211            33.5675 090 99      0.00   0.00   0.00
22837  Ant thrc vrt body tethrg 8+                       A  34.61  11.46NA  11.46    3.69  49.76 49.760090.10.69.21200211            33.5675 090 99      0.00   0.00   0.00
22838  Rev rplc/rmv thrc vrt tethrg                      A  35.10  11.57NA  11.57    3.75  50.42 50.420090.10.69.21200211            33.5675 090 99      0.00   0.00   0.00
22840  Insert spine fixation device                      A  12.21   4.04NA   4.04    3.76  20.01 20.010ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
22842  Insert spine fixation device                      A  12.25   4.10NA   4.10    4.01  20.36 20.360ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22843  Insert spine fixation device                      A  13.10   4.40NA   4.40    4.31  21.81 21.810ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22844  Insert spine fixation device                      A  16.01   5.32NA   5.32    4.87  26.20 26.200ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22845  Insert spine fixation device                      A  11.64   3.90NA   3.90    3.85  19.39 19.390ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22846  Insert spine fixation device                      A  12.09   4.06NA   4.06    4.01  20.16 20.160ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22847  Insert spine fixation device                      A  13.44   4.28NA   4.28    2.86  20.58 20.580ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22848  Insert pelv fixation device                       A   5.84   1.93NA   1.93    1.74   9.51  9.510ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22849  Reinsert spinal fixation                          A  18.69  12.26NA  12.26    5.78  36.73 36.730090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22850  Remove spine fixation device                      A   9.57   8.88NA   8.88    3.01  21.46 21.460090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22852  Remove spine fixation device                      A   9.14   8.73NA   8.73    2.85  20.72 20.720090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22853  Insj biomechanical device                         A   4.14   1.38NA   1.38    1.33   6.85  6.850ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22854  Insj biomechanical device                         A   5.36   1.80NA   1.80    1.84   9.00  9.000ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22855  Removal anterior instrmj                          A  15.46  11.10NA  11.10    4.90  31.46 31.460090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22856  Tot disc arthrp 1ntrspc crv                       A  23.45  14.72NA  14.72    7.40  45.57 45.570090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22857  Tot disc arthrp 1ntrspc lmbr                      A  26.45  14.89NA  14.89    5.63  46.97 46.970090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22858  Tot disc arthrp 2nd lvl crv                       A   8.19   2.72NA   2.72    2.54  13.45 13.450ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22859  Insj biomechanical device                         A   5.36   1.81NA   1.81    1.82   8.99  8.990ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22860  Tot disc arthrp 2ntrspc lmbr                      A   6.71   1.92NA   1.92    1.68  10.31 10.310ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22861  Rev rplcm arthrp 1ntrspc crv                      A  32.53  21.07NA  21.07   13.73  67.33 67.330090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22862  Rev rplcm rthrp 1ntrspc lmbr                      R  31.81  22.64NA  22.64   13.45  67.90 67.900090.10.71.19202221            33.5675 090 99      0.00   0.00   0.00
22864  Rmvl tot arthrp 1ntrspc crv                       A  28.67  19.72NA  19.72   12.12  60.51 60.510090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
22865  Rmvl tot arthrp 1ntrspc lmbr                      R  30.96  22.35NA  22.35   13.08  66.39 66.390090.10.71.19202221            33.5675 090 99      0.00   0.00   0.00
22867  Insj stablj dev w/dcmprn                          A  14.63  11.34NA  11.34    4.33  30.30 30.300090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
22868  Insj stablj dev w/dcmprn                          A   3.90   1.31NA   1.31    1.22   6.43  6.430ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
22869  Insj stablj dev w/o dcmprn                        A   6.85   4.32NA   4.32    0.66  11.83 11.830090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
22870  Insj stablj dev w/o dcmprn                        A   2.28   0.53NA   0.53    0.21   3.02  3.020ZZZ.00.00.00002201            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
22900  Exc abdl tum deep < 5 cm                          A   8.11   6.30NA   6.30    1.98  16.39 16.390090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22901  Exc abdl tum deep 5 cm/>                          A   9.86   6.88NA   6.88    2.47  19.21 19.210090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22902  Exc abd les sc < 3 cm                             A   4.31  10.11     4.54    1.07  15.49  9.920090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22903  Exc abd les sc 3 cm/>                             A   6.23   5.05NA   5.05    1.56  12.84 12.840090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
22904  Radical resect abd tumor<5cm                      A  16.27   9.45NA   9.45    3.78  29.50 29.500090.09.81.10202111            33.5675 090 99      0.00   0.00   0.00
22905  Rad resect abd tumor 5 cm/>                       A  21.04  11.18NA  11.18    4.83  37.05 37.050090.09.81.10202111            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
23000  Rmvl sbdltd clcreous dep opn                      A   4.37  12.04     4.99    0.70  17.11 10.060090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23020  Capsular contracture release                      A   9.13   8.44NA   8.44    1.91  19.48 19.480090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23030  I&d shoulder deep absc/hmtma                      A   3.38  10.11     3.22    0.70  14.19  7.300010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
23031  I&d shoulder infected bursa                       A   2.72  10.63     3.17    0.57  13.92  6.460010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
23035  Incision bone cortex sho                          A   8.93   8.23NA   8.23    1.84  19.00 19.000090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23040  Arthrt gh jt expl/drg/rmv fb                      A   9.51   8.68NA   8.68    1.96  20.15 20.150090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23044  Arthrt ac sc jt exp/rmvl fb                       A   7.40   7.22NA   7.22    1.64  16.26 16.260090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23065  Biopsy shoulder tissues                           A   2.24   4.34     1.80    0.35   6.93  4.390010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
23066  Biopsy shoulder tissues                           A   4.19  13.62     5.86    0.92  18.73 10.970090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23071  Exc shoulder les sc 3 cm/>                        A   5.76   5.06NA   5.06    1.37  12.19 12.190090.10.80.10212001            33.5675 090 99      0.00   0.00   0.00
23073  Exc shoulder tum deep 5 cm/>                      A   9.88   7.57NA   7.57    2.27  19.72 19.720090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23075  Exc shoulder les sc < 3 cm                        A   4.10  11.59     4.60    0.92  16.61  9.620090.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
23076  Exc shoulder tum deep < 5 cm                      A   7.22   6.82NA   6.82    1.63  15.67 15.670090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23077  Rad rescj tum shoulder<5 cm                       A  17.22  10.33NA  10.33    3.93  31.48 31.480090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23078  Rad rescj tum shoulder 5cm/>                      A  21.99  12.68NA  12.68    5.02  39.69 39.690090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23100  Arthrotomy glenhumrl jt w/bx                      A   6.05   7.37NA   7.37    1.29  14.71 14.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23101  Arthrt acrmclv/strnclav jt                        A   5.58   6.50NA   6.50    1.20  13.28 13.280090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23105  Arthrotomy glenohumeral jt                        A   8.27   8.13NA   8.13    1.72  18.12 18.120090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23106  Arthrotomy strnclav joint                         A   5.98   7.35NA   7.35    1.28  14.61 14.610090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23107  Arthrt glenhumrl jt w/expl                        A   8.65   8.30NA   8.30    1.80  18.75 18.750090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23120  Claviculectomy partial                            A   7.21   8.22NA   8.22    1.48  16.91 16.910090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23125  Claviculectomy total                              A   9.40   8.63NA   8.63    2.00  20.03 20.030090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23130  Acromp/acromionectomy prtl                        A   7.58   8.52NA   8.52    1.59  17.69 17.690090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23140  Removal of bone lesion                            A   6.94   7.50NA   7.50    1.47  15.91 15.910090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23145  Removal of bone lesion                            A   9.17   8.55NA   8.55    1.95  19.67 19.670090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23146  Removal of bone lesion                            A   7.88   8.29NA   8.29    1.68  17.85 17.850090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
23150  Removal of humerus lesion                         A   8.69   8.40NA   8.40    1.85  18.94 18.940090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23155  Removal of humerus lesion                         A  10.59   9.57NA   9.57    2.25  22.41 22.410090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23156  Removal of humerus lesion                         A   8.88   8.46NA   8.46    1.90  19.24 19.240090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23170  Sequestrectomy clavicle                           A   7.03   7.68NA   7.68    1.48  16.19 16.190090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23172  Sequestrectomy scapula                            A   7.13   7.71NA   7.71    1.50  16.34 16.340090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23174  Sqstrctmy humrl head srg nck                      A   9.80   9.81NA   9.81    2.09  21.70 21.700090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23180  Prtl excision bone clavicle                       A   8.77   8.98NA   8.98    1.86  19.61 19.610090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23182  Prtl excision bone scapula                        A   8.39   9.02NA   9.02    1.78  19.19 19.190090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23184  Prtl excision bone prox hum                       A   9.65   9.16NA   9.16    2.04  20.85 20.850090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23190  Ostectomy scapula partial                         A   7.28   7.60NA   7.60    1.54  16.42 16.420090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23195  Resection humeral head                            A  10.10   9.00NA   9.00    2.15  21.25 21.250090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23200  Radical rescj tumor clavicle                      A  22.14  14.01NA  14.01    4.73  40.88 40.880090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23210  Radical rescj tumor scapula                       A  26.53  15.41NA  15.41    5.64  47.58 47.580090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23220  Radical rescj tumor prox hum                      A  29.45  16.31NA  16.31    6.26  52.02 52.020090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23330  Remove shoulder foreign body                      A   1.85   7.58     2.73    0.40   9.83  4.980010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
23333  Remove shoulder fb deep                           A   5.85   6.66NA   6.66    1.25  13.76 13.760090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
23334  Shoulder prosthesis removal                       A  15.11  11.05NA  11.05    3.06  29.22 29.220090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23335  Shoulder prosthesis removal                       A  18.53  12.10NA  12.10    3.75  34.38 34.380090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23350  Injection for shoulder x-ray                      A   0.98   3.63     0.19    0.09   4.70  1.260000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
23395  Muscle transfer shoulder/arm                      A  18.08  13.46NA  13.46    3.72  35.26 35.260090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
23397  Muscle transfers                                  A  16.34  11.40NA  11.40    3.48  31.22 31.220090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
23400  Fixation of shoulder blade                        A  13.52  10.50NA  10.50    2.89  26.91 26.910090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23405  Incision of tendon & muscle                       A   8.33   7.31NA   7.31    1.56  17.20 17.200090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
23406  Incise tendon(s) & muscle(s)                      A  10.73   7.97NA   7.97    1.48  20.18 20.180090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
23410  Repair rotator cuff acute                         A  11.11   9.49NA   9.49    2.30  22.90 22.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23412  Repair rotator cuff chronic                       A  11.63   9.66NA   9.66    2.41  23.70 23.700090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23415  Release of shoulder ligament                      A   9.00   8.86NA   8.86    1.85  19.71 19.710090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23420  Repair of shoulder                                A  13.20  11.17NA  11.17    2.77  27.14 27.140090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23430  Repair biceps tendon                              A   9.92   8.94NA   8.94    1.99  20.85 20.850090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23440  Remove/transplant tendon                          A  10.37   8.46NA   8.46    2.17  21.00 21.000090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23450  Repair shoulder capsule                           A  13.36   9.89NA   9.89    2.85  26.10 26.100090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23455  Repair shoulder capsule                           A  14.30   9.33NA   9.33    2.73  26.36 26.360090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23460  Repair shoulder capsule                           A  15.42  11.26NA  11.26    3.28  29.96 29.960090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23462  Repair shoulder capsule                           A  15.33  10.67NA  10.67    3.26  29.26 29.260090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23465  Repair shoulder capsule                           A  15.89  11.41NA  11.41    3.38  30.68 30.680090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23466  Repair shoulder capsule                           A  15.41  12.43NA  12.43    3.14  30.98 30.980090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23470  Reconstruct shoulder joint                        A  17.44  11.57NA  11.57    3.56  32.57 32.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23472  Reconstruct shoulder joint                        A  21.58  12.99NA  12.99    4.36  38.93 38.930090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23473  Revis reconst shoulder joint                      A  24.38  13.85NA  13.85    4.89  43.12 43.120090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23474  Revis reconst shoulder joint                      A  26.53  14.56NA  14.56    5.38  46.47 46.470090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23480  Revision of collar bone                           A  11.25   9.22NA   9.22    2.40  22.87 22.870090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
23485  Revision of collar bone                           A  13.56   9.77NA   9.77    2.76  26.09 26.090090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23490  Reinforce clavicle                                A  11.86   9.58NA   9.58    2.53  23.97 23.970090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23491  Reinforce shoulder bones                          A  14.18  10.87NA  10.87    3.02  28.07 28.070090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23500  Cltx clavicular fx w/o mnpj                       A   2.15   5.13     4.74    0.45   7.73  7.340090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23505  Cltx clavicular fx w/mnpj                         A   3.73   7.70     5.80    0.81  12.24 10.340090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23515  Optx clavicular fx w/int fix                      A   9.45   8.94NA   8.94    1.94  20.33 20.330090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23520  Cltx strnclav dislc w/o mnpj                      A   2.23   5.40     4.68    0.47   8.10  7.380090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
23525  Cltx strnclav dislc w/mnpj                        A   3.70   8.87     6.50    0.79  13.36 10.990090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
23530  Optx strnclav dislc aqt/chrn                      A   7.29   7.61NA   7.61    1.54  16.44 16.440090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23532  Optx strclv dslc aq/chrn grf                      A   8.00   8.18NA   8.18    1.70  17.88 17.880090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
23540  Cltx acromclav dislc wo mnpj                      A   2.30   5.49     4.90    0.49   8.28  7.690090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23545  Cltx acromclav dislc w/mnpj                       A   3.34  10.86     8.59    0.83  15.03 12.760090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
23550  Optx acromclv dislc aqt/chrn                      A   7.40   7.33NA   7.33    1.46  16.19 16.190090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23552  Optx acrclv dslc aq/chrn grf                      A   8.60   8.04NA   8.04    1.69  18.33 18.330090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23570  Cltx scapular fx w/o mnpj                         A   2.30   5.19     4.80    0.47   7.96  7.570090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23575  Cltx scap fx w/mnpj +-tractj                      A   4.12   8.74     6.35    0.88  13.74 11.350090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
23585  Optx scapular fx w/int fixj                       A  13.87  10.12NA  10.12    2.82  26.81 26.810090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23600  Cltx prox humrl fx w/o mnpj                       A   2.93   7.87     6.40    0.61  11.41  9.940090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23605  Cltx prx hmrl fx mnpj+-tract                      A   4.93  10.00     7.19    1.08  16.01 13.200090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23615  Optx prox humrl fx w/int fix                      A  11.99  10.18NA  10.18    2.49  24.66 24.660090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23616  Optx prx hmrl fx fix rpr rpl                      A  17.91  11.97NA  11.97    3.70  33.58 33.580090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
23620  Cltx gr hmrl tbrs fx wo mnpj                      A   2.49   6.28     5.14    0.50   9.27  8.130090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23625  Cltx gr hmrl tbrs fx w/mnpj                       A   4.00   8.54     6.42    0.88  13.42 11.300090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23630  Optx gr hmrl tbrs fx int fix                      A  10.31   9.56NA   9.56    2.11  21.98 21.980090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23650  Cltx sho dslc w/mnpj wo anes                      A   3.44   8.73     6.75    0.82  12.99 11.010090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23655  Cltx sho dslc w/mnpj w/anes                       A   4.64   6.88NA   6.88    1.02  12.54 12.540090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23660  Optx acute shoulder dislc                         A   7.47   7.55NA   7.55    1.48  16.50 16.500090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23665  Cltx sho dslc fx gr hmrl tbr                      A   4.54   9.38     6.93    1.00  14.92 12.470090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23670  Optx sho dislc fx                                 A  11.97   9.99NA   9.99    2.52  24.48 24.480090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23675  Cltx sho dislc neck fx mnpj                       A   6.11  11.40     7.86    1.33  18.84 15.300090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
23680  Optx sho dislc neck fx fixj                       A  12.82  10.35NA  10.35    2.73  25.90 25.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23700  Mnpj anes sho jt fixj aprats                      A   2.51   2.53NA   2.53    0.49   5.53  5.530010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
23800  Arthrodesis glenohumeral jt                       A  14.36  10.93NA  10.93    3.05  28.34 28.340090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23802  Arthrd glenohumeral jt w/grf                      A  17.96  13.61NA  13.61    3.83  35.40 35.400090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23900  Interthoracoscplr amputation                      A  20.20  13.13NA  13.13    4.30  37.63 37.630090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
23920  Disarticulation shoulder                          A  15.82  11.79NA  11.79    3.36  30.97 30.970090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
23921  Disarticulation sho sec clsr                      A   5.58   6.97NA   6.97    1.20  13.75 13.750090.10.69.21211001            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
23930  I&d upr a/e dp absc/hmtma                         A   2.92   7.88     2.61    0.61  11.41  6.140010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
23931  I&d upr a/e bursa                                 A   1.79   7.56     2.61    0.35   9.70  4.750010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
23935  Inc dp opn b1 crtx hum/elbw                       A   6.22   7.31NA   7.31    1.30  14.83 14.830090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24000  Arthrt elbw expl drg/rmvl fb                      A   5.93   6.66NA   6.66    1.22  13.81 13.810090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
24006  Arthrt elbw capsl exc rls                         A   9.50   8.46NA   8.46    1.93  19.89 19.890090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
24065  Biopsy arm/elbow soft tissue                      A   2.08   5.49     2.09    0.28   7.85  4.450010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
24066  Biopsy arm/elbow soft tissue                      A   5.22  14.13     6.03    1.20  20.55 12.450090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24071  Exc arm/elbow les sc 3 cm/>                       A   5.56   4.86NA   4.86    1.31  11.73 11.730090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24073  Ex arm/elbow tum deep 5 cm/>                      A   9.88   7.43NA   7.43    2.25  19.56 19.560090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24075  Exc arm/elbow les sc < 3 cm                       A   4.13  12.02     4.57    0.90  17.05  9.600090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24076  Ex arm/elbow tum deep < 5 cm                      A   7.22   6.82NA   6.82    1.56  15.60 15.600090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24077  Rad rescj tum tiss a/e <5cm                       A  15.33   9.82NA   9.82    3.53  28.68 28.680090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
24079  Rad rescj tum tiss a/e 5 cm+                      A  20.09  12.00NA  12.00    4.62  36.71 36.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24100  Arthrt elbw synovial bx only                      A   4.94   6.30NA   6.30    1.07  12.31 12.310090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24101  Arthrt elbw jt expl bx rmvl                       A   6.14   7.06NA   7.06    1.25  14.45 14.450090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24102  Arthrt elbow w/synovectomy                        A   8.05   7.66NA   7.66    1.62  17.33 17.330090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24105  Excision olecranon bursa                          A   3.69   6.28NA   6.28    0.75  10.72 10.720090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24110  Exc/curtg b1 cst/b9 tum hum                       A   7.39   7.99NA   7.99    1.57  16.95 16.950090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
24115  Exc/crtg b1 cst/tum hum agrf                      A   9.87   8.78NA   8.78    2.10  20.75 20.750090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24116  Exc/crtg b1 cst/tum hum algr                      A  11.92   9.43NA   9.43    2.54  23.89 23.890090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24120  Exc/crtg b1 cst/b9 tum rds                        A   6.65   7.20NA   7.20    1.34  15.19 15.190090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24125  Exc/crtg b1 cst/tum rds agrf                      A   7.94   8.17NA   8.17    1.69  17.80 17.800090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24126  Exc/crtg b1 cst/tum rds algr                      A   8.40   8.31NA   8.31    1.78  18.49 18.490090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24130  Excision radial head                              A   6.26   7.04NA   7.04    1.23  14.53 14.530090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
24134  Sequestrectomy shft/dstl hum                      A   9.96   8.97NA   8.97    2.12  21.05 21.050090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24136  Sequestrectomy radial h/n                         A   8.19   8.05NA   8.05    1.74  17.98 17.980090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24138  Sequestrectomy olecrn proces                      A   8.29   9.74NA   9.74    1.76  19.79 19.790090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24140  Partial exc bone humerus                          A   9.31   8.42NA   8.42    1.91  19.64 19.640090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24145  Prtl exc bone radial h/n                          A   7.61   7.71NA   7.71    1.63  16.95 16.950090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
24147  Prtl exc bone olecrn process                      A   7.64   8.69NA   8.69    1.53  17.86 17.860090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
24149  Radical resection of elbow                        A  15.81  13.65NA  13.65    3.18  32.64 32.640090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24150  Rad rescj tum dstl/shft hum                       A  22.87  14.09NA  14.09    4.87  41.83 41.830090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24152  Rad resection tum radial h/n                      A  19.49  13.01NA  13.01    4.15  36.65 36.650090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24155  Resection of elbow joint                          A  11.79   9.39NA   9.39    2.51  23.69 23.690090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24160  Rmvl prosthhumrl&ulnar cmpnt                      A  18.16  12.34NA  12.34    3.88  34.38 34.380090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
24164  Removal prosth radial head                        A   9.75   8.60NA   8.60    2.08  20.43 20.430090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
24200  Rmvl fb upper arm/elbw subq                       A   1.76   5.16     2.17    0.36   7.28  4.290010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
24201  Rmvl fb upper arm/elbw deep                       A   4.58  14.41     6.18    0.99  19.98 11.750090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24220  Injection px for elbow arthg                      A   1.28   4.17     0.27    0.13   5.58  1.680000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
24300  Mnpj elbow under anes                             A   3.94   8.66NA   8.66    0.76  13.36 13.360090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24301  Musc/tdn transfer upr a/e 1                       A  10.12   8.75NA   8.75    2.11  20.98 20.980090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
24305  Tendon lngth upr a/e ea tdn                       A   7.43   7.35NA   7.35    1.41  16.19 16.190090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
24310  Tnot opn elbw to sho ea tdn                       A   5.97   6.12NA   6.12    1.15  13.24 13.240090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
24320  Tenoplasty elbow to sho 1                         A  10.59   9.00NA   9.00    2.25  21.84 21.840090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
24330  Flexor-plasty elbow                               A   9.55   8.68NA   8.68    2.04  20.27 20.270090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24331  Flexor-plasty elbw w/advmnt                       A  10.68   9.03NA   9.03    2.27  21.98 21.980090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24332  Tenolysis triceps                                 A   7.71   8.31NA   8.31    1.64  17.66 17.660090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24340  Tenodesis biceps tdn at elbw                      A   7.88   7.97NA   7.97    1.62  17.47 17.470090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24341  Rpr tdn/musc upr a/e each                         A   9.25  10.12NA  10.12    1.83  21.20 21.200090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24342  Repair of ruptured tendon                         A  10.59   8.74NA   8.74    2.11  21.44 21.440090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24343  Repr elbow lat ligmnt w/tiss                      A   8.93   9.55NA   9.55    1.78  20.26 20.260090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24344  Reconstruct elbow lat ligmnt                      A  14.83  12.86NA  12.86    3.16  30.85 30.850090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24345  Repr elbw med ligmnt w/tissu                      A   8.93   9.45NA   9.45    1.82  20.20 20.200090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24346  Reconstruct elbow med ligmnt                      A  14.83  12.86NA  12.86    3.16  30.85 30.850090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24357  Repair elbow perc                                 A   5.30   5.59NA   5.59    0.62  11.51 11.510090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24358  Repair elbow w/deb open                           A   6.49   7.20NA   7.20    1.28  14.97 14.970090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24359  Repair elbow deb/attch open                       A   8.76   7.97NA   7.97    1.74  18.47 18.470090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24360  Reconstruct elbow joint                           A  12.35  10.11NA  10.11    2.62  25.08 25.080090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24361  Reconstruct elbow joint                           A  14.05  10.81NA  10.81    3.00  27.86 27.860090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24362  Reconstruct elbow joint                           A  14.94  11.10NA  11.10    3.18  29.22 29.220090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24363  Replace elbow joint                               A  21.45  13.16NA  13.16    4.33  38.94 38.940090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24365  Reconstruct head of radius                        A   8.40   7.95NA   7.95    1.78  18.13 18.130090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24366  Reconstruct head of radius                        A   9.13   8.04NA   8.04    1.85  19.02 19.020090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24370  Revise reconst elbow joint                        A  22.96  13.65NA  13.65    4.61  41.22 41.220090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24371  Revise reconst elbow joint                        A  26.81  14.88NA  14.88    5.36  47.05 47.050090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24400  Osteot humerus w/wo int fixj                      A  11.05   9.81NA   9.81    2.34  23.20 23.200090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24410  Mlt osteot rlgnm imed rd hum                      A  14.73  11.39NA  11.39    3.13  29.25 29.250090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24420  Osteoplasty humerus                               A  13.39  13.75NA  13.75    2.85  29.99 29.990090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24430  Rpr non/mal humerus wo graft                      A  14.87  11.10NA  11.10    3.06  29.03 29.030090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24435  Rpr non/mal hum with agrft                        A  14.62  12.39NA  12.39    3.05  30.06 30.060090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24470  Hemiepiphyseal arrest                             A   8.71   8.56NA   8.56    1.85  19.12 19.120090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24495  Decompression fasct forearm                       A   8.20  17.20NA  17.20    1.74  27.14 27.140090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24498  Proph tx w/wo mthylmthcrylt                       A  11.97   9.53NA   9.53    2.52  24.02 24.020090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24500  Cltx humrl shft fx w/o mnpj                       A   3.32   8.41     6.42    0.70  12.43 10.440090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24505  Cltx humrl shft fx w/mnpj                         A   5.26  10.98     7.73    1.19  17.43 14.180090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24515  Optx humrl shft fx plate/scr                      A  11.82  10.33NA  10.33    2.47  24.62 24.620090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24516  Tx humrl shaft fx imed implt                      A  11.89   9.49NA   9.49    2.50  23.88 23.880090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
24530  Cltx sprcndylr humeral fx wo                      A   3.60   8.65     6.41    0.75  13.00 10.760090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24535  Cltx sprcndylr humeral fx w/                      A   6.93  12.26     8.51    1.47  20.66 16.910090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24538  Prq skel fix sprcndlr hum fx                      A   9.53  10.94NA  10.94    2.04  22.51 22.510090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24545  Optx hum fx wo ntrcndylr xtn                      A  12.82  10.27NA  10.27    2.67  25.76 25.760090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24546  Optx hum fx w/ntrcndylr xtn                       A  14.54  11.01NA  11.01    3.00  28.55 28.550090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
24560  Cltx hum epcndylr fx wo mnpj                      A   2.91   8.17     6.05    0.62  11.70  9.580090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24565  Cltx hum epcndylr fx w/mnpj                       A   5.64  11.16     7.74    1.21  18.01 14.590090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24566  Prq skel fix epcndylr hum fx                      A   8.83   9.97NA   9.97    1.88  20.68 20.680090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24575  Optx humeral epcndylr fx                          A   9.47   9.39NA   9.39    1.94  20.80 20.800090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24576  Cltx humrl cndylr fx wo mnpj                      A   2.98   8.65     6.49    0.64  12.27 10.110090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24577  Cltx humrl cndylr fx w/mnpj                       A   5.86  11.39     7.81    1.25  18.50 14.920090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24579  Optx humrl cndylr fracture                        A  11.15   9.91NA   9.91    2.30  23.36 23.360090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24582  Prq skel fix humrl cndylr fx                      A   9.89  11.45NA  11.45    2.10  23.44 23.440090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24586  Optx partclr fx&/dislc elbow                      A  15.39  11.09NA  11.09    3.14  29.62 29.620090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24587  Optx partclr fx&/dslc elbw w                      A  15.40  11.25NA  11.25    3.27  29.92 29.920090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24600  Tx clsd elbow dislc w/o anes                      A   4.26   8.99     6.76    1.02  14.27 12.040090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24605  Tx clsd elbow dislc req anes                      A   5.50   7.65NA   7.65    1.20  14.35 14.350090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24615  Optx aqt/chrnc elbow dislc                        A   9.58   8.36NA   8.36    1.96  19.90 19.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24620  Cltx monteggia fx dislc elbw                      A   7.04   8.47NA   8.47    1.49  17.00 17.000090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24635  Optx monteggia fx dislc elbw                      A   8.58   8.84NA   8.84    1.74  19.16 19.160090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24640  Cltx rdl head sublxtj nrsemd                      A   1.22   1.83     0.85    0.07   3.12  2.140010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
24650  Cltx rdl head/nck fx wo mnpj                      A   2.25   6.33     5.04    0.45   9.03  7.740090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24655  Cltx rdl head/nck fx w/mnpj                       A   4.50  10.42     7.70    1.03  15.95 13.230090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24665  Optx radial head/neck fx                          A   8.15   8.84NA   8.84    1.64  18.63 18.630090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24666  Optx radial head/nck fx rplc                      A   9.61   8.95NA   8.95    1.95  20.51 20.510090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24670  Cltx ulnar fx prox w/o mnpj                       A   2.62   6.92     5.27    0.54  10.08  8.430090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24675  Cltx ulnar fx prox w/mnpj                         A   4.79   9.67     6.88    1.01  15.47 12.680090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
24685  Optx ulnar fx prox end w/fix                      A   8.16   8.80NA   8.80    1.67  18.63 18.630090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24800  Arthrodesis elbw joint local                      A  11.12   9.89NA   9.89    2.37  23.38 23.380090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24802  Arthrd elbow jt autog graft                       A  13.96  10.80NA  10.80    2.98  27.74 27.740090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24900  Amputation of upper arm                           A   9.93   9.52NA   9.52    2.11  21.56 21.560090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24920  Amputation of upper arm                           A   9.88   8.59NA   8.59    2.10  20.57 20.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
24925  Amputation follow-up surgery                      A   7.12   7.71NA   7.71    1.50  16.33 16.330090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24930  Amputation follow-up surgery                      A  10.56   8.81NA   8.81    2.25  21.62 21.620090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24931  Amputate upper arm & implant                      A  13.10   9.81NA   9.81    2.78  25.69 25.690090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
24935  Revision of amputation                            A  16.04  14.60NA  14.60    3.41  34.05 34.050090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
24940  Revision of upper arm                             C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.21212001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
25000  Incision of tendon sheath                         A   3.46   6.07NA   6.07    0.66  10.19 10.190090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25001  Incise flexor carpi radialis                      A   3.70   5.83NA   5.83    0.69  10.22 10.220090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25020  Decompress forearm 1 space                        A   5.91  14.56NA  14.56    1.14  21.61 21.610090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25023  Decompress forearm 1 space                        A  13.48  21.62NA  21.62    2.74  37.84 37.840090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25024  Decompress forearm 2 spaces                       A  10.52   9.05NA   9.05    2.19  21.76 21.760090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25025  Decompress forearm 2 spaces                       A  17.49  12.45NA  12.45    3.72  33.66 33.660090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25028  I&d f/arm&/wrst dp absc/hmtm                      A   5.26  14.27NA  14.27    1.07  20.60 20.600090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25031  I&d forearm&/wrist bursa                          A   4.15   5.86NA   5.86    0.89  10.90 10.900090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25035  Inc dp bone crtx f/arm&/wrst                      A   7.46   7.82NA   7.82    1.59  16.87 16.870090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25040  Arthrt rdcrpl/midcarpl jt                         A   7.31   6.95NA   6.95    1.45  15.71 15.710090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25065  Biopsy forearm soft tissues                       A   1.99   5.57     2.10    0.28   7.84  4.370010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
25066  Biopsy forearm soft tissues                       A   4.16   5.75NA   5.75    0.82  10.73 10.730090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25071  Exc forearm les sc 3 cm/>                         A   5.76   5.07NA   5.07    1.28  12.11 12.110090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25073  Exc forearm tum deep 3 cm/>                       A   6.95   6.79NA   6.79    1.47  15.21 15.210090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25075  Exc forearm les sc < 3 cm                         A   3.86  11.87     4.51    0.81  16.54  9.180090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25076  Exc forearm tum deep < 3 cm                       A   6.57   6.83NA   6.83    1.30  14.70 14.700090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25077  Resect forearm/wrist tum<3cm                      A  12.61   8.90NA   8.90    3.36  24.87 24.870090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25078  Resect forarm/wrist tum 3cm>                      A  17.25  11.26NA  11.26    3.89  32.40 32.400090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25085  Incision of wrist capsule                         A   5.50   6.20NA   6.20    1.06  12.76 12.760090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25100  Biopsy of wrist joint                             A   3.92   5.63NA   5.63    0.84  10.39 10.390090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25101  Explore/treat wrist joint                         A   4.71   6.11NA   6.11    0.92  11.74 11.740090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25105  Remove wrist joint lining                         A   5.87   6.89NA   6.89    1.14  13.90 13.900090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
25107  Remove wrist joint cartilage                      A   7.51   8.64NA   8.64    1.45  17.60 17.600090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25109  Excise tendon forearm/wrist                       A   6.77   7.09NA   7.09    1.29  15.15 15.150090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25110  Remove wrist tendon lesion                        A   3.94   5.39NA   5.39    0.78  10.11 10.110090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25111  Remove wrist tendon lesion                        A   3.44   5.51NA   5.51    0.66   9.61  9.610090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25112  Reremove wrist tendon lesion                      A   4.55   5.86NA   5.86    0.88  11.29 11.290090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25115  Remove wrist/forearm lesion                       A   9.84   9.34NA   9.34    1.88  21.06 21.060090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25116  Remove wrist/forearm lesion                       A   7.37   8.32NA   8.32    1.41  17.10 17.100090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
25118  Excise wrist tendon sheath                        A   4.40   5.83NA   5.83    0.84  11.07 11.070090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25119  Partial removal of ulna                           A   6.05   7.22NA   7.22    1.30  14.57 14.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25120  Removal of forearm lesion                         A   6.11   6.92NA   6.92    1.20  14.23 14.230090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
25125  Remove/graft forearm lesion                       A   7.48   8.02NA   8.02    1.59  17.09 17.090090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25126  Remove/graft forearm lesion                       A   7.55   8.04NA   8.04    1.61  17.20 17.200090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25130  Removal of wrist lesion                           A   5.29   6.60NA   6.60    1.01  12.90 12.900090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25135  Remove & graft wrist lesion                       A   6.90   7.83NA   7.83    1.47  16.20 16.200090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25136  Remove & graft wrist lesion                       A   5.99   7.20NA   7.20    1.28  14.47 14.470090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25145  Remove forearm bone lesion                        A   6.38   7.32NA   7.32    1.34  15.04 15.040090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25150  Partial removal of ulna                           A   7.20   7.37NA   7.37    1.44  16.01 16.010090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
25151  Partial removal of radius                         A   7.49   7.40NA   7.40    1.45  16.34 16.340090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25170  Resect radius/ulnar tumor                         A  21.65  13.55NA  13.55    4.61  39.81 39.810090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25210  Removal of wrist bone                             A   5.97   6.87NA   6.87    1.15  13.99 13.990090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
25215  Removal of wrist bones                            A   7.94   7.85NA   7.85    1.51  17.30 17.300090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25230  Partial removal of radius                         A   5.24   6.12NA   6.12    1.02  12.38 12.380090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
25240  Partial removal of ulna                           A   5.18   6.10NA   6.10    1.01  12.29 12.290090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
25246  Injection for wrist x-ray                         A   1.41   4.07     0.29    0.14   5.62  1.840000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
25248  Remove forearm foreign body                       A   5.18   5.92NA   5.92    1.12  12.22 12.220090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25250  Removal of wrist prosthesis                       A   6.60   7.38NA   7.38    1.40  15.38 15.380090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25251  Removal of wrist prosthesis                       A   9.57   8.67NA   8.67    2.05  20.29 20.290090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25259  Manipulate wrist w/anesthes                       A   3.94   8.36NA   8.36    0.79  13.09 13.090090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25260  Repair forearm tendon/muscle                      A   7.84   8.59NA   8.59    1.51  17.94 17.940090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
25263  Repair forearm tendon/muscle                      A   7.84   8.69NA   8.69    1.67  18.20 18.200090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
25265  Repair forearm tendon/muscle                      A   9.85   8.91NA   8.91    1.84  20.60 20.600090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
25270  Repair forearm tendon/muscle                      A   6.02   6.89NA   6.89    1.19  14.10 14.100090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
25272  Repair forearm tendon/muscle                      A   7.03   7.53NA   7.53    1.48  16.04 16.040090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
25274  Repair forearm tendon/muscle                      A   8.72   8.08NA   8.08    1.64  18.44 18.440090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
25275  Repair forearm tendon sheath                      A   8.74   8.28NA   8.28    1.66  18.68 18.680090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
25280  Revise wrist/forearm tendon                       A   7.21   7.32NA   7.32    1.41  15.94 15.940090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
25290  Incise wrist/forearm tendon                       A   5.29   6.11NA   6.11    1.01  12.41 12.410090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
25295  Release wrist/forearm tendon                      A   6.55   7.07NA   7.07    1.26  14.88 14.880090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
25300  Fusion of tendons at wrist                        A   8.79   8.99NA   8.99    1.87  19.65 19.650090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25301  Fusion of tendons at wrist                        A   8.38   7.93NA   7.93    1.63  17.94 17.940090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25310  Transplant forearm tendon                         A   8.78   9.56NA   9.56    1.67  20.01 20.010090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
25312  Transplant forearm tendon                         A   9.57   8.43NA   8.43    1.88  19.88 19.880090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
25315  Revise palsy hand tendon(s)                       A  10.41   8.96NA   8.96    2.21  21.58 21.580090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25316  Revise palsy hand tendon(s)                       A  12.58  10.21NA  10.21    2.68  25.47 25.470090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25320  Repair/revise wrist joint                         A  12.43  12.93NA  12.93    2.41  27.77 27.770090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25332  Revise wrist joint                                A  11.45   9.53NA   9.53    2.22  23.20 23.200090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25335  Centralization wrist on ulna                      A  13.06  10.36NA  10.36    2.77  26.19 26.190090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25337  Reconstruct ulna/radioulnar                       A  11.44  11.17NA  11.17    2.19  24.80 24.800090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25350  Revision of radius                                A   8.86   8.19NA   8.19    1.72  18.77 18.770090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25355  Revision of radius                                A  10.27   9.05NA   9.05    2.19  21.51 21.510090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25360  Revision of ulna                                  A   8.52   8.07NA   8.07    1.67  18.26 18.260090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25365  Revise radius & ulna                              A  12.59  10.21NA  10.21    2.68  25.48 25.480090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25370  Revise radius or ulna                             A  13.75  11.48NA  11.48    2.93  28.16 28.160090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25375  Revise radius & ulna                              A  13.21  10.41NA  10.41    2.82  26.44 26.440090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25390  Shorten radius or ulna                            A  10.43   8.67NA   8.67    2.00  21.10 21.100090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25391  Lengthen radius or ulna                           A  13.92  10.63NA  10.63    2.97  27.52 27.520090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25392  Shorten radius & ulna                             A  14.22  10.72NA  10.72    3.03  27.97 27.970090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25393  Lengthen radius & ulna                            A  16.15  11.34NA  11.34    3.44  30.93 30.930090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25394  Repair carpal bone shorten                        A  10.58   9.19NA   9.19    2.25  22.02 22.020090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25400  Repair radius or ulna                             A  11.00   8.91NA   8.91    2.16  22.07 22.070090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25405  Repair/graft radius or ulna                       A  14.63  10.62NA  10.62    2.87  28.12 28.120090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25415  Repair radius & ulna                              A  13.46  10.48NA  10.48    2.87  26.81 26.810090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25420  Repair/graft radius & ulna                        A  16.61  11.84NA  11.84    3.54  31.99 31.990090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25425  Repair/graft radius or ulna                       A  13.38  10.45NA  10.45    2.85  26.68 26.680090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25426  Repair/graft radius & ulna                        A  16.04  11.30NA  11.30    3.41  30.75 30.750090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25430  Vasc graft into carpal bone                       A   9.47   9.33NA   9.33    2.02  20.82 20.820090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25431  Repair nonunion carpal bone                       A  10.62   9.24NA   9.24    2.26  22.12 22.120090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25440  Repair nonu scphd carpl b1                        A  10.41   8.69NA   8.69    2.00  21.10 21.100090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25441  Arthrp w/prostc dstl rds                          A  12.96  10.31NA  10.31    2.75  26.02 26.020090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25442  Arthrp w/prostc dstl ulna                         A  10.84   9.28NA   9.28    2.05  22.17 22.170090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25443  Arthrp prostc dstl scph crpl                      A  10.39   9.49NA   9.49    2.20  22.08 22.080090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25444  Arthrp w/prostc lunate                            A  11.13   9.46NA   9.46    2.15  22.74 22.740090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25445  Arthrp w/prostc trapezium                         A   9.63   8.39NA   8.39    1.86  19.88 19.880090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
25446  Arthrp w/prostc dst rds&crps                      A  16.87  11.34NA  11.34    3.28  31.49 31.490090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25447  Arthrp ntrcrp/crp/mtcr ntrps                      A  10.24  10.07NA  10.07    1.96  22.27 22.270090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25448  Arthrp ntrcrpl/crp/mtcrp ssp                      A  11.55  10.78NA  10.78    2.20  24.53 24.530090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25449  Revj arthrp wrist joint                           A  14.57  10.53NA  10.53    2.81  27.91 27.910090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25450  Epiphysl arrst dstl rds/ulna                      A   7.86   8.14NA   8.14    1.67  17.67 17.670090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25455  Epiphysl arrst dstl rds&ulna                      A   9.47   9.21NA   9.21    2.02  20.70 20.700090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25490  Prophylactic tx radius                            A   9.49   8.81NA   8.81    2.02  20.32 20.320090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25491  Prophylactic tx ulna                              A   9.90   8.79NA   8.79    2.11  20.80 20.800090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25492  Prophylactic tx radius&ulna                       A  12.34  10.29NA  10.29    2.62  25.25 25.250090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25500  Cltx rdl shft fx w/o mnpj                         A   2.54   6.73     5.12    0.51   9.78  8.170090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25505  Cltx rdl shft fx w/mnpj                           A   5.31  11.16     8.18    1.20  17.67 14.690090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25515  Optx radial shaft fracture                        A   8.58   8.66NA   8.66    1.74  18.98 18.980090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25520  Cltx rdl shft fx&dislc                            A   6.34  11.38     8.25    1.34  19.06 15.930090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25525  Optx rdl shft fx&cltx rad/ul                      A  10.29   9.71NA   9.71    2.06  22.06 22.060090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
25526  Optx rdl shft fx&dstl rad/ul                      A  12.82  11.25NA  11.25    2.73  26.80 26.800090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
25530  Cltx ulnar shft fx w/o mnpj                       A   2.18   6.42     4.99    0.44   9.04  7.610090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25535  Cltx ulnar shft fx w/mnpj                         A   5.23  10.10     7.26    1.08  16.41 13.570090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25545  Optx ulnar shft fx int fixj                       A   7.74   8.51NA   8.51    1.56  17.81 17.810090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25560  Cltx rdl&uln shft fx wo mnpj                      A   2.53   6.90     5.15    0.51   9.94  8.190090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25565  Cltx rdl&uln shft fx w/mnpj                       A   5.70  11.66     8.25    1.31  18.67 15.260090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25574  Optx rdl&uln shft fx rds/uln                      A   8.58   8.86NA   8.86    1.75  19.19 19.190090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
25575  Optx rdl&uln shft fx rds&uln                      A  11.98  10.86NA  10.86    2.48  25.32 25.320090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25600  Cltx dst rdl fx/ephys sep wo                      A   2.71   8.28     6.98    0.55  11.54 10.240090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25605  Cltx dst rdl fx/ephys sep w/                      A   6.09  11.54     8.99    1.37  19.00 16.450090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25606  Perq skel fixj dstl rdl fx                        A   8.10   9.42NA   9.42    1.69  19.21 19.210090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25607  Optx dst rd xartc fx/epi sep                      A   9.32   9.68NA   9.68    1.88  20.88 20.880090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25608  Optx dst rd xart fx/epi sep2                      A  10.79  10.15NA  10.15    2.17  23.11 23.110090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25609  Optx dst rd xart fx/ep sep3+                      A  14.02  12.22NA  12.22    2.75  28.99 28.990090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25622  Cltx carpl scphd fx w/o mnpj                      A   2.72   7.24     5.60    0.54  10.50  8.860090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25624  Cltx carpl scphd fx w/mnpj                        A   4.65  10.79     7.71    1.00  16.44 13.360090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25628  Optx carpl scphd fx int fixj                      A   9.43   8.80NA   8.80    1.80  20.03 20.030090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25630  Cltx carpl fx w/o mnpj ea b1                      A   2.95   6.80     5.17    0.58  10.33  8.700090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25635  Cltx carpl fx w/mnpj ea b1                        A   4.49  10.14     7.22    0.96  15.59 12.670090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25645  Optx crpl fx oth/thn scph ea                      A   7.23   7.59NA   7.59    1.53  16.35 16.350090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25650  Cltx ulnar styloid fracture                       A   3.15   7.54     5.92    0.66  11.35  9.730090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25651  Perq skel fix ulnar styld fx                      A   5.67   7.38NA   7.38    1.13  14.18 14.180090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25652  Optx ulnar styloid fracture                       A   7.86   8.26NA   8.26    1.57  17.69 17.690090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
25660  Cltx rdcrpl/ntrcrpl dislc 1+                      A   4.86   7.44NA   7.44    1.05  13.35 13.350090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25670  Optx rdcrpl/ntrcrpl dislc 1+                      A   7.89   7.80NA   7.80    1.68  17.37 17.370090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25671  Perq skel fix rad/uln dislc                       A   6.30   8.02NA   8.02    1.33  15.65 15.650090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
25675  Cltx dstl rad/uln dislc mnpj                      A   4.77  11.46     8.75    1.13  17.36 14.650090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25676  Optx rad/uln dislc aqt/chrnc                      A   8.08   8.13NA   8.13    1.61  17.82 17.820090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25680  Cltx trns-scphprlnr fx mnpj                       A   6.07   8.17NA   8.17    1.30  15.54 15.540090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25685  Optx trns-scphprlnr fx dislc                      A   9.84   8.77NA   8.77    2.09  20.70 20.700090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25690  Cltx lunate dislc w/mnpj                          A   5.58   7.66NA   7.66    1.20  14.44 14.440090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25695  Optx lunate dislocation                           A   8.30   7.93NA   7.93    1.76  17.99 17.990090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25800  Arthrd wrist complete wo grf                      A   9.82   8.46NA   8.46    1.88  20.16 20.160090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25805  Arthrd wrist w/sliding graft                      A  11.44   9.84NA   9.84    2.44  23.72 23.720090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25810  Arthrd wrst iliac/oth agrft                       A  11.65   9.92NA   9.92    2.20  23.77 23.770090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25820  Arthrd wrist lmtd w/o b1 grf                      A   7.45   9.52NA   9.52    1.45  18.42 18.420090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25825  Arthrd wrist with autograft                       A   9.45  11.03NA  11.03    1.79  22.27 22.270090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25830  Arthrd dst rad/ul jt sgm rsc                      A  10.61  16.37NA  16.37    2.08  29.06 29.060090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
25900  Amputation of forearm                             A   9.37   8.81NA   8.81    1.88  20.06 20.060090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25905  Amputation of forearm                             A   9.35   8.42NA   8.42    1.99  19.76 19.760090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25907  Amputation follow-up surgery                      A   7.89   7.96NA   7.96    1.68  17.53 17.530090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25909  Amputation follow-up surgery                      A   9.08   8.33NA   8.33    1.93  19.34 19.340090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25915  Amputation of forearm                             A  17.08  11.01NA  11.01    3.63  31.72 31.720090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25920  Amputate hand at wrist                            A   8.80  10.21NA  10.21    1.87  20.88 20.880090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25922  Amputate hand at wrist                            A   7.46   9.63NA   9.63    1.59  18.68 18.680090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25924  Amputation follow-up surgery                      A   8.59   9.99NA   9.99    1.83  20.41 20.410090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25927  Amputation of hand                                A   8.86  14.39NA  14.39    1.90  25.15 25.150090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
25929  Amputation follow-up surgery                      A   7.62   7.87NA   7.87    1.63  17.12 17.120090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
25931  Amputation follow-up surgery                      A   7.84  13.91NA  13.91    1.67  23.42 23.420090.10.69.21211001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
26010  Drainage of finger abscess                        A   1.55   9.40     2.51    0.28  11.23  4.340010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
26011  Drainage of finger abscess                        A   2.18  12.87     2.85    0.43  15.48  5.460010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
26020  Drain hand tendon sheath                          A   6.67   7.95NA   7.95    1.31  15.93 15.930090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26025  Drainage of palm bursa                            A   4.95   6.17NA   6.17    0.99  12.11 12.110090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26030  Drainage of palm bursas                           A   6.09   6.67NA   6.67    1.19  13.95 13.950090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26034  Treat hand bone lesion                            A   6.46   8.03NA   8.03    1.26  15.75 15.750090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26035  Decompress fingers/hand                           A  11.09  10.96NA  10.96    2.36  24.41 24.410090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26037  Decompress fingers/hand                           A   7.38   6.96NA   6.96    1.44  15.78 15.780090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26040  Release palm contracture                          A   3.37   5.25NA   5.25    0.62   9.24  9.240090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26045  Release palm contracture                          A   5.59   6.87NA   6.87    1.11  13.57 13.570090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26055  Incise finger tendon sheath                       A   3.03  15.24     5.00    0.58  18.85  8.610090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26060  Incision of finger tendon                         A   2.84   4.00NA   4.00    0.45   7.29  7.290090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26070  Explore/treat hand joint                          A   3.71   4.98NA   4.98    0.68   9.37  9.370090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26075  Explore/treat finger joint                        A   3.81   5.34NA   5.34    0.73   9.88  9.880090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26080  Explore/treat finger joint                        A   4.36   6.41NA   6.41    0.84  11.61 11.610090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26100  Biopsy hand joint lining                          A   3.70   5.65NA   5.65    0.79  10.14 10.140090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26105  Biopsy finger joint lining                        A   3.73   5.66NA   5.66    0.80  10.19 10.190090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26110  Biopsy finger joint lining                        A   3.56   5.28NA   5.28    0.68   9.52  9.520090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26111  Exc hand les sc 1.5 cm/>                          A   5.28   5.45NA   5.45    1.04  11.77 11.770090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26113  Exc hand tum deep 1.5 cm/>                        A   6.95   7.07NA   7.07    1.31  15.33 15.330090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26115  Exc hand les sc < 1.5 cm                          A   3.86  13.00     5.01    0.75  17.61  9.620090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26116  Exc hand tum deep < 1.5 cm                        A   6.57   6.97NA   6.97    1.25  14.79 14.790090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26117  Rad resect hand tumor < 3 cm                      A   9.88   8.93NA   8.93    1.98  20.79 20.790090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26118  Rad resect hand tumor 3 cm/>                      A  14.44  11.81NA  11.81    2.91  29.16 29.160090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26121  Release palm contracture                          A   7.54   7.84NA   7.84    1.44  16.82 16.820090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26123  Release palm contracture                          A  10.61  10.76NA  10.76    2.02  23.39 23.390090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26125  Release palm contracture                          A   4.49   1.48NA   1.48    0.86   6.83  6.830ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
26130  Remove wrist joint lining                         A   5.45   7.11NA   7.11    1.17  13.73 13.730090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26135  Revise finger joint each                          A   6.95   7.28NA   7.28    1.32  15.55 15.550090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26140  Revise finger joint each                          A   6.18   7.02NA   7.02    1.19  14.39 14.390090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26145  Tendon excision palm/finger                       A   6.33   7.04NA   7.04    1.21  14.58 14.580090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26160  Remove tendon sheath lesion                       A   3.48  15.55     5.10    0.66  19.69  9.240090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26170  Removal of palm tendon each                       A   4.79   6.02NA   6.02    0.92  11.73 11.730090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26180  Removal of finger tendon                          A   5.22   6.69NA   6.69    1.00  12.91 12.910090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26185  Remove finger bone                                A   6.36   8.69NA   8.69    1.34  16.39 16.390090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
26200  Remove hand bone lesion                           A   5.51   6.26NA   6.26    1.08  12.85 12.850090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26205  Remove/graft bone lesion                          A   7.73   7.88NA   7.88    1.64  17.25 17.250090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26210  Removal of finger lesion                          A   5.19   6.64NA   6.64    1.00  12.83 12.830090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26215  Remove/graft finger lesion                        A   7.09   7.67NA   7.67    1.50  16.26 16.260090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26230  Partial removal of hand bone                      A   6.31   6.59NA   6.59    1.22  14.12 14.120090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26235  Partial removal finger bone                       A   6.17   6.55NA   6.55    1.19  13.91 13.910090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26236  Partial removal finger bone                       A   5.32   6.28NA   6.28    1.04  12.64 12.640090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26250  Extensive hand surgery                            A  14.83  11.53NA  11.53    3.16  29.52 29.520090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26260  Resect prox finger tumor                          A  10.88   9.12NA   9.12    2.33  22.33 22.330090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26262  Resect distal finger tumor                        A   8.08   8.23NA   8.23    1.72  18.03 18.030090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26320  Removal of implant from hand                      A   4.00   5.33NA   5.33    0.78  10.11 10.110090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26340  Manipulate finger w/anesth                        A   2.73   7.71NA   7.71    0.50  10.94 10.940090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26341  Manipulat palm cord post inj                      A   0.89   2.66     1.13    0.17   3.72  2.190010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
26350  Repair finger/hand tendon                         A   6.05  14.88NA  14.88    1.19  22.12 22.120090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26352  Repair/graft hand tendon                          A   7.67  14.94NA  14.94    1.48  24.09 24.090090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26356  Repair finger/hand tendon                         A   9.32  11.45NA  11.45    1.79  22.56 22.560090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26357  Repair finger/hand tendon                         A  10.73  12.54NA  12.54    2.28  25.55 25.550090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26358  Repair/graft hand tendon                          A  12.29  13.04NA  13.04    2.61  27.94 27.940090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26370  Repair finger/hand tendon                         A   7.10  14.31NA  14.31    1.34  22.75 22.750090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26372  Repair/graft hand tendon                          A   8.78  16.23NA  16.23    1.87  26.88 26.880090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26373  Repair finger/hand tendon                         A   8.20  16.06NA  16.06    1.74  26.00 26.000090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26390  Revise hand/finger tendon                         A   9.19  14.34NA  14.34    1.96  25.49 25.490090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26392  Repair/graft hand tendon                          A  10.24  16.70NA  16.70    2.18  29.12 29.120090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26410  Repair hand tendon                                A   4.65  12.37NA  12.37    0.90  17.92 17.920090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26412  Repair/graft hand tendon                          A   6.32  13.29NA  13.29    1.21  20.82 20.820090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26415  Excision hand/finger tendon                       A   8.30  14.89NA  14.89    1.76  24.95 24.950090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26416  Graft hand or finger tendon                       A   9.32  15.56NA  15.56    1.98  26.86 26.860090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26418  Repair finger tendon                              A   4.36  13.58NA  13.58    0.85  18.79 18.790090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26420  Repair/graft finger tendon                        A   6.77  13.45NA  13.45    1.28  21.50 21.500090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26426  Repair finger/hand tendon                         A   6.16   6.92NA   6.92    1.17  14.25 14.250090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26428  Repair/graft finger tendon                        A   7.22  14.89NA  14.89    1.52  23.63 23.630090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26432  Repair finger tendon                              A   4.06  11.40NA  11.40    0.79  16.25 16.250090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26433  Repair finger tendon                              A   4.58  11.53NA  11.53    0.89  17.00 17.000090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26434  Repair/graft finger tendon                        A   6.10  13.35NA  13.35    1.31  20.76 20.760090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26437  Realignment of tendons                            A   5.84  12.49NA  12.49    1.12  19.45 19.450090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26440  Release palm/finger tendon                        A   5.03  13.25NA  13.25    0.96  19.24 19.240090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26442  Release palm & finger tendon                      A   9.51  17.42NA  17.42    1.84  28.77 28.770090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26445  Release hand/finger tendon                        A   4.34  12.94NA  12.94    0.83  18.11 18.110090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26449  Release forearm/hand tendon                       A   8.38   9.84NA   9.84    1.56  19.78 19.780090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26450  Incision of palm tendon                           A   3.70   9.35NA   9.35    0.69  13.74 13.740090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26455  Incision of finger tendon                         A   3.67   9.38NA   9.38    0.69  13.74 13.740090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26460  Incise hand/finger tendon                         A   3.49   9.29NA   9.29    0.65  13.43 13.430090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26471  Fusion of finger tendons                          A   5.75  12.45NA  12.45    1.07  19.27 19.270090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26474  Fusion of finger tendons                          A   5.35  13.12NA  13.12    1.14  19.61 19.610090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26476  Tendon lengthening                                A   5.22  13.07NA  13.07    1.12  19.41 19.410090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26477  Tendon shortening                                 A   5.19  12.20NA  12.20    0.99  18.38 18.380090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
26478  Lengthening of hand tendon                        A   5.82  12.54NA  12.54    1.13  19.49 19.490090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26479  Shortening of hand tendon                         A   5.76  13.25NA  13.25    1.23  20.24 20.240090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26480  Transplant hand tendon                            A   8.78   9.56NA   9.56    1.66  20.00 20.000090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26483  Transplant/graft hand tendon                      A   8.27  15.16NA  15.16    1.57  25.00 25.000090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26485  Transplant palm tendon                            A   7.69  15.00NA  15.00    1.47  24.16 24.160090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26489  Transplant/graft palm tendon                      A   9.61  16.50NA  16.50    2.05  28.16 28.160090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26490  Revise thumb tendon                               A   8.39  14.43NA  14.43    1.77  24.59 24.590090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26492  Tendon transfer with graft                        A   9.59  15.38NA  15.38    2.05  27.02 27.020090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26494  Hand tendon/muscle transfer                       A   8.44  14.44NA  14.44    1.79  24.67 24.670090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26496  Revise thumb tendon                               A   9.54  14.79NA  14.79    2.04  26.37 26.370090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26497  Finger tendon transfer                            A   9.52  14.78NA  14.78    2.04  26.34 26.340090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26498  Finger tendon transfer                            A  13.85  16.73NA  16.73    2.95  33.53 33.530090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26499  Correction claw finger other                      A   8.94  14.61NA  14.61    1.91  25.46 25.460090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26500  Hand tendon reconstruction                        A   5.98  13.31NA  13.31    1.28  20.57 20.570090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26502  Hand tendon reconstruction                        A   7.13  13.68NA  13.68    1.50  22.31 22.310090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26508  Release thumb contracture                         A   6.03  12.13NA  12.13    1.04  19.20 19.200090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26510  Thumb tendon transfer                             A   5.46  12.28NA  12.28    1.05  18.79 18.790090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26516  Fusion of knuckle joint                           A   7.14  12.97NA  12.97    1.37  21.48 21.480090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26517  Fusion of knuckle joints                          A   8.85  14.58NA  14.58    1.88  25.31 25.310090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
26518  Fusion of knuckle joints                          A   9.04  14.64NA  14.64    1.92  25.60 25.600090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
26520  Release knuckle contracture                       A   5.33  13.73NA  13.73    1.02  20.08 20.080090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26525  Release finger contracture                        A   5.36  13.87NA  13.87    1.04  20.27 20.270090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
26530  Revise knuckle joint                              A   6.71   7.27NA   7.27    1.28  15.26 15.260090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26531  Revise knuckle with implant                       A   7.93   8.19NA   8.19    1.49  17.61 17.610090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26535  Revise finger joint                               A   5.27   6.30NA   6.30    1.00  12.57 12.570090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26536  Revise/implant finger joint                       A   6.40  14.27NA  14.27    1.22  21.89 21.890090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26540  Repair hand joint                                 A   6.44  12.66NA  12.66    1.24  20.34 20.340090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
26541  Repair hand joint with graft                      A   8.59  13.70NA  13.70    1.65  23.94 23.940090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26542  Repair hand joint with graft                      A   6.78  12.78NA  12.78    1.30  20.86 20.860090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26545  Reconstruct finger joint                          A   6.93  12.94NA  12.94    1.31  21.18 21.180090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26546  Repair nonunion hand                              A  10.56  17.16NA  17.16    2.02  29.74 29.740090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
26548  Reconstruct finger joint                          A   8.01  13.39NA  13.39    1.53  22.93 22.930090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26550  Pollicization digit                               A  21.14  20.42NA  20.42    4.50  46.06 46.060090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
26551  Great toe-hand transfer                           A  47.27  31.71NA  31.71   10.10  89.08 89.080090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
26553  Single transfer toe-hand                          A  46.97  31.45NA  31.45   10.05  88.47 88.470090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
26554  Double transfer toe-hand                          A  55.58  35.11NA  35.11   11.88 102.57102.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
26555  Positional change of finger                       A  16.65  18.99NA  18.99    3.55  39.19 39.190090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26556  Toe joint transfer                                A  48.51  33.33NA  33.33   10.37  92.21 92.210090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26560  Repair of web finger                              A   5.38  12.57NA  12.57    1.15  19.10 19.100090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26561  Repair of web finger                              A  10.82  15.20NA  15.20    2.31  28.33 28.330090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26562  Repair of web finger                              A  16.26  19.49NA  19.49    3.47  39.22 39.220090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26565  Correct metacarpal flaw                           A   6.74  12.62NA  12.62    1.31  20.67 20.670090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26567  Correct finger deformity                          A   6.82  12.81NA  12.81    1.33  20.96 20.960090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26568  Lengthen metacarpal/finger                        A   9.04  16.32NA  16.32    1.92  27.28 27.280090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26580  Repair cleft hand                                 A  19.26  19.99NA  19.99    4.10  43.35 43.350090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
26587  Reconstruct extra finger                          A  14.14  11.93NA  11.93    3.01  29.08 29.080090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26590  Repair finger deformity                           A  18.20  18.03NA  18.03    3.88  40.11 40.110090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26591  Repair muscles of hand                            A   3.30  10.82NA  10.82    0.62  14.74 14.740090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26593  Release muscles of hand                           A   5.36  12.63NA  12.63    1.04  19.03 19.030090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26596  Excision constricting tissue                      A   8.91  12.91NA  12.91    1.91  23.73 23.730090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26600  Treat metacarpal fracture                         A   2.54   7.20     5.97    0.49  10.23  9.000090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26605  Treat metacarpal fracture                         A   2.95   7.71     5.78    0.61  11.27  9.340090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26607  Treat metacarpal fracture                         A   5.34   8.41NA   8.41    1.14  14.89 14.890090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26608  Treat metacarpal fracture                         A   5.41   7.42NA   7.42    1.07  13.90 13.900090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26615  Treat metacarpal fracture                         A   6.89   8.18NA   8.18    1.33  16.40 16.400090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26641  Treat thumb dislocation                           A   4.03   9.16     6.61    0.86  14.05 11.500090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26645  Treat thumb fracture                              A   4.47   9.05     6.30    0.96  14.48 11.730090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
26650  Treat thumb fracture                              A   5.22   7.83NA   7.83    1.04  14.09 14.090090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
26665  Treat thumb fracture                              A   7.74   8.24NA   8.24    1.32  17.30 17.300090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
26670  Treat hand dislocation                            A   3.73   8.28     6.11    0.86  12.87 10.700090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26675  Treat hand dislocation                            A   4.71   9.70     6.82    1.02  15.43 12.550090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26676  Pin hand dislocation                              A   5.60   7.97NA   7.97    1.07  14.64 14.640090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26685  Treat hand dislocation                            A   6.89   7.95NA   7.95    1.19  16.03 16.030090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
26686  Treat hand dislocation                            A   7.97   8.08NA   8.08    1.69  17.74 17.740090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
26700  Treat knuckle dislocation                         A   3.73   7.62     5.87    0.83  12.18 10.430090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26705  Treat knuckle dislocation                         A   4.27   9.45     6.69    0.91  14.63 11.870090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26706  Pin knuckle dislocation                           A   5.18   6.45NA   6.45    0.89  12.52 12.520090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26715  Treat knuckle dislocation                         A   6.85   8.15NA   8.15    1.32  16.32 16.320090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26720  Treat finger fracture each                        A   1.72   4.97     4.06    0.36   7.05  6.140090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26725  Treat finger fracture each                        A   3.39   7.74     5.53    0.72  11.85  9.640090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26727  Treat finger fracture each                        A   5.28   7.36NA   7.36    1.04  13.68 13.680090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26735  Treat finger fracture each                        A   7.23   8.27NA   8.27    1.40  16.90 16.900090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26740  Treat finger fracture each                        A   2.02   5.44     4.36    0.39   7.85  6.770090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26742  Treat finger fracture each                        A   3.89   7.95     5.51    0.80  12.64 10.200090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26746  Treat finger fracture each                        A   9.56   9.23NA   9.23    1.82  20.61 20.610090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26750  Treat finger fracture each                        A   1.76   4.47     4.11    0.37   6.60  6.240090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26755  Treat finger fracture each                        A   3.15   7.58     5.13    0.68  11.41  8.960090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26756  Pin finger fracture each                          A   4.47   7.08NA   7.08    0.87  12.42 12.420090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26765  Treat finger fracture each                        A   5.71   7.74NA   7.74    1.12  14.57 14.570090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26770  Treat finger dislocation                          A   3.07   7.07     5.45    0.69  10.83  9.210090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26775  Treat finger dislocation                          A   3.80   8.59     6.14    0.76  13.15 10.700090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26776  Pin finger dislocation                            A   4.87   7.22NA   7.22    0.93  13.02 13.020090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26785  Treat finger dislocation                          A   6.44   8.01NA   8.01    1.25  15.70 15.700090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26820  Thumb fusion with graft                           A   8.24  14.38NA  14.38    1.75  24.37 24.370090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
26841  Fusion of thumb                                   A   7.17  13.91NA  13.91    1.41  22.49 22.490090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
26842  Thumb fusion with graft                           A   8.28  14.39NA  14.39    1.76  24.43 24.430090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
26843  Fusion of hand joint                              A   7.59  13.83NA  13.83    1.62  23.04 23.040090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26844  Fusion/graft of hand joint                        A   8.76  14.55NA  14.55    1.86  25.17 25.170090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26850  Fusion of knuckle                                 A   6.96  12.87NA  12.87    1.32  21.15 21.150090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26852  Fusion of knuckle with graft                      A   8.49  13.71NA  13.71    1.61  23.81 23.810090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26860  Fusion of finger joint                            A   4.76  12.49NA  12.49    0.91  18.16 18.160090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26861  Fusion of finger jnt add-on                       A   1.70   0.56NA   0.56    0.34   2.60  2.600ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
26862  Fusion/graft of finger joint                      A   7.37  13.32NA  13.32    1.39  22.08 22.080090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
26863  Fuse/graft added joint                            A   3.79   1.25NA   1.25    0.70   5.74  5.740ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
26910  Amputate metacarpal bone                          A   7.60  13.08NA  13.08    1.49  22.17 22.170090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26951  Amputation of finger/thumb                        A   5.89  13.88NA  13.88    1.17  20.94 20.940090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26952  Amputation of finger/thumb                        A   6.32  12.44NA  12.44    1.23  19.99 19.990090.10.69.21201001            33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
26990  Drainage of pelvis lesion                         A   7.75  10.35NA  10.35    1.68  19.78 19.780090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
26991  Drainage of pelvis bursa                          A   6.88  14.01     6.43    1.41  22.30 14.720090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
26992  Drainage of bone lesion                           A  13.14  12.28NA  12.28    2.87  28.29 28.290090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
27000  Tenotomy adductor hip perq                        A   5.60   4.67NA   4.67    0.58  10.85 10.850090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27001  Tenotomy adductor hip open                        A   6.96   6.96NA   6.96    1.47  15.39 15.390090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27003  Tnot adductr subq opn neurct                      A   7.61   7.87NA   7.87    1.63  17.11 17.110090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27005  Tenotomy hip flexor open                          A   9.82   8.35NA   8.35    2.01  20.18 20.180090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27006  Tenotomy abductor&/xtnsr hip                      A   9.86   8.20NA   8.20    1.48  19.54 19.540090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27025  Fasciotomy hip/thigh any typ                      A  12.57  11.10NA  11.10    2.65  26.32 26.320090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
27027  Dcmprn fasct pel compartment                      A  12.71   8.90NA   8.90    2.63  24.24 24.240090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27030  Arthrotomy hip w/drainage                         A  13.31   9.64NA   9.64    2.82  25.77 25.770090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27033  Arthrt hip expl/rmv loose/fb                      A  13.76  10.08NA  10.08    2.91  26.75 26.750090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27035  Denervation of hip joint                          A  16.94  13.17NA  13.17    0.89  31.00 31.000090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27036  Capsulectomy/capsulotomy hip                      A  14.02  11.24NA  11.24    2.97  28.23 28.230090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27040  Biopsy of soft tissues                            A   2.85   6.96     2.19    0.43  10.24  5.470010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
27041  Biopsy of soft tissues                            A   9.93   7.67NA   7.67    2.01  19.61 19.610090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27043  Exc hip pelvis les sc 3 cm/>                      A   6.71   5.23NA   5.23    1.65  13.59 13.590090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27045  Exc hip/pelv tum deep 5 cm/>                      A  10.85   7.43NA   7.43    2.43  20.71 20.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27047  Exc hip/pelvis les sc < 3 cm                      A   4.82  10.06     4.58    1.13  16.01 10.530090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27048  Exc hip/pelv tum deep < 5 cm                      A   8.63   6.93NA   6.93    2.01  17.57 17.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27049  Resect hip/pelv tum < 5 cm                        A  21.01  13.20NA  13.20    4.47  38.68 38.680090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27050  Biopsy of sacroiliac joint                        A   4.62   6.35NA   6.35    1.00  11.97 11.970090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
27052  Biopsy of hip joint                               A   7.23   7.90NA   7.90    1.53  16.66 16.660090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27054  Removal of hip joint lining                       A   8.98   8.61NA   8.61    1.91  19.50 19.500090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27057  Buttock fasciotomy w/dbrdmt                       A  14.54   9.94NA   9.94    3.09  27.57 27.570090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27059  Resect hip/pelv tum 5 cm/>                        A  28.62  14.36NA  14.36    6.23  49.21 49.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27060  Removal of ischial bursa                          A   5.72   6.55NA   6.55    1.22  13.49 13.490090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27062  Remove femur lesion/bursa                         A   5.61   6.23NA   6.23    1.12  12.96 12.960090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27065  Remove hip bone les super                         A   6.39   7.48NA   7.48    1.35  15.22 15.220090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27066  Remove hip bone les deep                          A  10.92   9.53NA   9.53    2.26  22.71 22.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27067  Remove/graft hip bone lesion                      A  14.35  11.26NA  11.26    3.05  28.66 28.660090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27070  Part remove hip bone super                        A  11.27  11.21NA  11.21    2.25  24.73 24.730090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27071  Part removal hip bone deep                        A  12.08  12.80NA  12.80    2.55  27.43 27.430090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27075  Resect hip tumor                                  A  31.89  16.96NA  16.96    6.79  55.64 55.640090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27076  Resect hip tum incl acetabul                      A  39.20  19.29NA  19.29    8.36  66.85 66.850090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27077  Resect hip tum w/innom bone                       A  44.08  20.85NA  20.85    9.41  74.34 74.340090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27078  Rsect hip tum incl femur                          A  31.40  16.81NA  16.81    6.69  54.90 54.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27080  Removal of tail bone                              A   6.72   6.58NA   6.58    1.69  14.99 14.990090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27086  Remove hip foreign body                           A   1.87   7.90     2.74    0.40  10.17  5.010010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
27087  Remove hip foreign body                           A   8.61   7.26NA   7.26    1.99  17.86 17.860090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27090  Removal of hip prosthesis                         A  11.40   9.36NA   9.36    2.39  23.15 23.150090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27091  Removal of hip prosthesis                         A  23.74  14.26NA  14.26    5.03  43.03 43.030090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27093  Injection for hip x-ray                           A   1.27   5.54     0.31    0.15   6.96  1.730000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
27095  Injection for hip x-ray                           A   1.46   8.07     0.41    0.22   9.75  2.090000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
27096  Inject sacroiliac joint                           A   1.44   3.68     0.63    0.14   5.26  2.210000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
27097  Revision of hip tendon                            A   9.04   8.32NA   8.32    1.92  19.28 19.280090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27098  Transfer tendon to pelvis                         A   9.09   8.68NA   8.68    1.93  19.70 19.700090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27100  Transfer of abdominal muscle                      A  11.07   9.87NA   9.87    2.36  23.30 23.300090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27105  Transfer of spinal muscle                         A  11.74  10.09NA  10.09    2.50  24.33 24.330090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27110  Transfer of iliopsoas muscle                      A  13.43  10.63NA  10.63    2.86  26.92 26.920090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27111  Transfer of iliopsoas muscle                      A  12.29  10.27NA  10.27    2.61  25.17 25.170090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27120  Reconstruction of hip socket                      A  18.77  12.65NA  12.65    3.99  35.41 35.410090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27122  Reconstruction of hip socket                      A  15.69  11.24NA  11.24    3.33  30.26 30.260090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27125  Partial hip replacement                           A  16.22  11.36NA  11.36    3.43  31.01 31.010090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27130  Total hip arthroplasty                            A  19.11  11.63NA  11.63    4.05  34.79 34.790090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27132  Total hip arthroplasty                            A  25.05  14.67NA  14.67    5.31  45.03 45.030090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27134  Revise hip joint replacement                      A  29.52  14.96NA  14.96    6.28  50.76 50.760090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27137  Revise hip joint replacement                      A  22.13  12.61NA  12.61    4.71  39.45 39.450090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27138  Revise hip joint replacement                      A  23.11  12.92NA  12.92    4.90  40.93 40.930090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27140  Transplant femur ridge                            A  12.46   9.75NA   9.75    2.65  24.86 24.860090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27146  Incision of hip bone                              A  18.45  12.62NA  12.62    3.93  35.00 35.000090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27147  Revision of hip bone                              A  21.52  13.60NA  13.60    4.58  39.70 39.700090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27151  Incision of hip bones                             A  23.52  14.24NA  14.24    5.01  42.77 42.770090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27156  Revision of hip bones                             A  25.57  14.89NA  14.89    5.45  45.91 45.910090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27158  Revision of pelvis                                A  20.51  13.08NA  13.08    4.36  37.95 37.950090.10.69.21222001            33.5675 090 99      0.00   0.00   0.00
27161  Incision of neck of femur                         A  17.44  12.25NA  12.25    3.71  33.40 33.400090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27165  Incision/fixation of femur                        A  19.78  13.72NA  13.72    4.21  37.71 37.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27170  Repair/graft femur head/neck                      A  17.17  11.07NA  11.07    3.65  31.89 31.890090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27175  Treat slipped epiphysis                           A   9.15   7.49NA   7.49    1.95  18.59 18.590090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27176  Treat slipped epiphysis                           A  12.60  10.37NA  10.37    2.68  25.65 25.650090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27177  Treat slipped epiphysis                           A  15.69  11.70NA  11.70    3.34  30.73 30.730090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27178  Treat slipped epiphysis                           A  12.60  10.37NA  10.37    2.68  25.65 25.650090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27179  Revise head/neck of femur                         A  13.62  10.53NA  10.53    2.91  27.06 27.060090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27181  Treat slipped epiphysis                           A  15.78  11.78NA  11.78    3.35  30.91 30.910090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27185  Revision of femur epiphysis                       A   9.55   8.68NA   8.68    2.04  20.27 20.270090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27187  Reinforce hip bones                               A  13.87  10.73NA  10.73    2.94  27.54 27.540090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27197  Clsd tx pelvic ring fx                            A   1.49   1.91NA   1.91    0.30   3.70  3.700000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
27198  Clsd tx pelvic ring fx                            A   4.63   2.89NA   2.89    0.99   8.51  8.510000.00.00.00200201            33.5675 090 99      0.00   0.00   0.00
27200  Treat tail bone fracture                          A   1.87   4.12     3.75    0.39   6.38  6.010090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
27202  Treat tail bone fracture                          A   7.13   6.24NA   6.24    1.50  14.87 14.870090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
27220  Treat hip socket fracture                         A   5.36   7.00     5.19    1.14  13.50 11.690090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27222  Treat hip socket fracture                         A  13.76  10.68NA  10.68    2.97  27.41 27.410090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27226  Treat hip wall fracture                           A  15.18  10.54NA  10.54    3.24  28.96 28.960090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27227  Treat hip fracture(s)                             A  24.77  14.56NA  14.56    5.26  44.59 44.590090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27228  Treat hip fracture(s)                             A  28.60  15.76NA  15.76    6.11  50.47 50.470090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27230  Treat thigh fracture                              A   5.66   9.18     7.28    1.22  16.06 14.160090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27232  Treat thigh fracture                              A  11.43   6.92NA   6.92    2.51  20.86 20.860090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27235  Treat thigh fracture                              A  12.68   9.72NA   9.72    2.64  25.04 25.040090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27236  Treat thigh fracture                              A  17.17  11.85NA  11.85    3.61  32.63 32.630090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27238  Treat thigh fracture                              A   5.61   6.88NA   6.88    1.21  13.70 13.700090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27240  Treat thigh fracture                              A  13.46  10.50NA  10.50    2.93  26.89 26.890090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27244  Treat thigh fracture                              A  17.73  12.09NA  12.09    3.75  33.57 33.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27245  Treat thigh fracture                              A  17.73  12.04NA  12.04    3.71  33.48 33.480090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27246  Treat thigh fracture                              A   4.71   7.09     5.58    1.01  12.81 11.300090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27248  Treat thigh fracture                              A  10.51   7.81NA   7.81    2.21  20.53 20.530090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27250  Treat hip dislocation                             A   3.72   0.61NA   0.61    0.90   5.23  5.230000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
27252  Treat hip dislocation                             A  10.75   8.40NA   8.40    2.36  21.51 21.510090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27253  Treat hip dislocation                             A  13.24   9.97NA   9.97    2.83  26.04 26.040090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27254  Treat hip dislocation                             A  18.47  12.24NA  12.24    3.93  34.64 34.640090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27256  Treat hip dislocation                             A   4.17   6.87     2.62    1.05  12.09  7.840010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
27257  Treat hip dislocation                             A   5.25   3.50NA   3.50    1.12   9.87  9.870010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
27258  Treat hip dislocation                             A  15.78  11.38NA  11.38    3.35  30.51 30.510090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27259  Treat hip dislocation                             A  22.68  14.42NA  14.42    4.83  41.93 41.930090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27265  Treat hip dislocation                             A   5.11   8.43NA   8.43    1.23  14.77 14.770090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27266  Treat hip dislocation                             A   7.59   7.49NA   7.49    1.62  16.70 16.700090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27267  Cltx thigh fx                                     A   5.36   6.43NA   6.43    1.12  12.91 12.910090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27268  Cltx thigh fx w/mnpj                              A   6.94   7.05NA   7.05    1.47  15.46 15.460090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27269  Optx thigh fx                                     A  18.42  11.26NA  11.26    3.89  33.57 33.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27275  Manipulation of hip joint                         A   2.26   2.63NA   2.63    0.46   5.35  5.350010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
27278  Arthrd si jt plmt iartic dev                      A   7.66 403.30     4.64    0.85 411.81 13.150090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27279  Arthrd si jt plmt tartclr dv                      A  11.83   8.26NA   8.26    2.62  22.71 22.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27280  Arthr si jt opn b1grf instrm                      A  19.50  12.89NA  12.89    6.04  38.43 38.430090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27282  Arthrodesis symphysis pubis                       A  11.55  10.03NA  10.03    2.47  24.05 24.050090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27284  Arthrodesis hip joint                             A  24.43  13.38NA  13.38    5.19  43.00 43.000090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27286  Arthrd hip jt sbtrchc osteot                      A  24.54  14.57NA  14.57    5.22  44.33 44.330090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27290  Amputation of leg at hip                          A  23.94  14.88NA  14.88    5.09  43.91 43.910090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27295  Amputation of leg at hip                          A  19.17  10.93NA  10.93    4.24  34.34 34.340090.10.69.21212101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
27301  Drain thigh/knee lesion                           A   6.61  13.51     6.47    1.44  21.56 14.520090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27303  Drainage of bone lesion                           A   8.41   7.93NA   7.93    1.74  18.08 18.080090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27305  Incise thigh tendon & fascia                      A   6.03   6.62NA   6.62    1.25  13.90 13.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27306  Incision of thigh tendon                          A   4.62   4.64NA   4.64    0.47   9.73  9.730090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27307  Incision of thigh tendons                         A   5.91   4.78NA   4.78    0.57  11.26 11.260090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
27310  Exploration of knee joint                         A   9.75   8.83NA   8.83    2.05  20.63 20.630090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27323  Biopsy thigh soft tissues                         A   2.27   5.66     2.15    0.30   8.23  4.720010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
27324  Biopsy thigh soft tissues                         A   4.91   6.01NA   6.01    1.13  12.05 12.050090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27325  Neurectomy hamstring                              A   7.02   7.68NA   7.68    1.48  16.18 16.180090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27326  Neurectomy popliteal                              A   6.31   7.46NA   7.46    1.33  15.10 15.100090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27327  Exc thigh/knee les sc < 3 cm                      A   3.86  11.42     4.52    0.87  16.15  9.250090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27328  Exc thigh/knee tum deep <5cm                      A   8.63   7.08NA   7.08    1.96  17.67 17.670090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27329  Resect thigh/knee tum < 5 cm                      A  15.33  10.11NA  10.11    3.48  28.92 28.920090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27330  Biopsy knee joint lining                          A   4.98   6.31NA   6.31    1.07  12.36 12.360090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27331  Explore/treat knee joint                          A   5.87   6.66NA   6.66    1.23  13.76 13.760090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27332  Removal of knee cartilage                         A   8.25   8.41NA   8.41    1.75  18.41 18.410090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27333  Removal of knee cartilage                         A   7.36   7.98NA   7.98    1.56  16.90 16.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27334  Remove knee joint lining                          A   8.96   8.60NA   8.60    1.90  19.46 19.460090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27335  Remove knee joint lining                          A  10.29   9.05NA   9.05    2.19  21.53 21.530090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27337  Exc thigh/knee les sc 3 cm/>                      A   5.76   5.07NA   5.07    1.39  12.22 12.220090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27339  Exc thigh/knee tum dep 5cm/>                      A  10.85   8.02NA   8.02    2.52  21.39 21.390090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27340  Removal of kneecap bursa                          A   4.21   5.98NA   5.98    0.88  11.07 11.070090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27345  Removal of knee cyst                              A   5.94   6.82NA   6.82    1.26  14.02 14.020090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27347  Remove knee cyst                                  A   6.56   7.31NA   7.31    1.34  15.21 15.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27350  Removal of kneecap                                A   8.44   8.37NA   8.37    1.76  18.57 18.570090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27355  Remove femur lesion                               A   7.80   7.85NA   7.85    1.64  17.29 17.290090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27356  Remove femur lesion/graft                         A   9.84   8.93NA   8.93    2.09  20.86 20.860090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27357  Remove femur lesion/graft                         A  10.88   9.76NA   9.76    2.31  22.95 22.950090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27358  Remove femur lesion/fixation                      A   4.61   1.47NA   1.47    1.00   7.08  7.080ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
27360  Partial removal leg bone(s)                       A  11.17  12.10NA  12.10    2.38  25.65 25.650090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27364  Resect thigh/knee tum 5 cm/>                      A  23.88  13.61NA  13.61    5.34  42.83 42.830090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27365  Resect femur/knee tumor                           A  31.40  16.89NA  16.89    6.71  55.00 55.000090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27369  Njx cntrst kne arthg/ct/mri                       A   0.75   4.61     0.19    0.08   5.44  1.020000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
27372  Removal of foreign body                           A   5.08  12.98     5.57    1.07  19.13 11.720090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27380  Repair of kneecap tendon                          A   7.26   9.14NA   9.14    1.50  17.90 17.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27381  Repair/graft kneecap tendon                       A  10.49  10.53NA  10.53    2.19  23.21 23.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27385  Repair of thigh muscle                            A   6.76   9.49NA   9.49    1.37  17.62 17.620090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27386  Repair/graft of thigh muscle                      A  10.85  11.10NA  11.10    2.22  24.17 24.170090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27390  Incision of thigh tendon                          A   5.39   6.16NA   6.16    1.05  12.60 12.600090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27391  Incision of thigh tendons                         A   7.30   7.70NA   7.70    1.52  16.52 16.520090.10.69.21200101            33.5675 090 99      0.00   0.00   0.00
27392  Incision of thigh tendons                         A   9.39   8.78NA   8.78    2.00  20.17 20.170090.10.69.21222101            33.5675 090 99      0.00   0.00   0.00
27393  Lengthening of thigh tendon                       A   6.43   6.58NA   6.58    1.27  14.28 14.280090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27394  Lengthening of thigh tendons                      A   8.57   8.15NA   8.15    1.82  18.54 18.540090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
27395  Lengthening of thigh tendons                      A  11.93  10.15NA  10.15    2.54  24.62 24.620090.10.69.21222101            33.5675 090 99      0.00   0.00   0.00
27396  Transplant of thigh tendon                        A   7.95   7.98NA   7.98    1.69  17.62 17.620090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27397  Transplants of thigh tendons                      A  12.34  10.68NA  10.68    2.62  25.64 25.640090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27400  Revise thigh muscles/tendons                      A   9.10   8.69NA   8.69    1.94  19.73 19.730090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27403  Repair of knee cartilage                          A   8.40   8.12NA   8.12    1.76  18.28 18.280090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27405  Repair of knee ligament                           A   8.85   8.43NA   8.43    1.80  19.08 19.080090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27407  Repair of knee ligament                           A  10.58   9.57NA   9.57    2.25  22.40 22.400090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27409  Repair of knee ligaments                          A  13.37  10.61NA  10.61    2.85  26.83 26.830090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27412  Autochondrocyte implant knee                      A  24.12  15.50NA  15.50    5.13  44.75 44.750090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27415  Osteochondral knee allograft                      A  19.50  14.03NA  14.03    4.15  37.68 37.680090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27416  Osteochondral knee autograft                      A  13.81  10.27NA  10.27    2.94  27.02 27.020090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27418  Repair degenerated kneecap                        A  11.31   9.28NA   9.28    2.26  22.85 22.850090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27420  Revision of unstable kneecap                      A  10.00   8.98NA   8.98    2.13  21.11 21.110090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27422  Revision of unstable kneecap                      A   9.95   8.89NA   8.89    2.08  20.92 20.920090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27424  Revision/removal of kneecap                       A   9.98   8.97NA   8.97    2.13  21.08 21.080090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27425  Lat retinacular release open                      A   5.26   6.89NA   6.89    1.11  13.26 13.260090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27427  Reconstruction knee                               A   9.55   8.42NA   8.42    1.87  19.84 19.840090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27428  Reconstruction knee                               A  15.19  12.73NA  12.73    3.23  31.15 31.150090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27429  Reconstruction knee                               A  17.10  14.35NA  14.35    3.64  35.09 35.090090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27430  Revision of thigh muscles                         A   9.91   8.92NA   8.92    2.10  20.93 20.930090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27435  Incision of knee joint                            A  10.61   9.95NA   9.95    2.21  22.77 22.770090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27437  Revise kneecap                                    A   8.71   8.16NA   8.16    1.84  18.71 18.710090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27438  Revise kneecap with implant                       A  11.59   9.39NA   9.39    2.43  23.41 23.410090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27440  Revision of knee joint                            A  10.81   9.21NA   9.21    2.31  22.33 22.330090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27441  Revision of knee joint                            A  11.25   9.36NA   9.36    2.40  23.01 23.010090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27442  Revision of knee joint                            A  12.06   9.51NA   9.51    2.53  24.10 24.100090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27443  Revision of knee joint                            A  11.12   9.32NA   9.32    2.37  22.81 22.810090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27446  Revision of knee joint                            A  16.70  11.13NA  11.13    3.53  31.36 31.360090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27447  Total knee arthroplasty                           A  19.11  11.58NA  11.58    4.02  34.71 34.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27448  Incision of thigh                                 A  11.31   9.11NA   9.11    2.41  22.83 22.830090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27450  Incision of thigh                                 A  14.24  10.63NA  10.63    2.93  27.80 27.800090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27454  Realignment of thigh bone                         A  18.69  12.70NA  12.70    3.98  35.37 35.370090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27455  Realignment of knee                               A  13.03  10.93NA  10.93    2.77  26.73 26.730090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27457  Realignment of knee                               A  13.68   9.76NA   9.76    2.91  26.35 26.350090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27458  Osteot femur imed lngth dev                       A  26.65  20.06NA  20.06    5.13  51.84 51.840090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27465  Shortening of thigh bone                          A  20.60  13.74NA  13.74    4.39  38.73 38.730090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27466  Lengthening of thigh bone                         A  22.08  14.21NA  14.21    4.71  41.00 41.000090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27470  Repair of thigh                                   A  16.71  12.23NA  12.23    3.55  32.49 32.490090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27472  Repair/graft of thigh                             A  18.25  12.48NA  12.48    3.88  34.61 34.610090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27475  Surgery to stop leg growth                        A   8.71   8.22NA   8.22    1.85  18.78 18.780090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27477  Surgery to stop leg growth                        A   9.89   8.59NA   8.59    2.10  20.58 20.580090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27479  Surgery to stop leg growth                        A  12.83   9.87NA   9.87    2.73  25.43 25.430090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27485  Surgery to stop leg growth                        A   8.90   8.16NA   8.16    1.90  18.96 18.960090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27486  Revise/replace knee joint                         A  20.59  13.23NA  13.23    4.35  38.17 38.170090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27487  Revise/replace knee joint                         A  26.43  15.11NA  15.11    5.60  47.14 47.140090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27488  Removal of knee prosthesis                        A  17.16  12.14NA  12.14    3.63  32.93 32.930090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27495  Reinforce thigh                                   A  16.13  11.45NA  11.45    3.43  31.01 31.010090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27496  Decompression of thigh/knee                       A   6.61   7.89NA   7.89    1.40  15.90 15.900090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27497  Decompression of thigh/knee                       A   7.60   7.30NA   7.30    1.62  16.52 16.520090.10.69.21210201            33.5675 090 99      0.00   0.00   0.00
27498  Decompression of thigh/knee                       A   8.44   8.48NA   8.48    1.79  18.71 18.710090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27499  Decompression of thigh/knee                       A   9.19   8.72NA   8.72    1.96  19.87 19.870090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27500  Treatment of thigh fracture                       A   6.14   9.75     6.47    1.31  17.20 13.920090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27501  Treatment of thigh fracture                       A   6.29   8.87     6.75    1.32  16.48 14.360090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27502  Treatment of thigh fracture                       A  11.08   8.93NA   8.93    2.52  22.53 22.530090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27503  Treatment of thigh fracture                       A  10.99   9.12NA   9.12    2.36  22.47 22.470090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27506  Treatment of thigh fracture                       A  19.16  13.43NA  13.43    4.03  36.62 36.620090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27507  Treatment of thigh fracture                       A  14.12   9.34NA   9.34    2.99  26.45 26.450090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27508  Treatment of thigh fracture                       A   6.05  10.08     7.30    1.28  17.41 14.630090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27509  Treatment of thigh fracture                       A   7.94   9.94NA   9.94    1.66  19.54 19.540090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27510  Treatment of thigh fracture                       A   9.56   8.45NA   8.45    2.13  20.14 20.140090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27511  Treatment of thigh fracture                       A  14.73   9.13NA   9.13    3.11  26.97 26.970090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27513  Treatment of thigh fracture                       A  18.77  10.41NA  10.41    3.96  33.14 33.140090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27514  Treatment of thigh fracture                       A  14.24   8.96NA   8.96    3.00  26.20 26.200090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27516  Treat thigh fx growth plate                       A   5.45  10.54     7.68    1.17  17.16 14.300090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27517  Treat thigh fx growth plate                       A   8.89   8.78NA   8.78    1.90  19.57 19.570090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27519  Treat thigh fx growth plate                       A  12.92   8.61NA   8.61    2.75  24.28 24.280090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27520  Treat kneecap fracture                            A   2.96   7.50     5.74    0.61  11.07  9.310090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27524  Treat kneecap fracture                            A  10.11   8.89NA   8.89    2.11  21.11 21.110090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27530  Treat knee fracture                               A   2.58   7.34     5.90    0.53  10.45  9.010090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27532  Treat knee fracture                               A   7.36  11.43     7.74    1.54  20.33 16.640090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27535  Treat knee fracture                               A  13.07   8.59NA   8.59    2.75  24.41 24.410090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27536  Treat knee fracture                               A  16.96  12.10NA  12.10    3.60  32.66 32.660090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27538  Treat knee fracture(s)                            A   4.96  10.11     7.47    1.06  16.13 13.490090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27540  Treat knee fracture                               A  11.02   9.48NA   9.48    2.33  22.83 22.830090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27550  Treat knee dislocation                            A   5.83  11.35     8.50    1.33  18.51 15.660090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27552  Treat knee dislocation                            A   7.98   8.49NA   8.49    1.68  18.15 18.150090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27556  Treat knee dislocation                            A  12.68   8.53NA   8.53    2.70  23.91 23.910090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27557  Treat knee dislocation                            A  15.50   9.43NA   9.43    3.31  28.24 28.240090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27558  Treat knee dislocation                            A  17.93  10.20NA  10.20    3.83  31.96 31.960090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27560  Treat kneecap dislocation                         A   3.89   9.17     7.12    0.91  13.97 11.920090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27562  Treat kneecap dislocation                         A   5.83   7.18NA   7.18    1.25  14.26 14.260090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27566  Treat kneecap dislocation                         A  12.39   9.73NA   9.73    2.63  24.75 24.750090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27570  Fixation of knee joint                            A   1.75   2.37NA   2.37    0.37   4.49  4.490010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
27580  Fusion of knee                                    A  20.57  15.63NA  15.63    4.36  40.56 40.560090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27590  Amputate leg at thigh                             A  13.13   5.19NA   5.19    3.27  21.59 21.590090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27591  Amputate leg at thigh                             A  13.59  10.12NA  10.12    2.91  26.62 26.620090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27592  Amputate leg at thigh                             A  10.71   5.49NA   5.49    2.61  18.81 18.810090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27594  Amputation follow-up surgery                      A   7.11   5.53NA   5.53    1.67  14.31 14.310090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27596  Amputation follow-up surgery                      A  11.01   6.11NA   6.11    2.64  19.76 19.760090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27598  Amputate lower leg at knee                        A  10.94   5.71NA   5.71    2.67  19.32 19.320090.10.69.21212101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
27600  Decompression of lower leg                        A   5.88   4.15NA   4.15    1.22  11.25 11.250090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27601  Decompression of lower leg                        A   5.90   5.50NA   5.50    1.12  12.52 12.520090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27602  Decompression of lower leg                        A   7.62   3.79NA   3.79    1.88  13.29 13.290090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27603  Drain lower leg lesion                            A   5.10  10.29     5.10    0.92  16.31 11.120090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27604  Drain lower leg bursa                             A   4.48   9.00     4.18    0.82  14.30  9.480090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27605  Incision of achilles tendon                       A   2.85   6.96     2.06    0.28  10.09  5.190010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
27606  Incision of achilles tendon                       A   4.08   2.90NA   2.90    0.65   7.63  7.630010.10.80.10211101            33.5675 090 99      0.00   0.00   0.00
27607  Treat lower leg bone lesion                       A   8.40   6.93NA   6.93    1.65  16.98 16.980090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27610  Explore/treat ankle joint                         A   8.90   7.71NA   7.71    1.64  18.25 18.250090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27612  Exploration of ankle joint                        A   7.95   7.01NA   7.01    1.25  16.21 16.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27613  Biopsy lower leg soft tissue                      A   2.16   5.32     2.03    0.33   7.81  4.520010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
27614  Biopsy lower leg soft tissue                      A   5.66  11.69     5.15    0.92  18.27 11.730090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27615  Resect leg/ankle tum < 5 cm                       A  15.33   9.61NA   9.61    3.29  28.23 28.230090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
27616  Resect leg/ankle tum 5 cm/>                       A  19.14  11.38NA  11.38    4.17  34.69 34.690090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
27618  Exc leg/ankle tum < 3 cm                          A   3.86  10.88     4.29    0.78  15.52  8.930090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27619  Exc leg/ankle tum deep <5 cm                      A   6.74   5.19NA   5.19    1.13  13.06 13.060090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27620  Explore/treat ankle joint                         A   6.00   6.01NA   6.01    1.03  13.04 13.040090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27625  Remove ankle joint lining                         A   8.28   6.79NA   6.79    1.34  16.41 16.410090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27626  Remove ankle joint lining                         A   8.87   6.69NA   6.69    1.33  16.89 16.890090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27630  Removal of tendon lesion                          A   4.82  11.44     4.84    0.72  16.98 10.380090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27632  Exc leg/ankle les sc 3 cm/>                       A   5.76   4.79NA   4.79    1.22  11.77 11.770090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27634  Exc leg/ankle tum dep 5 cm/>                      A   9.88   6.86NA   6.86    1.92  18.66 18.660090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27635  Remove lower leg bone lesion                      A   7.83   7.12NA   7.12    1.39  16.34 16.340090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27637  Remove/graft leg bone lesion                      A  10.05   9.14NA   9.14    2.00  21.19 21.190090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27638  Remove/graft leg bone lesion                      A  10.72   8.26NA   8.26    1.94  20.92 20.920090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27640  Partial removal of tibia                          A  11.93   8.90NA   8.90    2.18  23.01 23.010090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27641  Partial removal of fibula                         A   9.59   7.13NA   7.13    1.54  18.26 18.260090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27645  Resect tibia tumor                                A  26.53  15.41NA  15.41    5.64  47.58 47.580090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27646  Resect fibula tumor                               A  22.63  14.16NA  14.16    4.82  41.61 41.610090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27647  Resect talus/calcaneus tum                        A  19.75   5.73NA   5.73    1.68  27.16 27.160090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27648  Injection for ankle x-ray                         A   0.94   5.11     0.23    0.14   6.19  1.310000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
27650  Repair achilles tendon                            A   8.98   8.26NA   8.26    1.45  18.69 18.690090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27652  Repair/graft achilles tendon                      A  10.51   6.56NA   6.56    1.39  18.46 18.460090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27654  Repair of achilles tendon                         A  10.27   8.35NA   8.35    1.62  20.24 20.240090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27656  Repair leg fascia defect                          A   4.59  10.72     4.41    0.61  15.92  9.610090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27658  Repair of leg tendon each                         A   4.99   4.94NA   4.94    0.76  10.69 10.690090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27659  Repair of leg tendon each                         A   6.92   5.46NA   5.46    0.99  13.37 13.370090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27664  Repair of leg tendon each                         A   4.61   4.98NA   4.98    0.71  10.30 10.300090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
27665  Repair of leg tendon each                         A   5.43   5.66NA   5.66    0.87  11.96 11.960090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
27675  Repair lower leg tendons                          A   7.17   5.81NA   5.81    1.07  14.05 14.050090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27676  Repair lower leg tendons                          A   8.51   7.20NA   7.20    1.48  17.19 17.190090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27680  Release of lower leg tendon                       A   5.73   5.54NA   5.54    0.96  12.23 12.230090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
27681  Release of lower leg tendons                      A   6.87   6.55NA   6.55    1.24  14.66 14.660090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27685  Revision of lower leg tendon                      A   6.52  12.97     5.84    0.92  20.41 13.280090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27686  Revise lower leg tendons                          A   7.56   6.28NA   6.28    1.22  15.06 15.060090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27687  Revision of calf tendon                           A   6.25   5.77NA   5.77    0.98  13.00 13.000090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27690  Revise lower leg tendon                           A   8.94   7.91NA   7.91    1.36  18.21 18.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27691  Revise lower leg tendon                           A  10.23   9.04NA   9.04    1.76  21.03 21.030090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27692  Revise additional leg tendon                      A   1.82   0.51NA   0.51    0.35   2.68  2.680ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
27695  Repair of ankle ligament                          A   6.53   6.34NA   6.34    1.07  13.94 13.940090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27696  Repair of ankle ligaments                         A   8.37   5.79NA   5.79    1.12  15.28 15.280090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27698  Repair of ankle ligament                          A   9.37   7.00NA   7.00    1.50  17.87 17.870090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27700  Revision of ankle joint                           A   9.42   8.62NA   8.62    2.00  20.04 20.040090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27702  Reconstruct ankle joint                           A  14.06   9.80NA   9.80    2.64  26.50 26.500090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27703  Reconstruction ankle joint                        A  16.52  10.82NA  10.82    3.13  30.47 30.470090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27704  Removal of ankle implant                          A   7.61   6.93NA   6.93    1.31  15.85 15.850090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27705  Osteotomy tibia                                   A  10.59   8.19NA   8.19    1.96  20.74 20.740090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27707  Osteotomy fibula                                  A   4.66   6.20NA   6.20    0.89  11.75 11.750090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27709  Osteotomy tibia & fibula                          A  17.04  11.06NA  11.06    3.37  31.47 31.470090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27712  Osteot mlt relignmt imed rod                      A  15.47  11.68NA  11.68    3.29  30.44 30.440090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27713  Osteot tibia imed lngth dev                       A  28.00  19.31NA  19.31    5.20  52.51 52.510090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27715  Ostpl tibfib lngth/shrt                           A  21.94  14.16NA  14.16    4.68  40.78 40.780090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27720  Repair of tibia                                   A  12.05   9.83NA   9.83    2.41  24.29 24.290090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27722  Repair/graft of tibia                             A  12.14  10.22NA  10.22    2.59  24.95 24.950090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27724  Repair/graft of tibia                             A  18.83  11.18NA  11.18    3.96  33.97 33.970090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27725  Repair of lower leg                               A  16.97  13.06NA  13.06    3.61  33.64 33.640090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27726  Repair fibula nonunion                            A  13.98   9.46NA   9.46    2.76  26.20 26.200090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27727  Repair of lower leg                               A  14.47  11.15NA  11.15    3.06  28.68 28.680090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27730  Repair of tibia epiphysis                         A   7.51   7.68NA   7.68    1.61  16.80 16.800090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27732  Repair of fibula epiphysis                        A   5.32   6.77NA   6.77    1.14  13.23 13.230090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27734  Repair lower leg epiphyses                        A   8.61   8.19NA   8.19    1.83  18.63 18.630090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27740  Repair of leg epiphyses                           A   9.37   8.62NA   8.62    1.99  19.98 19.980090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
27742  Repair of leg epiphyses                           A  10.36   9.31NA   9.31    2.20  21.87 21.870090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27745  Reinforce tibia                                   A  10.23   8.18NA   8.18    1.91  20.32 20.320090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27750  Treatment of tibia fracture                       A   3.29   7.87     6.02    0.68  11.84  9.990090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27752  Treatment of tibia fracture                       A   6.11  10.76     7.54    1.34  18.21 14.990090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27756  Treatment of tibia fracture                       A   7.26   8.11NA   8.11    1.53  16.90 16.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27758  Treatment of tibia fracture                       A  12.23  10.15NA  10.15    2.57  24.95 24.950090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27759  Treatment of tibia fracture                       A  14.09  10.43NA  10.43    2.97  27.49 27.490090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27760  Cltx medial ankle fx                              A   3.13   7.55     5.85    0.59  11.27  9.570090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27762  Cltx med ankle fx w/mnpj                          A   5.33  11.10     8.15    1.21  17.64 14.690090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27766  Optx medial ankle fx                              A   7.69   8.18NA   8.18    1.49  17.36 17.360090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27767  Cltx post ankle fx                                A   2.57   6.58     5.95    0.48   9.63  9.000090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27768  Cltx post ankle fx w/mnpj                         A   5.01   7.16NA   7.16    1.07  13.24 13.240090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27769  Optx post ankle fx                                A   9.89   8.37NA   8.37    1.97  20.23 20.230090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27780  Treatment of fibula fracture                      A   2.76   7.26     5.60    0.56  10.58  8.920090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27781  Treatment of fibula fracture                      A   4.48   9.28     6.80    0.93  14.69 12.210090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27784  Treatment of fibula fracture                      A   9.43   8.86NA   8.86    1.86  20.15 20.150090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27786  Treatment of ankle fracture                       A   2.94   7.00     5.31    0.54  10.48  8.790090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27788  Treatment of ankle fracture                       A   4.52   9.42     6.89    0.99  14.93 12.400090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27792  Treatment of ankle fracture                       A   8.53   8.06NA   8.06    1.61  18.20 18.200090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27808  Treatment of ankle fracture                       A   2.95   7.92     6.05    0.58  11.45  9.580090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27810  Treatment of ankle fracture                       A   5.19  10.47     7.54    1.17  16.83 13.900090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27814  Treatment of ankle fracture                       A  10.35   9.00NA   9.00    2.04  21.39 21.390090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27816  Treatment of ankle fracture                       A   2.99   7.83     5.78    0.62  11.44  9.390090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27818  Treatment of ankle fracture                       A   5.55  10.71     7.46    1.25  17.51 14.260090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27822  Treatment of ankle fracture                       A  10.93  11.67NA  11.67    2.14  24.74 24.740090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27823  Treatment of ankle fracture                       A  12.83  12.28NA  12.28    2.53  27.64 27.640090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27824  Treat lower leg fracture                          A   3.23   6.80     5.63    0.65  10.68  9.510090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27825  Treat lower leg fracture                          A   6.52  10.22     6.47    1.35  18.09 14.340090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27826  Treat lower leg fracture                          A  10.82  11.43NA  11.43    2.09  24.34 24.340090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27827  Treat lower leg fracture                          A  14.42  14.17NA  14.17    2.94  31.53 31.530090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27828  Treat lower leg fracture                          A  17.97  15.22NA  15.22    3.64  36.83 36.830090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27829  Treat lower leg joint                             A   8.58   9.94NA   9.94    1.63  20.15 20.150090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
27830  Treat lower leg dislocation                       A   3.86   8.34     6.11    0.83  13.03 10.800090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27831  Treat lower leg dislocation                       A   4.61   6.45NA   6.45    1.00  12.06 12.060090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27832  Treat lower leg dislocation                       A   9.92   9.43NA   9.43    2.11  21.46 21.460090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27840  Treat ankle dislocation                           A   4.65   7.83NA   7.83    1.08  13.56 13.560090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27842  Treat ankle dislocation                           A   6.30   7.09NA   7.09    1.31  14.70 14.700090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27846  Treat ankle dislocation                           A  10.02   8.28NA   8.28    1.91  20.21 20.210090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27848  Treat ankle dislocation                           A  11.39   8.55NA   8.55    2.15  22.09 22.090090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27860  Fixation of ankle joint                           A   2.33   1.95NA   1.95    0.35   4.63  4.630010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
27870  Fusion of ankle joint open                        A  15.02  10.07NA  10.07    2.69  27.78 27.780090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27871  Fusion of tibiofibular joint                      A   9.30   8.22NA   8.22    1.85  19.37 19.370090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27880  Amputation of lower leg                           A  14.99   5.97NA   5.97    3.67  24.63 24.630090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27881  Amputation of lower leg                           A  13.13   6.41NA   6.41    3.18  22.72 22.720090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27882  Amputation of lower leg                           A   9.55   4.61NA   4.61    2.38  16.54 16.540090.10.69.21210101            33.5675 090 99      0.00   0.00   0.00
27884  Amputation follow-up surgery                      A   8.54   5.81NA   5.81    2.05  16.40 16.400090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
27886  Amputation follow-up surgery                      A   9.77   5.89NA   5.89    2.36  18.02 18.020090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27888  Amputation of foot at ankle                       A  10.11   3.27NA   3.27    2.58  15.96 15.960090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
27889  Ankle disarticulation                             A  10.59   5.00NA   5.00    2.30  17.89 17.890090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
27892  Decompression of leg                              A   7.74   6.14NA   6.14    1.63  15.51 15.510090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27893  Decompression of leg                              A   7.70   8.25NA   8.25    1.64  17.59 17.590090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
27894  Decompression of leg                              A  12.35   7.53NA   7.53    2.79  22.67 22.670090.10.69.21212001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
28001  Drainage of bursa of foot                         A   1.95   2.88     0.47    0.18   5.01  2.600000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
28002  Treatment of foot infection                       A   2.72   4.28     0.84    0.25   7.25  3.810000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
28003  Treatment of foot infection                       A   5.15   5.49     1.22    0.54  11.18  6.910000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
28005  Treat foot bone lesion                            A   9.20   5.85NA   5.85    0.96  16.01 16.010090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28008  Incision of foot fascia                           A   4.48   7.73     3.36    0.43  12.64  8.270090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28010  Incision of toe tendon                            A   2.90   3.89     2.77    0.26   7.05  5.930090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28011  Incision of toe tendons                           A   4.17   5.02     3.34    0.41   9.60  7.920090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28020  Exploration of foot joint                         A   5.02  11.16     4.79    0.70  16.88 10.510090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28022  Exploration of foot joint                         A   4.69   9.66     4.16    0.55  14.90  9.400090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28024  Exploration of toe joint                          A   4.41   9.27     4.02    0.49  14.17  8.920090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28035  Decompression of tibia nerve                      A   5.10  10.57     4.53    0.66  16.33 10.290090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28039  Exc foot/toe tum sc 1.5 cm/>                      A   5.28   8.40     3.57    0.59  14.27  9.440090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
28041  Exc foot/toe tum dep 1.5cm/>                      A   6.95   4.83NA   4.83    0.83  12.61 12.610090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28043  Exc foot/toe tum sc < 1.5 cm                      A   3.86   7.18     3.15    0.40  11.44  7.410090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28045  Exc foot/toe tum deep <1.5cm                      A   5.31   8.67     4.01    0.54  14.52  9.860090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28046  Resect foot/toe tumor < 3 cm                      A  12.07   6.28NA   6.28    1.46  19.81 19.810090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28047  Resect foot/toe tumor 3 cm/>                      A  17.01   8.94NA   8.94    2.71  28.66 28.660090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28050  Biopsy of foot joint lining                       A   4.28   7.54     3.23    0.37  12.19  7.880090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28052  Biopsy of foot joint lining                       A   3.96   7.10     2.95    0.35  11.41  7.260090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28054  Biopsy of toe joint lining                        A   3.48   6.94     2.89    0.29  10.71  6.660090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28055  Neurectomy foot                                   A   6.13   4.31NA   4.31    0.69  11.13 11.130090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28060  Partial removal foot fascia                       A   5.27   9.84     4.41    0.61  15.72 10.290090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28062  Removal of foot fascia                            A   6.52  10.40     4.32    0.66  17.58 11.500090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28070  Removal of foot joint lining                      A   5.11   9.84     4.14    0.57  15.52  9.820090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28072  Removal of foot joint lining                      A   4.60   9.89     4.20    0.55  15.04  9.350090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28080  Removal of foot lesion                            A   4.74  11.10     5.78    0.55  16.39 11.070090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28086  Excise foot tendon sheath                         A   4.80  10.73     4.60    0.65  16.18 10.050090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28088  Excise foot tendon sheath                         A   3.88  10.04     4.16    0.50  14.42  8.540090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28090  Removal of foot lesion                            A   4.44   9.13     3.90    0.48  14.05  8.820090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28092  Removal of toe lesions                            A   3.69   8.57     3.73    0.39  12.65  7.810090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28100  Removal of ankle/heel lesion                      A   5.68  12.75     5.51    0.89  19.32 12.080090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28102  Remove/graft foot lesion                          A   7.72   8.10NA   8.10    1.64  17.46 17.460090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
28103  Remove/graft foot lesion                          A   6.50   3.78NA   3.78    0.55  10.83 10.830090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
28104  Removal of foot lesion                            A   5.13  10.42     4.39    0.64  16.19 10.160090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
28106  Remove/graft foot lesion                          A   7.17   4.11NA   4.11    0.60  11.88 11.880090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
28107  Remove/graft foot lesion                          A   5.59   8.84     3.67    0.47  14.90  9.730090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
28108  Removal of toe lesions                            A   4.19   8.30     3.60    0.42  12.91  8.210090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28110  Part removal of metatarsal                        A   4.11   9.42     3.88    0.46  13.99  8.450090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28111  Part removal of metatarsal                        A   5.02   8.59     3.48    0.55  14.16  9.050090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28112  Part removal of metatarsal                        A   4.51   9.43     3.89    0.49  14.43  8.890090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28113  Part removal of metatarsal                        A   5.96  10.94     5.61    0.60  17.50 12.170090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28114  Removal of metatarsal heads                       A  11.70  19.94    10.49    1.69  33.33 23.880090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28116  Revision of foot                                  A   8.91  10.42     4.87    0.76  20.09 14.540090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28118  Removal of heel bone                              A   5.98  12.08     5.31    0.86  18.92 12.150090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28119  Removal of heel spur                              A   5.42   9.87     4.35    0.59  15.88 10.360090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28120  Part removal of ankle/heel                        A   7.13  12.47     5.94    0.96  20.56 14.030090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28122  Partial removal of foot bone                      A   6.59  10.60     5.13    0.75  17.94 12.470090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28124  Partial removal of toe                            A   4.88   8.85     4.17    0.47  14.20  9.520090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28126  Partial removal of toe                            A   3.55   7.66     3.20    0.38  11.59  7.130090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28130  Removal of ankle bone                             A   9.26   7.28NA   7.28    1.39  17.93 17.930090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28140  Removal of metatarsal                             A   6.96   8.97     4.01    0.89  16.82 11.860090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28150  Removal of toe                                    A   4.12   7.85     3.40    0.43  12.40  7.950090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28153  Partial removal of toe                            A   3.71   7.86     3.44    0.36  11.93  7.510090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28160  Partial removal of toe                            A   3.78   8.01     3.48    0.39  12.18  7.650090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28171  Resect tarsal tumor                               A  16.00  10.91NA  10.91    3.40  30.31 30.310090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
28173  Resect metatarsal tumor                           A  13.81   4.93NA   4.93    1.19  19.93 19.930090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28175  Resect phalanx of toe tumor                       A   8.08   4.32NA   4.32    0.68  13.08 13.080090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28190  Removal of foot foreign body                      A   1.96   5.00     1.65    0.21   7.17  3.820010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
28192  Removal of foot foreign body                      A   4.66   8.56     3.67    0.46  13.68  8.790090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28193  Removal of foot foreign body                      A   5.75   9.02     3.93    0.53  15.30 10.210090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28200  Repair of foot tendon                             A   4.62   9.92     4.19    0.56  15.10  9.370090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28202  Repair/graft of foot tendon                       A   6.89  10.58     4.54    0.75  18.22 12.180090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
28208  Repair of foot tendon                             A   4.40   9.96     4.31    0.56  14.92  9.270090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28210  Repair/graft of foot tendon                       A   6.36  10.76     4.76    0.78  17.90 11.900090.10.69.21202001            33.5675 090 99      0.00   0.00   0.00
28220  Release of foot tendon                            A   4.55   8.38     3.65    0.44  13.37  8.640090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28222  Release of foot tendons                           A   5.62  10.03     4.21    0.62  16.27 10.450090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28225  Release of foot tendon                            A   3.69   8.21     3.44    0.39  12.29  7.520090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28226  Release of foot tendons                           A   4.55  14.39     6.17    0.98  19.92 11.700090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28230  Incision of foot tendon(s)                        A   4.25   8.21     3.40    0.43  12.89  8.080090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28232  Incision of toe tendon                            A   3.42   7.44     3.16    0.34  11.20  6.920090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28234  Incision of foot tendon                           A   3.45   8.51     3.99    0.37  12.33  7.810090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28238  Revision of foot tendon                           A   7.76  11.81     5.04    0.95  20.52 13.750090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28240  Release of big toe                                A   4.37   8.37     3.48    0.44  13.18  8.290090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28250  Revision of foot fascia                           A   5.91  11.20     4.84    0.83  17.94 11.580090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28260  Release of midfoot joint                          A   7.99  13.47     6.01    1.24  22.70 15.240090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28261  Revision of foot tendon                           A  12.78  18.67     8.56    2.19  33.64 23.530090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28262  Revision of foot and ankle                        A  16.78  24.34    10.97    3.20  44.32 30.950090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28264  Release of midfoot joint                          A  10.38  16.62     7.46    1.73  28.73 19.570090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
28270  Release of foot contracture                       A   4.81   9.32     4.21    0.50  14.63  9.520090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28272  Release of toe joint each                         A   3.82   7.12     3.00    0.35  11.29  7.170090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28280  Fusion of toes                                    A   5.20   9.17     3.90    0.54  14.91  9.640090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28285  Repair of hammertoe                               A   5.48  10.32     5.00    0.62  16.42 11.100090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28286  Repair of hammertoe                               A   4.58   7.90     3.34    0.40  12.88  8.320090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28288  Partial removal of foot bone                      A   5.87  11.73     5.92    0.68  18.28 12.470090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28289  Corrj halux rigdus w/o implt                      A   6.73  13.47     5.57    0.84  21.04 13.140090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28291  Corrj halux rigdus w/implt                        A   7.81  11.54     4.73    0.72  20.07 13.260090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28292  Cor hlx vlgs rsc prx phlx bs                      A   7.25  13.02     5.74    0.78  21.05 13.770090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28295  Cor hlx vlgs prx mtar osteot                      A   8.36  22.31     7.27    1.22  31.89 16.850090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28296  Cor hlx vlgs dstl mtar osteo                      A   8.04  17.59     5.64    0.82  26.45 14.500090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28297  Cor hlx vlgs jt arthrd                            A   9.06  20.68     6.64    1.12  30.86 16.820090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28298  Cor hlx vlgs prx phlx osteot                      A   7.56  17.21     5.92    0.99  25.76 14.470090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28299  Cor hlx vlgs double osteot                        A   9.06  20.84     6.68    1.13  31.03 16.870090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28300  Incision of heel bone                             A   9.49   7.20NA   7.20    1.61  18.30 18.300090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28302  Incision of ankle bone                            A   9.50   8.66NA   8.66    2.02  20.18 20.180090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28304  Incision of midfoot bones                         A   9.17  15.47     6.78    1.46  26.10 17.410090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28305  Incise/graft midfoot bones                        A  10.50   6.70NA   6.70    1.52  18.72 18.720090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28306  Incision of metatarsal                            A   5.85  12.14     4.88    0.82  18.81 11.550090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28307  Incision of metatarsal                            A   6.34  17.61     7.21    1.34  25.29 14.890090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28308  Incision of metatarsal                            A   5.34  11.51     5.11    0.68  17.53 11.130090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28309  Incision of metatarsals                           A  13.81   8.96NA   8.96    2.25  25.02 25.020090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28310  Revision of big toe                               A   5.43  10.82     4.37    0.67  16.92 10.470090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28312  Revision of toe                                   A   4.57  12.55     5.09    0.72  17.84 10.380090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28313  Repair deformity of toe                           A   5.02  10.62     4.66    0.70  16.34 10.380090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28315  Removal of sesamoid bone                          A   4.88   8.99     3.89    0.54  14.41  9.310090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28320  Repair of foot bones                              A   9.14   6.77NA   6.77    1.39  17.30 17.300090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28322  Repair of metatarsals                             A   8.32  14.74     6.55    1.31  24.37 16.180090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
28340  Resect enlarged toe tissue                        A   6.97   9.12     3.84    0.59  16.68 11.400090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28341  Resect enlarged toe                               A   8.50  10.18     4.27    0.72  19.40 13.490090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28344  Repair extra toe(s)                               A   4.29   7.62     3.24    0.37  12.28  7.900090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28345  Repair webbed toe(s)                              A   5.94   8.62     3.71    0.49  15.05 10.140090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28360  Reconstruct cleft foot                            A  14.55  13.05NA  13.05    3.09  30.69 30.690090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
28400  Cltx calcaneal fx w/o mnpj                        A   2.25   5.50     4.39    0.37   8.12  7.010090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28405  Cltx calcaneal fx w/mnpj                          A   4.62   9.41     6.35    1.00  15.03 11.970090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28406  Prq skel fix clcnl fx w/mnpj                      A   6.40   8.84NA   8.84    1.21  16.45 16.450090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28415  Optx calcaneal fracture                           A  15.79  12.90NA  12.90    2.71  31.40 31.400090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28420  Optx calcaneal fx w/bone grf                      A  17.08  15.48NA  15.48    3.63  36.19 36.190090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28430  Cltx talus fracture w/o mnpj                      A   2.16   5.43     3.96    0.37   7.96  6.490090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28435  Cltx talus fracture w/mnpj                        A   3.45   8.21     5.67    0.73  12.39  9.850090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28436  Prq skel fix talus fx w/mnpj                      A   4.78   9.07NA   9.07    1.03  14.88 14.880090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28445  Optx talus fracture                               A  15.37  11.08NA  11.08    2.78  29.23 29.230090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28446  Opn osteochondrl agrft talus                      A  17.27  12.76NA  12.76    3.67  33.70 33.700090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28450  Tx tarsal b1 fx w/o mnpj ea                       A   1.98   4.67     3.56    0.28   6.93  5.820090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28455  Tx tarsal b1 fx w/mnpj each                       A   3.16   4.37     3.20    0.26   7.79  6.620090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28456  Prq skel fix tarsl fx w/mnpj                      A   2.79   8.10NA   8.10    0.59  11.48 11.480090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28465  Optx tarsal bone fx each                          A   8.58   8.61NA   8.61    1.36  18.55 18.550090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28470  Cltx metatarsal fx wo mnp ea                      A   1.98   4.83     3.98    0.29   7.10  6.250090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28475  Cltx metatarsal fx w/mnpj ea                      A   2.93   4.94     3.40    0.39   8.26  6.720090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28476  Prq skel fix metar fx w/mnpj                      A   3.51   7.55NA   7.55    0.55  11.61 11.610090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28485  Optx metatarsal fx each                           A   7.25   7.96NA   7.96    1.02  16.23 16.230090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28490  Treat big toe fracture                            A   1.14   3.44     2.65    0.17   4.75  3.960090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28495  Treat big toe fracture                            A   1.64   4.02     2.78    0.20   5.86  4.620090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28496  Treat big toe fracture                            A   2.42  13.50     5.49    0.50  16.42  8.410090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28505  Treat big toe fracture                            A   7.25  11.81     5.89    0.95  20.01 14.090090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
28510  Treatment of toe fracture                         A   1.14   2.63     2.45    0.15   3.92  3.740090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28515  Treatment of toe fracture                         A   1.52   3.52     2.64    0.18   5.22  4.340090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28525  Treat toe fracture                                A   5.48  11.00     5.38    0.69  17.17 11.550090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28530  Treat sesamoid bone fracture                      A   1.08   2.50     1.89    0.12   3.70  3.090090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28531  Treat sesamoid bone fracture                      A   2.51   6.96     2.51    0.21   9.68  5.230090.10.69.21211201            33.5675 090 99      0.00   0.00   0.00
28540  Treat foot dislocation                            A   2.14   3.64     2.80    0.18   5.96  5.120090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28545  Treat foot dislocation                            A   2.54   7.33     5.23    0.53  10.40  8.300090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28546  Treat foot dislocation                            A   3.32  15.07     6.69    0.70  19.09 10.710090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28555  Repair foot dislocation                           A   9.41  15.57     7.42    1.49  26.47 18.320090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28570  Treat foot dislocation                            A   1.72   5.91     4.05    0.37   8.00  6.140090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28575  Treat foot dislocation                            A   3.40   8.53     6.11    0.72  12.65 10.230090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28576  Treat foot dislocation                            A   4.49   6.12NA   6.12    0.96  11.57 11.570090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28585  Repair foot dislocation                           A  10.85  16.05     7.87    1.51  28.41 20.230090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28600  Treat foot dislocation                            A   1.97   3.56     2.59    0.17   5.70  4.730090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28605  Treat foot dislocation                            A   2.82   8.08     5.94    0.59  11.49  9.350090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28606  Treat foot dislocation                            A   4.96   5.71NA   5.71    0.92  11.59 11.590090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28615  Repair foot dislocation                           A  10.43  11.48NA  11.48    1.84  23.75 23.750090.10.69.21202101            33.5675 090 99      0.00   0.00   0.00
28630  Treat toe dislocation                             A   1.71   3.14     1.32    0.29   5.14  3.320010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
28635  Treat toe dislocation                             A   1.91   3.10     1.55    0.22   5.23  3.680010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
28636  Treat toe dislocation                             A   2.70   8.35     3.24    0.57  11.62  6.510010.10.80.10201201            33.5675 090 99      0.00   0.00   0.00
28645  Repair toe dislocation                            A   7.25  11.80     5.66    0.90  19.95 13.810090.10.69.21201101            33.5675 090 99      0.00   0.00   0.00
28660  Treat toe dislocation                             A   1.25   2.97     1.52    0.25   4.47  3.020010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
28665  Treat toe dislocation                             A   1.92   2.53     1.48    0.19   4.64  3.590010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
28666  Treat toe dislocation                             A   2.59   2.11NA   2.11    0.21   4.91  4.910010.10.80.10201201            33.5675 090 99      0.00   0.00   0.00
28675  Repair of toe dislocation                         A   5.48  11.42     5.62    0.70  17.60 11.800090.10.69.21201001            33.5675 090 99      0.00   0.00   0.00
28705  Arthrodesis pantalar                              A  19.82  10.20NA  10.20    3.11  33.13 33.130090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28715  Arthrodesis triple                                A  13.08  11.02NA  11.02    2.36  26.46 26.460090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28725  Arthrodesis subtalar                              A  10.94   9.04NA   9.04    1.85  21.83 21.830090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28730  Fusion of foot bones                              A  10.43   8.26NA   8.26    1.62  20.31 20.310090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28735  Fusion of foot bones                              A  11.92   8.07NA   8.07    1.82  21.81 21.810090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28737  Revision of foot bones                            A  10.75   6.83NA   6.83    1.34  18.92 18.920090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28740  Fusion of foot bones                              A   9.06  15.05     6.94    1.29  25.40 17.290090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28750  Fusion of big toe joint                           A   8.53  21.44     6.36    1.17  31.14 16.060090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28755  Fusion of big toe joint                           A   7.31  19.27     5.77    0.91  27.49 13.990090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
28760  Fusion of big toe joint                           A   8.91  13.51     6.11    1.05  23.47 16.070090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28800  Amputation of midfoot                             A   8.57   5.12NA   5.12    1.02  14.71 14.710090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
28805  Amputation thru metatarsal                        A  12.39   5.49NA   5.49    1.56  19.44 19.440090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
28810  Amputation toe & metatarsal                       A   6.47   4.45NA   4.45    0.96  11.88 11.880090.10.69.21200001            33.5675 090 99      0.00   0.00   0.00
28820  Amputation of toe                                 A   3.42   5.06     1.00    0.42   8.90  4.840000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
28825  Partial amputation of toe                         A   3.32   4.97     0.97    0.39   8.68  4.680000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
28890  Hi enrgy eswt plantar fascia                      A   3.36   5.45     2.51    0.29   9.10  6.160090.10.69.21211101            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
29000  Appl halo type body cast                          A   2.19  10.81     3.19    0.92  13.92  6.300000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29010  Appl risser jacket body only                      A   2.01   7.06     2.15    0.43   9.50  4.590000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29015  Appl rissr jacket bdy w/head                      A   2.35   7.28     2.26    0.48  10.11  5.090000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29035  Appl body cast sho to hips                        A   1.73   6.88     2.06    0.37   8.98  4.160000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29040  Appl bdy cst sho to hip head                      A   2.16   7.55     2.33    0.45  10.16  4.940000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29044  Appl bdy cst sho to hip 1thi                      A   2.07   7.50     2.30    0.43  10.00  4.800000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29046  Appl bdy cst sho to hip b th                      A   2.35   8.07     2.52    0.48  10.90  5.350000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29049  Appl cast figure-of-eight                         A   0.87   2.35     0.95    0.19   3.41  2.010000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29055  Appl cast shoulder spica                          A   1.74   5.62     1.82    0.37   7.73  3.930000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29058  Appl cast plaster velpeau                         A   1.28   2.60     1.08    0.26   4.14  2.620000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29065  Appl cst sho to hand lng arm                      A   0.85   2.22     0.91    0.17   3.24  1.930000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29075  Appl cst elbw fngr short arm                      A   0.75   2.03     0.87    0.14   2.92  1.760000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29085  Appl cast hand&lwr forearm                        A   0.85   2.19     0.89    0.16   3.20  1.900000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29086  Application cast finger                           A   0.60   1.82     0.73    0.05   2.47  1.380000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29105  Application long arm splint                       A   0.78   1.96     0.18    0.17   2.91  1.130000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29125  Appl short arm splint static                      A   0.49   1.79     0.65    0.09   2.37  1.230000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29126  Appl short arm splint dyn                         A   0.66   1.81     0.61    0.09   2.56  1.360000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29130  Appl finger splint static                         A   0.49   0.81     0.20    0.08   1.38  0.770000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29131  Appl finger splint dynamic                        A   0.54   1.16     0.31    0.08   1.78  0.930000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29200  Strapping thorax                                  A   0.38   0.55     0.07    0.01   0.94  0.460000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
29240  Strapping of shoulder                             A   0.38   0.47     0.07    0.01   0.86  0.460000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29260  Strapping of elbow or wrist                       A   0.38   0.46     0.07    0.02   0.86  0.470000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29280  Strapping of hand or finger                       A   0.38   0.48     0.09    0.04   0.90  0.510000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29305  Appl hip spica cast 1 leg                         A   1.98   6.12     2.14    0.42   8.52  4.540000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29325  Appl hip spica cast1&1/2                          A   2.26   6.65     2.31    0.47   9.38  5.040000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
29345  Application of long leg cast                      A   1.37   2.83     1.11    0.26   4.46  2.740000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29355  Appl long leg cast walker                         A   1.49   2.86     1.13    0.28   4.63  2.900000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29358  Appl long leg cast brace                          A   1.39   3.80     1.19    0.29   5.48  2.870000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29365  Appl cylinder cast                                A   1.15   2.78     1.08    0.23   4.16  2.460000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29405  Appl short leg cast                               A   0.78   1.72     0.76    0.13   2.63  1.670000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29425  Appl short leg cast walking                       A   0.78   1.55     0.66    0.09   2.42  1.530000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29435  Appl patllr tdn bearing cast                      A   1.15   2.78     1.04    0.24   4.17  2.430000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29440  Adding walker to prev cast                        A   0.56   0.71     0.16    0.05   1.32  0.770000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29445  Appl rigid tot cntc leg cast                      A   1.74   2.02     0.77    0.20   3.96  2.710000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29450  Application clubfoot cast                         A   2.03   2.12     0.75    0.21   4.36  2.990000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29505  Application long leg splint                       A   0.67   2.48     0.84    0.13   3.28  1.640000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29515  Application short leg splint                      A   0.71   1.64     0.66    0.12   2.47  1.490000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29520  Strapping of hip                                  A   0.38   0.65     0.07    0.01   1.04  0.460000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
29530  Strapping of knee                                 A   0.38   0.47     0.07    0.01   0.86  0.460000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29540  Strapping ankle &/foot                            A   0.38   0.43     0.05    0.03   0.84  0.460000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29550  Strapping of toes                                 A   0.24   0.32     0.03    0.02   0.58  0.290000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29580  Strapping unna boot                               A   0.54   1.28     0.09    0.07   1.89  0.700000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29581  Appl multlayer cmprn sys leg                      A   0.59   1.90     0.09    0.01   2.50  0.690000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
29584  Appl mltlay cmprn sys up arm                      A   0.34   1.88     0.05    0.01   2.23  0.400000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
29700  Rmvl/bivlv gauntlet boot/cst                      A   0.56   1.42     0.25    0.09   2.07  0.900000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
29705  Rmvl/bivlv full arm/leg cast                      A   0.74   1.21     0.35    0.13   2.08  1.220000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
29710  Rmvl/bivlv sho/hip spica                          A   1.31   2.51     0.59    0.27   4.09  2.170000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
29720  Repair spica body cst/jacket                      A   0.66   2.14     0.36    0.14   2.94  1.160000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
29730  Windowing of cast                                 A   0.73   1.16     0.31    0.12   2.01  1.160000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
29740  Wedging of cast                                   A   1.09   1.97     0.50    0.22   3.28  1.810000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
29750  Wedging of clubfoot cast                          A   1.23   2.05     0.54    0.25   3.53  2.020000.00.00.00210001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
29800  Jaw arthroscopy/surgery                           A   6.67   7.14NA   7.14    1.42  15.23 15.230090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29804  Jaw arthroscopy/surgery                           A   8.65   6.43NA   6.43    1.14  16.22 16.220090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29805  Sho arthrs dx +- synovial bx                      A   5.88   6.35NA   6.35    1.21  13.44 13.440090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
29806  Sho arthrs srg capsulorraphy                      A  14.76  11.35NA  11.35    3.02  29.13 29.130090.10.69.21311101      29805 33.5675 090 99      0.00   0.00   0.00
29807  Sho arthrs srg rpr slap les                       A  14.30  11.27NA  11.27    2.93  28.50 28.500090.10.69.21311101      29805 33.5675 090 99      0.00   0.00   0.00
29819  Sho arthrs srg rmvl loose/fb                      A   7.60   7.37NA   7.37    1.50  16.47 16.470090.10.69.21311101      29805 33.5675 090 99      0.00   0.00   0.00
29820  Sho arthrs srg prtl synvct                        A   7.03   6.64NA   6.64    1.35  15.02 15.020090.10.69.21312101      29805 33.5675 090 99      0.00   0.00   0.00
29821  Sho arthrs srg compl synvct                       A   7.69   7.46NA   7.46    1.54  16.69 16.690090.10.69.21312101      29805 33.5675 090 99      0.00   0.00   0.00
29822  Sho arthrs srg lmtd dbrdmt                        A   6.85   7.19NA   7.19    1.41  15.45 15.450090.10.69.21312001      29805 33.5675 090 99      0.00   0.00   0.00
29823  Sho arthrs srg xtnsv dbrdmt                       A   7.78   7.39NA   7.39    1.56  16.73 16.730090.10.69.21312101      29805 33.5675 090 99      0.00   0.00   0.00
29824  Sho arthrs srg dstl claviclc                      A   8.76   8.61NA   8.61    1.76  19.13 19.130090.10.69.21312101      29805 33.5675 090 99      0.00   0.00   0.00
29825  Sho arthrs srg lss&rescj ads                      A   7.60   7.45NA   7.45    1.52  16.57 16.570090.10.69.21312101      29805 33.5675 090 99      0.00   0.00   0.00
29826  Sho arthrs srg decompression                      A   2.93   0.91NA   0.91    0.58   4.42  4.420ZZZ.00.00.00012101            33.5675 090 99      0.00   0.00   0.00
29827  Sho arthrs srg rt8tr cuf rpr                      A  15.20  10.98NA  10.98    3.05  29.23 29.230090.10.69.21312101      29805 33.5675 090 99      0.00   0.00   0.00
29828  Sho arthrs srg bicp tenodsis                      A  12.83   9.85NA   9.85    2.58  25.26 25.260090.10.69.21312101      29805 33.5675 090 99      0.00   0.00   0.00
29830  Elbow arthroscopy                                 A   5.73   6.19NA   6.19    1.23  13.15 13.150090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
29834  Elbow arthroscopy/surgery                         A   6.26   6.51NA   6.51    1.26  14.03 14.030090.10.69.21312101      29830 33.5675 090 99      0.00   0.00   0.00
29835  Elbow arthroscopy/surgery                         A   6.45   6.77NA   6.77    1.36  14.58 14.580090.10.69.21312101      29830 33.5675 090 99      0.00   0.00   0.00
29836  Elbow arthroscopy/surgery                         A   7.53   7.43NA   7.43    1.45  16.41 16.410090.10.69.21312101      29830 33.5675 090 99      0.00   0.00   0.00
29837  Elbow arthroscopy/surgery                         A   6.83   6.89NA   6.89    1.45  15.17 15.170090.10.69.21312101      29830 33.5675 090 99      0.00   0.00   0.00
29838  Elbow arthroscopy/surgery                         A   7.68   7.50NA   7.50    1.54  16.72 16.720090.10.69.21310001      29830 33.5675 090 99      0.00   0.00   0.00
29840  Wrist arthroscopy                                 A   5.54   6.48NA   6.48    1.19  13.21 13.210090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29843  Wrist arthroscopy/surgery                         A   6.00   6.78NA   6.78    1.28  14.06 14.060090.10.69.21312101      29840 33.5675 090 99      0.00   0.00   0.00
29844  Wrist arthroscopy/surgery                         A   6.35   6.50NA   6.50    1.25  14.10 14.100090.10.69.21312001      29840 33.5675 090 99      0.00   0.00   0.00
29845  Wrist arthroscopy/surgery                         A   7.50   7.42NA   7.42    1.45  16.37 16.370090.10.69.21312101      29840 33.5675 090 99      0.00   0.00   0.00
29846  Wrist arthroscopy/surgery                         A   6.72   6.60NA   6.60    1.29  14.61 14.610090.10.69.21310001      29840 33.5675 090 99      0.00   0.00   0.00
29847  Wrist arthroscopy/surgery                         A   7.04   6.95NA   6.95    1.49  15.48 15.480090.10.69.21312001      29840 33.5675 090 99      0.00   0.00   0.00
29848  Wrist endoscopy/surgery                           A   6.23   7.10NA   7.10    1.21  14.54 14.540090.10.69.21211001            33.5675 090 99      0.00   0.00   0.00
29850  Knee arthroscopy/surgery                          A   8.06   8.00NA   8.00    1.71  17.77 17.770090.10.69.21210201            33.5675 090 99      0.00   0.00   0.00
29851  Knee arthroscopy/surgery                          A  12.93  10.12NA  10.12    2.75  25.80 25.800090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
29855  Tibial arthroscopy/surgery                        A  10.49   9.20NA   9.20    2.16  21.85 21.850090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
29856  Tibial arthroscopy/surgery                        A  13.92  10.59NA  10.59    2.97  27.48 27.480090.10.69.21212201            33.5675 090 99      0.00   0.00   0.00
29860  Hip arthroscopy dx                                A   8.78   7.95NA   7.95    1.69  18.42 18.420090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29861  Hip arthro w/fb removal                           A   9.85   8.01NA   8.01    1.82  19.68 19.680090.10.69.21312101      29860 33.5675 090 99      0.00   0.00   0.00
29862  Hip arthr0 w/debridement                          A  10.89   9.69NA   9.69    2.17  22.75 22.750090.10.69.21312101      29860 33.5675 090 99      0.00   0.00   0.00
29863  Hip arthr0 w/synovectomy                          A  10.89   9.66NA   9.66    2.12  22.67 22.670090.10.69.21312101      29860 33.5675 090 99      0.00   0.00   0.00
29866  Autgrft implnt knee w/scope                       A  14.30  11.98NA  11.98    3.04  29.32 29.320090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29867  Allgrft implnt knee w/scope                       A  17.93  13.53NA  13.53    3.83  35.29 35.290090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29868  Meniscal trnspl knee w/scpe                       A  24.47  15.62NA  15.62    5.19  45.28 45.280090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29870  Arthrs knee dx w/wo syn bx                        A   5.06  11.96     5.88    1.03  18.05 11.970090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
29871  Arthrs knee surg for infctj                       A   6.52   6.84NA   6.84    1.35  14.71 14.710090.10.69.21311001      29870 33.5675 090 99      0.00   0.00   0.00
29873  Arthrs knee surg w/lat rls                        A   6.08   8.26NA   8.26    1.26  15.60 15.600090.10.69.21311101      29870 33.5675 090 99      0.00   0.00   0.00
29874  Arthrs knee surg rmv loos/fb                      A   7.01   6.72NA   6.72    1.42  15.15 15.150090.10.69.21310001      29870 33.5675 090 99      0.00   0.00   0.00
29875  Arthrs knee surg synvct lmtd                      A   6.29   6.60NA   6.60    1.31  14.20 14.200090.10.69.21310001      29870 33.5675 090 99      0.00   0.00   0.00
29876  Arthrs knee surg synvct maj                       A   8.65   7.99NA   7.99    1.77  18.41 18.410090.10.69.21311001      29870 33.5675 090 99      0.00   0.00   0.00
29877  Arthrs knee surg dbrdmt/shvg                      A   8.09   7.82NA   7.82    1.66  17.57 17.570090.10.69.21310001      29870 33.5675 090 99      0.00   0.00   0.00
29879  Arthrs kne srg abrasj arthrp                      A   8.77   8.07NA   8.07    1.82  18.66 18.660090.10.69.21310001      29870 33.5675 090 99      0.00   0.00   0.00
29880  Arthrs kne srg mnisectmy m&l                      A   7.21   7.28NA   7.28    1.47  15.96 15.960090.10.69.21310101      29870 33.5675 090 99      0.00   0.00   0.00
29881  Arthrs kne srg mnisectmy m/l                      A   6.85   7.19NA   7.19    1.40  15.44 15.440090.10.69.21310001      29870 33.5675 090 99      0.00   0.00   0.00
29882  Arthrs kne srg mnisc rpr m/l                      A   9.36   8.00NA   8.00    1.86  19.22 19.220090.10.69.21311001      29870 33.5675 090 99      0.00   0.00   0.00
29883  Arthrs kne srg mnisc rpr m&l                      A  11.48   9.64NA   9.64    2.41  23.53 23.530090.10.69.21310001      29870 33.5675 090 99      0.00   0.00   0.00
29884  Arthrs knee surg lysis ads                        A   8.07   7.82NA   7.82    1.66  17.55 17.550090.10.69.21312101      29870 33.5675 090 99      0.00   0.00   0.00
29885  Arthrs kne srg drlg ost diss                      A   9.95   9.26NA   9.26    2.12  21.33 21.330090.10.69.21312101      29870 33.5675 090 99      0.00   0.00   0.00
29886  Arthrs knee surg drlg od les                      A   8.28   8.07NA   8.07    1.76  18.11 18.110090.10.69.21311001      29870 33.5675 090 99      0.00   0.00   0.00
29887  Arthrs knee srg drlg od fixj                      A   9.91   9.25NA   9.25    2.11  21.27 21.270090.10.69.21312101      29870 33.5675 090 99      0.00   0.00   0.00
29888  Arthrs aid acl rpr/agmntj                         A  13.94   9.95NA   9.95    2.74  26.63 26.630090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29889  Arthrs aid pcl rpr/agmntj                         A  16.97  13.32NA  13.32    3.61  33.90 33.900090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29891  Arthr ank ostchn df tal&/tib                      A   9.43   7.98NA   7.98    1.57  18.98 18.980090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
29892  Arthrs aid rpr od les/tib fx                      A  10.01   6.62NA   6.62    1.26  17.89 17.890090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
29893  Endoscopic plantr fasciotomy                      A   6.16  13.20     5.79    0.56  19.92 12.510090.10.69.21211101            33.5675 090 99      0.00   0.00   0.00
29894  Ankle arthroscopy/surgery                         A   7.17   5.85NA   5.85    1.20  14.22 14.220090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29895  Ankle arthroscopy/surgery                         A   6.95   5.04NA   5.04    0.99  12.98 12.980090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29897  Ankle arthroscopy/surgery                         A   7.14   5.62NA   5.62    1.16  13.92 13.920090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
29898  Ankle arthroscopy/surgery                         A   8.28   6.14NA   6.14    1.26  15.68 15.680090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29899  Ankle arthroscopy/surgery                         A  15.02   9.86NA   9.86    2.70  27.58 27.580090.10.69.21212101            33.5675 090 99      0.00   0.00   0.00
29900  Mcp joint arthroscopy dx                          A   5.73   7.83NA   7.83    1.23  14.79 14.790090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29901  Mcp joint arthroscopy surg                        A   6.43   7.90NA   7.90    1.35  15.68 15.680090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29902  Mcp joint arthroscopy surg                        A   6.98   8.08NA   8.08    1.48  16.54 16.540090.10.69.21210001            33.5675 090 99      0.00   0.00   0.00
29904  Subtalar arthro w/fb rmvl                         A   8.43   7.82NA   7.82    1.78  18.03 18.030090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
29905  Subtalar arthro w/exc                             A   8.95   4.57NA   4.57    0.78  14.30 14.300090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
29906  Subtalar arthro w/deb                             A   9.41   7.74NA   7.74    1.59  18.74 18.740090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
29907  Subtalar arthro w/fusion                          A  11.88  10.14NA  10.14    2.53  24.55 24.550090.10.69.21212001            33.5675 090 99      0.00   0.00   0.00
29914  Hip arthro w/femoroplasty                         A  14.30  10.27NA  10.27    2.83  27.40 27.400090.10.69.21312101      29860 33.5675 090 99      0.00   0.00   0.00
29915  Hip arthro acetabuloplasty                        A  14.63  10.37NA  10.37    2.91  27.91 27.910090.10.69.21312101      29860 33.5675 090 99      0.00   0.00   0.00
29916  Hip arthro w/labral repair                        A  14.63  10.33NA  10.33    2.90  27.86 27.860090.10.69.21312101      29860 33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
30000  Drainage of nose lesion                           A   1.44   6.18     1.66    0.21   7.83  3.310010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
30020  Drainage of nose lesion                           A   1.44   6.35     1.69    0.21   8.00  3.340010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
30100  Intranasal biopsy                                 A   0.92   3.18     0.78    0.13   4.23  1.830000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
30110  Removal of nose polyp(s)                          A   1.64   5.52     1.72    0.23   7.39  3.590010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
30115  Removal of nose polyp(s)                          A   4.33   8.03NA   8.03    0.62  12.98 12.980090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
30117  Removal of intranasal lesion                      A   3.81  24.13     6.85    0.55  28.49 11.210090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30118  Removal of intranasal lesion                      A   7.56  10.38NA  10.38    1.11  19.05 19.050090.10.76.14201101            33.5675 090 99      0.00   0.00   0.00
30120  Revision of nose                                  A   5.26   9.52     5.20    0.75  15.53 11.210090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30124  Removal of nose lesion                            A   3.12   4.80NA   4.80    0.45   8.37  8.370090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30125  Removal of nose lesion                            A   7.12   9.52NA   9.52    1.05  17.69 17.690090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
30130  Excise inferior turbinate                         A   3.38   7.91NA   7.91    0.48  11.77 11.770090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
30140  Resect inferior turbinate                         A   2.93   5.44     1.23    0.43   8.80  4.590000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
30150  Rhinectomy partial                                A   9.31  10.76NA  10.76    1.41  21.48 21.480090.10.76.14201101            33.5675 090 99      0.00   0.00   0.00
30160  Rhinectomy total                                  A   9.74  10.64NA  10.64    1.42  21.80 21.800090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
30200  Injection treatment of nose                       A   0.76   2.47     0.75    0.11   3.34  1.620000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
30210  Nasal sinus therapy                               A   1.10   3.41     1.64    0.15   4.66  2.890010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
30220  Insert nasal septal button                        A   1.55   7.19     1.70    0.22   8.96  3.470010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
30300  Remove nasal foreign body                         A   1.06   5.15     2.24    0.16   6.37  3.460010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
30310  Remove nasal foreign body                         A   1.96   3.46NA   3.46    0.28   5.70  5.700010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
30320  Remove nasal foreign body                         A   4.52   8.40NA   8.40    0.65  13.57 13.570090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
30400  Reconstruction of nose                            R  10.59  23.26NA  23.26    1.96  35.81 35.810090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
30410  Reconstruction of nose                            R  13.65  24.37NA  24.37    2.53  40.55 40.550090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
30420  Reconstruction of nose                            R  16.48  20.31NA  20.31    2.50  39.29 39.290090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30430  Revision of nose                                  R   8.03  22.32NA  22.32    1.48  31.83 31.830090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
30435  Revision of nose                                  R  12.41  23.92NA  23.92    2.31  38.64 38.640090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
30450  Revision of nose                                  R  19.17  26.39NA  26.39    3.56  49.12 49.120090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
30460  Revision of nose                                  A  10.06  11.05NA  11.05    1.87  22.98 22.980090.10.76.14202201            33.5675 090 99      0.00   0.00   0.00
30462  Revision of nose                                  A  19.77  20.32NA  20.32    3.67  43.76 43.760090.10.76.14202201            33.5675 090 99      0.00   0.00   0.00
30465  Repair nasal stenosis                             A  12.05  13.79NA  13.79    1.79  27.63 27.630090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
30468  Rpr nsl vlv collapse w/implt                      A   2.73  68.55     1.23    0.40  71.68  4.360000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
30469  Rpr nsl vlv collapse w/rmdlg                      A   2.38  66.80     1.14    0.36  69.54  3.880000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
30520  Repair of nasal septum                            A   6.83  10.52NA  10.52    1.01  18.36 18.360090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30540  Rpr choanal atresia ntranasl                      A   7.72  11.29NA  11.29    1.13  20.14 20.140090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
30545  Rpr choanal atresia trsnpltn                      A  11.33  14.03NA  14.03    1.65  27.01 27.010090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
30560  Lysis intranasal synechia                         A   1.28   7.97     2.71    0.19   9.44  4.180010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
30580  Repair upper jaw fistula                          A   6.71  11.16     5.00    0.86  18.73 12.570090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30600  Repair mouth/nose fistula                         A   6.01  11.28     4.67    0.86  18.15 11.540090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
30620  Intranasal reconstruction                         A   6.01  11.60NA  11.60    0.88  18.49 18.490090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30630  Repair nasal septum defect                        A   7.11  10.02NA  10.02    1.07  18.20 18.200090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
30801  Ablate inf turbinate superf                       A   1.11   5.28     2.93    0.16   6.55  4.200010.10.80.10221001            33.5675 090 99      0.00   0.00   0.00
30802  Ablate inf turbinate submuc                       A   2.03   6.02     3.17    0.29   8.34  5.490010.10.80.10221001            33.5675 090 99      0.00   0.00   0.00
30901  Control of nosebleed                              A   1.07   3.70     0.23    0.19   4.96  1.490000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
30903  Control of nosebleed                              A   1.50   6.18     0.31    0.28   7.96  2.090000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
30905  Control of nosebleed                              A   1.92   9.53     0.66    0.39  11.84  2.970000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
30906  Repeat control of nosebleed                       A   2.39   9.37     0.75    0.43  12.19  3.570000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
30915  Ligation nasal sinus artery                       A   7.25   7.87NA   7.87    1.07  16.19 16.190090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30920  Ligation upper jaw artery                         A  10.86  10.79NA  10.79    1.58  23.23 23.230090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
30930  Ther fx nasal inf turbinate                       A   1.28   1.80NA   1.80    0.18   3.26  3.260010.10.80.10221001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
31000  Irrigation maxillary sinus                        A   1.17   4.30     1.73    0.16   5.63  3.060010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
31002  Irrigation sphenoid sinus                         A   1.91   2.91NA   2.91    0.19   5.01  5.010010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
31020  Exploration maxillary sinus                       A   2.99   9.57     6.43    0.37  12.93  9.790090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31030  Exploration maxillary sinus                       A   5.86  12.89     7.56    0.78  19.53 14.200090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31032  Explore sinus remove polyps                       A   6.52   9.07NA   9.07    0.93  16.52 16.520090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31040  Exploration behind upper jaw                      A   9.53  10.65NA  10.65    1.43  21.61 21.610090.10.76.14211101            33.5675 090 99      0.00   0.00   0.00
31050  Exploration sphenoid sinus                        A   5.24   8.26NA   8.26    0.78  14.28 14.280090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31051  Sphenoid sinus surgery                            A   7.07  10.90NA  10.90    1.05  19.02 19.020090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31070  Exploration of frontal sinus                      A   4.29   8.35NA   8.35    0.62  13.26 13.260090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31075  Exploration of frontal sinus                      A   9.27  11.83NA  11.83    1.34  22.44 22.440090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31080  Removal of frontal sinus                          A  12.42  15.20NA  15.20    1.80  29.42 29.420090.10.76.14212001            33.5675 090 99      0.00   0.00   0.00
31081  Removal of frontal sinus                          A  13.84  15.54NA  15.54    2.02  31.40 31.400090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31084  Removal of frontal sinus                          A  14.58  15.72NA  15.72    2.13  32.43 32.430090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31085  Removal of frontal sinus                          A  15.25  15.89NA  15.89    2.21  33.35 33.350090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31086  Removal of frontal sinus                          A  14.00  15.58NA  15.58    2.05  31.63 31.630090.10.76.14212001            33.5675 090 99      0.00   0.00   0.00
31087  Removal of frontal sinus                          A  14.21  13.68NA  13.68    2.07  29.96 29.960090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31090  Exploration of sinuses                            A  10.89  17.80NA  17.80    1.59  30.28 30.280090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31200  Removal of ethmoid sinus                          A   5.01  12.05NA  12.05    0.43  17.49 17.490090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31201  Removal of ethmoid sinus                          A   8.39  11.62NA  11.62    1.23  21.24 21.240090.10.76.14211001            33.5675 090 99      0.00   0.00   0.00
31205  Removal of ethmoid sinus                          A  10.32  13.94NA  13.94    0.92  25.18 25.180090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31225  Removal of upper jaw                              A  26.03  17.40NA  17.40    3.80  47.23 47.230090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31230  Removal of upper jaw                              A  30.05  17.80NA  17.80    4.38  52.23 52.230090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
31231  Nasal endoscopy dx                                A   1.07   4.56     0.41    0.16   5.79  1.640000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
31233  Nsl/sins ndsc dx max sinusc                       A   2.13   5.73     1.08    0.30   8.16  3.510000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31235  Nsl/sins ndsc dx sphn sinusc                      A   2.57   6.35     1.19    0.37   9.29  4.130000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31237  Nsl/sins ndsc surg bx polypc                      A   2.54   5.07     1.23    0.37   7.98  4.140000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31238  Nsl/sins ndsc srg nsl hemrrg                      A   2.67   4.73     1.26    0.39   7.79  4.320000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31239  Nsl/sinus endoscopy surg dcr                      A   8.81   5.91NA   5.91    0.99  15.71 15.710010.10.80.10310001      31231 33.5675 090 99      0.00   0.00   0.00
31240  Nsl/sns ndsc cnch bull rescj                      A   2.54   1.18NA   1.18    0.37   4.09  4.090000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31241  Nsl/sns ndsc lig sphnptn art                      A   7.80   2.23NA   2.23    1.14  11.17 11.170000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31242  Nsl/sinus ndsc rf abltj pnn                       A   2.63  68.70     1.02    0.39  71.72  4.040000.00.00.00321001      31231 33.5675 090 99      0.00   0.00   0.00
31243  Nsl/sinus ndsc cryoabltj pnn                      A   2.63  66.62     1.02    0.39  69.64  4.040000.00.00.00321001      31231 33.5675 090 99      0.00   0.00   0.00
31253  Nsl/sins ndsc total                               A   8.78   2.51NA   2.51    1.29  12.58 12.580000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31254  Nsl/sins ndsc w/prtl ethmdct                      A   4.16   8.31     1.40    0.60  13.07  6.160000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31255  Nsl/sins ndsc w/tot ethmdct                       A   5.61   1.75NA   1.75    0.82   8.18  8.180000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31256  Exploration maxillary sinus                       A   3.03   1.11NA   1.11    0.43   4.57  4.570000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31257  Nsl/sins ndsc tot w/sphendt                       A   7.80   2.29NA   2.29    1.14  11.23 11.230000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31259  Nsl/sins ndsc sphn tiss rmvl                      A   8.27   2.40NA   2.40    1.22  11.89 11.890000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31267  Endoscopy maxillary sinus                         A   4.56   1.49NA   1.49    0.66   6.71  6.710000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31276  Nsl/sins ndsc frnt tiss rmvl                      A   6.58   1.98NA   1.98    0.96   9.52  9.520000.00.00.00311001      31231 33.5675 090 99      0.00   0.00   0.00
31287  Nasal/sinus endoscopy surg                        A   3.41   1.21NA   1.21    0.48   5.10  5.100000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31288  Nasal/sinus endoscopy surg                        A   4.00   1.35NA   1.35    0.58   5.93  5.930000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31290  Nasal/sinus endoscopy surg                        A  18.14   8.73NA   8.73    2.84  29.71 29.710010.10.80.10310001      31231 33.5675 090 99      0.00   0.00   0.00
31291  Nasal/sinus endoscopy surg                        A  19.07   9.50NA   9.50    3.67  32.24 32.240010.10.80.10310001      31231 33.5675 090 99      0.00   0.00   0.00
31292  Nsl/sins ndsc med/inf dcmprn                      A  15.50   7.80NA   7.80    2.28  25.58 25.580010.10.80.10310001      31231 33.5675 090 99      0.00   0.00   0.00
31293  Nsl/sins ndsc med&inf dcmprn                      A  17.03   8.12NA   8.12    2.49  27.64 27.640010.10.80.10310001      31231 33.5675 090 99      0.00   0.00   0.00
31294  Nsl/sins ndsc surg on dcmprn                      A  19.80   8.80NA   8.80    2.90  31.50 31.500010.10.80.10310001      31231 33.5675 090 99      0.00   0.00   0.00
31295  Nsl/sins ndsc surg max sins                       A   2.63  44.21     1.02    0.39  47.23  4.040000.00.00.00312001      31231 33.5675 090 99      0.00   0.00   0.00
31296  Nsl/sins ndsc surg frnt sins                      A   3.02  44.55     1.11    0.43  48.00  4.560000.00.00.00312001      31231 33.5675 090 99      0.00   0.00   0.00
31297  Nsl/sins ndsc surg sphn sins                      A   2.38  44.10     0.96    0.36  46.84  3.700000.00.00.00310001      31231 33.5675 090 99      0.00   0.00   0.00
31298  Nsl/sins ndsc surg frnt&sphn                      A   4.39  83.78     1.45    0.62  88.79  6.460000.00.00.00310001      31231 33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
31300  Removal of larynx lesion                          A  15.51  15.81NA  15.81    2.26  33.58 33.580090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31360  Removal of larynx                                 A  29.16  20.60NA  20.60    4.30  54.06 54.060090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31365  Removal of larynx                                 A  37.84  22.82NA  22.82    5.69  66.35 66.350090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31367  Partial removal of larynx                         A  29.81  23.39NA  23.39    4.34  57.54 57.540090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31368  Partial removal of larynx                         A  33.34  25.22NA  25.22    4.87  63.43 63.430090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31370  Partial removal of larynx                         A  26.88  23.47NA  23.47    3.92  54.27 54.270090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31375  Partial removal of larynx                         A  25.42  22.56NA  22.56    3.70  51.68 51.680090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31380  Partial removal of larynx                         A  24.93  22.44NA  22.44    3.63  51.00 51.000090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31382  Partial removal of larynx                         A  27.86  23.71NA  23.71    4.06  55.63 55.630090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31390  Removal of larynx & pharynx                       A  41.45  25.28NA  25.28    6.05  72.78 72.780090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31395  Reconstruct larynx & pharynx                      A  42.71  27.52NA  27.52    6.24  76.47 76.470090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31400  Revision of larynx                                A  11.31  15.00NA  15.00    1.65  27.96 27.960090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
31420  Epiglottidectomy                                  A  11.14   9.43NA   9.43    1.63  22.20 22.200090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31500  Insert emergency airway                           A   2.93   0.57NA   0.57    0.48   3.98  3.980000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
31502  Change of windpipe airway                         A   0.63   0.20NA   0.20    0.08   0.91  0.910000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31505  Diagnostic laryngoscopy                           A   0.59   1.99     0.68    0.07   2.65  1.340000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31510  Laryngoscopy with biopsy                          A   1.87   4.31     1.02    0.26   6.44  3.150000.00.00.00300001      31505 33.5675 090 99      0.00   0.00   0.00
31511  Remove foreign body larynx                        A   2.11   3.90     1.08    0.30   6.31  3.490000.00.00.00301001      31505 33.5675 090 99      0.00   0.00   0.00
31512  Removal of larynx lesion                          A   2.02   4.18     1.06    0.29   6.49  3.370000.00.00.00300001      31505 33.5675 090 99      0.00   0.00   0.00
31513  Injection into vocal cord                         A   2.05   1.06NA   1.06    0.29   3.40  3.400000.00.00.00300001      31505 33.5675 090 99      0.00   0.00   0.00
31515  Laryngoscopy for aspiration                       A   1.76   4.85     1.02    0.26   6.87  3.040000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31520  Dx laryngoscopy newborn                           A   2.50   1.17NA   1.17    0.37   4.04  4.040000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
31525  Dx laryngoscopy excl nb                           A   2.56   4.58     1.18    0.38   7.52  4.120000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31526  Dx laryngoscopy w/oper scope                      A   2.51   1.17NA   1.17    0.37   4.05  4.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31527  Laryngoscopy for treatment                        A   3.19   1.34NA   1.34    0.46   4.99  4.990000.00.00.00300001      31525 33.5675 090 99      0.00   0.00   0.00
31528  Laryngoscopy and dilation                         A   2.31   1.08NA   1.08    0.35   3.74  3.740000.00.00.00300001      31525 33.5675 090 99      0.00   0.00   0.00
31529  Laryngoscopy and dilation                         A   2.61   1.14NA   1.14    0.38   4.13  4.130000.00.00.00300001      31525 33.5675 090 99      0.00   0.00   0.00
31530  Laryngoscopy w/fb removal                         A   3.30   1.37NA   1.37    0.51   5.18  5.180000.00.00.00301001      31525 33.5675 090 99      0.00   0.00   0.00
31531  Laryngoscopy w/fb & op scope                      A   3.49   1.45NA   1.45    0.50   5.44  5.440000.00.00.00300001      31526 33.5675 090 99      0.00   0.00   0.00
31535  Laryngoscopy w/biopsy                             A   3.08   1.32NA   1.32    0.45   4.85  4.850000.00.00.00301001      31525 33.5675 090 99      0.00   0.00   0.00
31536  Laryngoscopy w/bx & op scope                      A   3.46   1.41NA   1.41    0.49   5.36  5.360000.00.00.00301001      31526 33.5675 090 99      0.00   0.00   0.00
31540  Laryngoscopy w/exc of tumor                       A   4.02   1.55NA   1.55    0.58   6.15  6.150000.00.00.00301001      31525 33.5675 090 99      0.00   0.00   0.00
31541  Larynscop w/tumr exc + scope                      A   4.41   1.64NA   1.64    0.64   6.69  6.690000.00.00.00301001      31526 33.5675 090 99      0.00   0.00   0.00
31545  Remove vc lesion w/scope                          A   6.14   2.11NA   2.11    0.90   9.15  9.150000.00.00.00311001      31526 33.5675 090 99      0.00   0.00   0.00
31546  Remove vc lesion scope/graft                      A   9.49   2.93NA   2.93    1.37  13.79 13.790000.00.00.00311001      31526 33.5675 090 99      0.00   0.00   0.00
31551  Laryngoplasty laryngeal sten                      A  20.96  17.05NA  17.05    3.05  41.06 41.060090.10.76.14200101            33.5675 090 99      0.00   0.00   0.00
31552  Laryngoplasty laryngeal sten                      A  19.99  16.84NA  16.84    2.92  39.75 39.750090.10.76.14200101            33.5675 090 99      0.00   0.00   0.00
31553  Laryngoplasty laryngeal sten                      A  21.45  20.33NA  20.33    3.12  44.90 44.900090.10.76.14200101            33.5675 090 99      0.00   0.00   0.00
31554  Laryngoplasty laryngeal sten                      A  21.45  20.35NA  20.35    3.12  44.92 44.920090.10.76.14200101            33.5675 090 99      0.00   0.00   0.00
31560  Laryngoscop w/arytenoidectom                      A   5.31   1.80NA   1.80    0.79   7.90  7.900000.00.00.00300001      31525 33.5675 090 99      0.00   0.00   0.00
31561  Larynscop remve cart + scop                       A   5.84   1.93NA   1.93    0.85   8.62  8.620000.00.00.00300001      31526 33.5675 090 99      0.00   0.00   0.00
31570  Laryngoscope w/vc inj                             A   3.76   5.95     1.52    0.60  10.31  5.880000.00.00.00301001      31525 33.5675 090 99      0.00   0.00   0.00
31571  Laryngoscop w/vc inj + scope                      A   4.15   1.58NA   1.58    0.60   6.33  6.330000.00.00.00301001      31526 33.5675 090 99      0.00   0.00   0.00
31572  Largsc w/laser dstrj les                          A   2.93  11.96     1.28    0.43  15.32  4.640000.00.00.00310001      31575 33.5675 090 99      0.00   0.00   0.00
31573  Largsc w/ther injection                           A   2.37   5.87     1.13    0.36   8.60  3.860000.00.00.00310001      31575 33.5675 090 99      0.00   0.00   0.00
31574  Largsc w/njx augmentation                         A   2.37  24.27     1.14    0.36  27.00  3.870000.00.00.00310001      31575 33.5675 090 99      0.00   0.00   0.00
31575  Diagnostic laryngoscopy                           A   0.92   2.76     0.78    0.13   3.81  1.830000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31576  Laryngoscopy with biopsy                          A   1.84   5.94     1.01    0.26   8.04  3.110000.00.00.00301001      31575 33.5675 090 99      0.00   0.00   0.00
31577  Largsc w/rmvl foreign bdy(s)                      A   2.14   5.87     1.08    0.34   8.35  3.560000.00.00.00300001      31575 33.5675 090 99      0.00   0.00   0.00
31578  Largsc w/removal lesion                           A   2.37   6.38     1.14    0.36   9.11  3.870000.00.00.00300001      31575 33.5675 090 99      0.00   0.00   0.00
31579  Laryngoscopy telescopic                           A   1.83   3.77     1.04    0.24   5.84  3.110000.00.00.00301001      31575 33.5675 090 99      0.00   0.00   0.00
31580  Laryngoplasty laryngeal web                       A  14.24  18.58NA  18.58    2.08  34.90 34.900090.10.76.14200101            33.5675 090 99      0.00   0.00   0.00
31584  Laryngoplasty fx rdctj fixj                       A  17.14  18.28NA  18.28    2.50  37.92 37.920090.10.76.14200101            33.5675 090 99      0.00   0.00   0.00
31587  Laryngoplasty cricoid split                       A  14.89  15.59NA  15.59    2.17  32.65 32.650090.10.76.14200101            33.5675 090 99      0.00   0.00   0.00
31590  Reinnervate larynx                                A   7.65  17.64NA  17.64    1.12  26.41 26.410090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31591  Laryngoplasty medialization                       A  13.22  14.78NA  14.78    1.93  29.93 29.930090.10.76.14210101            33.5675 090 99      0.00   0.00   0.00
31592  Cricotracheal resection                           A  24.38  17.90NA  17.90    3.56  45.84 45.840090.10.76.14200101            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
31600  Planned tracheostomy                              A   5.42   1.69NA   1.69    1.07   8.18  8.180000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31601  Planned tracheostomy<2 yrs                        A   7.80   2.42NA   2.42    1.14  11.36 11.360000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
31603  Emer tracheostomy ttrach                          A   5.85   1.41NA   1.41    1.08   8.34  8.340000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31605  Emer tracheostomy cthyr mem                       A   6.29   1.40NA   1.40    1.37   9.06  9.060000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31610  Tracheostomy fenest skin flp                      A  11.70  12.15NA  12.15    1.92  25.77 25.770090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
31611  Constj trachesophgl fstl                          A   5.85   7.98NA   7.98    0.87  14.70 14.700090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31612  Perq trchl pnxr ttrach aspir                      A   0.89   1.81     0.22    0.14   2.84  1.250000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
31613  Tracheostoma revj simple                          A   4.59   6.52NA   6.52    0.75  11.86 11.860090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
31614  Tracheostoma revj complex                         A   8.41   9.59NA   9.59    1.23  19.23 19.230090.10.76.14201001            33.5675 090 99      0.00   0.00   0.00
31615  Trcheobrnchsc est trachs inc                      A   1.79   3.14     1.01    0.25   5.18  3.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31622  Dx bronchoscope/wash                              A   2.47   5.68     0.83    0.30   8.45  3.600000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31623  Dx bronchoscope/brush                             A   2.56   6.27     0.77    0.24   9.07  3.570000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31624  Dx bronchoscope/lavage                            A   2.56   5.77     0.82    0.24   8.57  3.620000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31625  Bronchoscopy w/biopsy(s)                          A   3.03   8.17     0.88    0.30  11.50  4.210000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31626  Bronchoscopy w/markers                            A   3.81  21.78     1.08    0.44  26.03  5.330000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
31627  Navigational bronchoscopy                         A   1.95  32.44     0.40    0.20  34.59  2.550ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
31628  Bronchoscopy/lung bx each                         A   3.46   8.44     0.96    0.33  12.23  4.750000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31629  Bronchoscopy/needle bx each                       A   3.66  10.86     1.02    0.36  14.88  5.040000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31630  Bronchoscopy dilate/fx repr                       A   3.71   1.14NA   1.14    0.44   5.29  5.290000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31631  Bronchoscopy dilate w/stent                       A   4.25   1.25NA   1.25    0.48   5.98  5.980000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31632  Bronchoscopy/lung bx addl                         A   1.00   0.98     0.21    0.08   2.06  1.290ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
31633  Bronchoscopy/needle bx addl                       A   1.29   1.17     0.27    0.12   2.58  1.680ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
31634  Bronch w/balloon occlusion                        A   3.66  44.07     1.08    0.36  48.09  5.100000.00.00.00302001      31622 33.5675 090 99      0.00   0.00   0.00
31635  Bronchoscopy w/fb removal                         A   3.33   6.01     1.05    0.36   9.70  4.740000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31636  Bronchoscopy bronch stents                        A   4.19   1.22NA   1.22    0.44   5.85  5.850000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31637  Bronchoscopy stent add-on                         A   1.54   0.32NA   0.32    0.15   2.01  2.010ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
31638  Bronchoscopy revise stent                         A   4.76   1.32NA   1.32    0.48   6.56  6.560000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31640  Bronchoscopy w/tumor excise                       A   4.81   1.28NA   1.28    0.44   6.53  6.530000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31641  Bronchoscopy treat blockage                       A   4.89   1.34NA   1.34    0.49   6.72  6.720000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31643  Diag bronchoscope/catheter                        A   3.40   0.88NA   0.88    0.28   4.56  4.560000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31645  Brnchsc w/ther aspir 1st                          A   2.81   6.13     0.89    0.29   9.23  3.990000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31646  Brnchsc w/ther aspir sbsq                         A   2.71   0.88NA   0.88    0.27   3.86  3.860000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31647  Bronchial valve init insert                       A   4.05   1.11NA   1.11    0.38   5.54  5.540000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31648  Bronchial valve remov init                        A   3.85   1.08NA   1.08    0.37   5.30  5.300000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31649  Bronchial valve remov addl                        A   1.40   0.61     0.31    0.14   2.15  1.850ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
31651  Bronchial valve addl insert                       A   1.54   0.64     0.32    0.15   2.33  2.010ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
31652  Bronch ebus samplng 1/2 node                      A   4.35  35.80     1.15    0.43  40.58  5.930000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31653  Bronch ebus samplng 3/> node                      A   4.84  36.58     1.25    0.47  41.89  6.560000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31654  Bronch ebus ivntj perph les                       A   1.37   2.43     0.29    0.13   3.93  1.790ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
31660  Bronch thermoplsty 1 lobe                         A   3.90   0.84NA   0.84    0.34   5.08  5.080000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31661  Bronch thermoplsty 2/> lobes                      A   4.14   0.85NA   0.85    0.36   5.35  5.350000.00.00.00301001      31622 33.5675 090 99      0.00   0.00   0.00
31717  Bronchial brush biopsy                            A   2.07   6.93     0.64    0.18   9.18  2.890000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31720  Clearance of airways                              A   1.03   0.24NA   0.24    0.09   1.36  1.360000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31725  Clearance of airways                              A   1.67   0.30NA   0.30    0.14   2.11  2.110000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31730  Intro windpipe wire/tube                          A   2.78  31.85     0.66    0.55  35.18  3.990000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
31750  Tracheoplasty cervical                            A  15.01  20.00NA  20.00    2.33  37.34 37.340090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31755  Trachplsty trchphryngl fstlj                      A  17.10  28.11NA  28.11    2.50  47.71 47.710090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31760  Tracheoplasty intrathoracic                       A  22.89  10.70NA  10.70    5.75  39.34 39.340090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31766  Carinal reconstruction                            A  30.88  11.31NA  11.31    7.77  49.96 49.960090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31770  Repair/graft of bronchus                          A  22.95   8.80NA   8.80    5.77  37.52 37.520090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31775  Reconstruct bronchus                              A  23.98   9.57NA   9.57    6.04  39.59 39.590090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
31780  Reconstruct windpipe                              A  19.34   8.69NA   8.69    2.82  30.85 30.850090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31781  Reconstruct windpipe                              A  24.23   8.91NA   8.91    3.54  36.68 36.680090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31785  Remove windpipe lesion                            A  17.89   7.01NA   7.01    2.61  27.51 27.510090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31786  Remove windpipe lesion                            A  24.78   9.72NA   9.72    6.24  40.74 40.740090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31800  Repair of windpipe injury                         A   7.98  10.15NA  10.15    1.17  19.30 19.300090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
31805  Repair of windpipe injury                         A  13.08   7.43NA   7.43    3.29  23.80 23.800090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
31820  Closure of windpipe lesion                        A   4.52   8.14     3.78    0.69  13.35  8.990090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
31825  Repair of windpipe defect                         A   6.89  10.36     4.95    1.04  18.29 12.880090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
31830  Revise windpipe scar                              A   4.50   9.51     4.76    0.65  14.66  9.910090.10.76.14200001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
32035  Thoracostomy w/rib resection                      A  11.01   8.01NA   8.01    2.76  21.78 21.780090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32036  Thoracostomy w/flap drainage                      A  11.99   8.18NA   8.18    3.02  23.19 23.190090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32096  Open wedge/bx lung infiltr                        A  13.41   6.14NA   6.14    3.33  22.88 22.880090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32097  Open wedge/bx lung nodule                         A  13.41   6.32NA   6.32    3.32  23.05 23.050090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32098  Open biopsy of lung pleura                        A  12.59   5.95NA   5.95    3.06  21.60 21.600090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32100  Exploration of chest                              A  13.41   6.55NA   6.55    3.31  23.27 23.270090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32110  Explore/repair chest                              A  24.65  11.04NA  11.04    6.10  41.79 41.790090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32120  Re-exploration of chest                           A  14.03   7.90NA   7.90    3.49  25.42 25.420090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32124  Explore chest free adhesions                      A  15.06   8.12NA   8.12    3.74  26.92 26.920090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32140  Removal of lung lesion(s)                         A  16.24   8.28NA   8.28    4.08  28.60 28.600090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32141  Remove/treat lung lesions                         A  26.50   9.84NA   9.84    6.58  42.92 42.920090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32150  Removal of lung lesion(s)                         A  16.40   8.73NA   8.73    4.08  29.21 29.210090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32151  Remove lung foreign body                          A  16.52   8.33NA   8.33    4.15  29.00 29.000090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32160  Open chest heart massage                          A  12.77   7.25NA   7.25    3.10  23.12 23.120090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32200  Drain open lung lesion                            A  18.21  10.41NA  10.41    4.58  33.20 33.200090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32215  Treat chest lining                                A  12.72   7.55NA   7.55    3.19  23.46 23.460090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32220  Release of lung                                   A  25.98  13.61NA  13.61    6.47  46.06 46.060090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32225  Partial release of lung                           A  16.33   8.27NA   8.27    4.07  28.67 28.670090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32310  Removal of chest lining                           A  14.90   7.98NA   7.98    3.75  26.63 26.630090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32320  Free/remove chest lining                          A  26.57  12.72NA  12.72    6.60  45.89 45.890090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32400  Needle biopsy chest lining                        A   1.72   3.08     0.27    0.18   4.98  2.170000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
32408  Core ndl bx lng/med perq                          A   3.10  20.64     0.47    0.34  24.08  3.910000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
32440  Remove lung pneumonectomy                         A  26.60  11.31NA  11.31    6.69  44.60 44.600090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32442  Sleeve pneumonectomy                              A  55.06  15.67NA  15.67   13.89  84.62 84.620090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32445  Removal of lung extrapleural                      A  62.24  20.72NA  20.72   15.69  98.65 98.650090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32480  Partial removal of lung                           A  25.17  10.53NA  10.53    6.29  41.99 41.990090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32482  Bilobectomy                                       A  26.75  11.58NA  11.58    6.70  45.03 45.030090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32484  Segmentectomy                                     A  24.75   9.55NA   9.55    6.21  40.51 40.510090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32486  Sleeve lobectomy                                  A  41.81  12.79NA  12.79   10.55  65.15 65.150090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32488  Completion pneumonectomy                          A  41.92  14.55NA  14.55   10.57  67.04 67.040090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32491  Lung volume reduction                             R  24.61  11.33NA  11.33    6.20  42.14 42.140090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32501  Repair bronchus add-on                            A   4.56   0.90NA   0.90    1.15   6.61  6.610ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
32503  Resect apical lung tumor                          A  30.95  11.93NA  11.93    7.81  50.69 50.690090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32504  Resect apical lung tum/chest                      A  35.63  12.85NA  12.85    8.99  57.47 57.470090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32505  Wedge resect of lung initial                      A  15.36   7.62NA   7.62    3.81  26.79 26.790090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32506  Wedge resect of lung add-on                       A   2.93   0.58NA   0.58    0.72   4.23  4.230ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
32507  Wedge resect of lung diag                         A   2.93   0.58NA   0.58    0.72   4.23  4.230ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
32540  Removal of lung lesion                            A  29.59  11.87NA  11.87    7.45  48.91 48.910090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32550  Insert pleural cath                               A   3.82  19.13     1.10    0.51  23.46  5.430000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
32551  Insertion of chest tube                           A   2.96   0.77NA   0.77    0.55   4.28  4.280000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
32552  Remove lung catheter                              A   2.47   2.88     1.59    0.36   5.71  4.420010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
32553  Ins mark thor for rt perq                         A   3.46  10.87     0.71    0.38  14.71  4.550000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
32554  Aspirate pleura w/o imaging                       A   1.77   5.82     0.39    0.21   7.80  2.370000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
32555  Aspirate pleura w/ imaging                        A   2.21   6.88     0.38    0.22   9.31  2.810000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
32556  Insert cath pleura w/o image                      A   2.44  22.37     0.54    0.37  25.18  3.350000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
32557  Insert cath pleura w/ image                       A   3.04  16.03     0.50    0.33  19.40  3.870000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
32560  Treat pleurodesis w/agent                         A   1.50   6.54     0.32    0.23   8.27  2.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
32561  Lyse chest fibrin init day                        A   1.36   1.52     0.29    0.15   3.03  1.800000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
32562  Lyse chest fibrin subq day                        A   1.21   1.41     0.27    0.13   2.75  1.610000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
32601  Thoracoscopy diagnostic                           A   5.36   1.96NA   1.96    1.31   8.63  8.630000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
32604  Thoracoscopy wbx sac                              A   8.55   2.65NA   2.65    2.15  13.35 13.350000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
32606  Thoracoscopy w/bx med space                       A   8.18   2.60NA   2.60    2.05  12.83 12.830000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
32607  Thoracoscopy w/bx infiltrate                      A   5.36   1.97NA   1.97    1.33   8.66  8.660000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
32608  Thoracoscopy w/bx nodule                          A   6.67   2.23NA   2.23    1.67  10.57 10.570000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
32609  Thoracoscopy w/bx pleura                          A   4.47   1.73NA   1.73    0.95   7.15  7.150000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
32650  Thoracoscopy w/pleurodesis                        A  10.56   6.35NA   6.35    2.56  19.47 19.470090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32651  Thoracoscopy remove cortex                        A  18.31   8.27NA   8.27    4.55  31.13 31.130090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32652  Thoracoscopy rem totl cortex                      A  28.40  11.49NA  11.49    7.11  47.00 47.000090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32653  Thoracoscopy remov fb/fibrin                      A  17.72   8.18NA   8.18    4.23  30.13 30.130090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32654  Thoracoscopy contrl bleeding                      A  20.01   8.93NA   8.93    4.83  33.77 33.770090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32655  Thoracoscopy resect bullae                        A  15.77   7.70NA   7.70    3.95  27.42 27.420090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32656  Thoracoscopy w/pleurectomy                        A  12.93   7.16NA   7.16    3.24  23.33 23.330090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32658  Thoracoscopy w/sac fb remove                      A  11.42   6.53NA   6.53    2.87  20.82 20.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
32659  Thoracoscopy w/sac drainage                       A  11.64   6.90NA   6.90    2.91  21.45 21.450090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
32661  Thoracoscopy w/pericard exc                       A  13.00   6.84NA   6.84    3.26  23.10 23.100090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
32662  Thoracoscopy w/mediast exc                        A  14.62   7.49NA   7.49    3.66  25.77 25.770090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
32663  Thoracoscopy w/lobectomy                          A  24.02   9.43NA   9.43    6.03  39.48 39.480090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
32664  Thoracoscopy w/ th nrv exc                        A  13.92   7.02NA   7.02    3.50  24.44 24.440090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
32665  Thoracoscop w/esoph musc exc                      A  20.99   8.69NA   8.69    5.27  34.95 34.950090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
32666  Thoracoscopy w/wedge resect                       A  14.14   7.42NA   7.42    3.56  25.12 25.120090.10.76.14212101            33.5675 090 99      0.00   0.00   0.00
32667  Thoracoscopy w/w resect addl                      A   2.93   0.58NA   0.58    0.73   4.24  4.240ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
32668  Thoracoscopy w/w resect diag                      A   2.93   0.59NA   0.59    0.73   4.25  4.250ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
32669  Thoracoscopy remove segment                       A  22.94   9.24NA   9.24    5.77  37.95 37.950090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
32670  Thoracoscopy bilobectomy                          A  27.81  10.16NA  10.16    6.94  44.91 44.910090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32671  Thoracoscopy pneumonectomy                        A  31.12  10.73NA  10.73    7.85  49.70 49.700090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32672  Thoracoscopy for lvrs                             A  26.33   9.78NA   9.78    6.62  42.73 42.730090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32673  Thoracoscopy w/thymus resect                      A  20.60   8.70NA   8.70    5.16  34.46 34.460090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
32674  Thoracoscopy lymph node exc                       A   4.02   0.81NA   0.81    1.02   5.85  5.850ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
32701  Thorax stereo rad targetw/tx                      A   4.08   0.82NA   0.82    0.73   5.63  5.632XXX.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
32800  Repair lung hernia                                A  15.32   8.35NA   8.35    3.79  27.46 27.460090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32810  Close chest after drainage                        A  14.58   7.92NA   7.92    3.66  26.16 26.160090.10.76.14202001            33.5675 090 99      0.00   0.00   0.00
32815  Close bronchial fistula                           A  48.78  17.61NA  17.61   12.32  78.71 78.710090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32820  Reconstruct injured chest                         A  21.95  11.90NA  11.90    5.49  39.34 39.340090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32851  Lung transplant single                            A  58.15  18.51NA  18.51   14.61  91.27 91.270090.10.76.14202121            33.5675 090 99      0.00   0.00   0.00
32852  Lung transplant with bypass                       A  63.86  20.44NA  20.44   15.33  99.63 99.630090.10.76.14202121            33.5675 090 99      0.00   0.00   0.00
32853  Lung transplant double                            A  82.37  23.94NA  23.94   20.60 126.91126.910090.10.76.14222121            33.5675 090 99      0.00   0.00   0.00
32854  Lung transplant with bypass                       A  87.75  24.82NA  24.82   22.00 134.57134.570090.10.76.14222121            33.5675 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.00.00.00202101            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
32900  Removal of rib(s)                                 A  23.21   9.62NA   9.62    5.85  38.68 38.680090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32905  Revise & repair chest wall                        A  22.71   9.52NA   9.52    5.72  37.95 37.950090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32906  Revise & repair chest wall                        A  28.57  10.67NA  10.67    7.21  46.45 46.450090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32940  Revision of lung                                  A  20.81   9.14NA   9.14    5.23  35.18 35.180090.10.76.14202101            33.5675 090 99      0.00   0.00   0.00
32960  Therapeutic pneumothorax                          A   1.79   2.08     0.52    0.15   4.02  2.460000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
32994  Ablate pulm tumor perq crybl                      A   8.80 126.26     1.60    1.00 136.06 11.400000.00.00.00212001            33.5675 090 99      0.00   0.00   0.00
32997  Total lung lavage                                 A   7.13   1.27NA   1.27    0.59   8.99  8.990000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
32998  Ablate pulm tumor perq rf                         A   8.80  77.68     1.58    1.02  87.50 11.400000.00.00.00212001            33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
33016  Pericardiocentesis w/imaging                      A   4.29   0.83NA   0.83    0.99   6.11  6.110000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33017  Prcrd drg 6yr+ w/o cgen car                       A   4.50   0.87NA   0.87    1.04   6.41  6.410000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33018  Prcrd drg 0-5yr or w/anomly                       A   5.27   0.99NA   0.99    1.27   7.53  7.530000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33019  Perq prcrd drg insj cath ct                       A   4.18   0.68NA   0.68    0.51   5.37  5.370000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33020  Incision of heart sac                             A  13.95   6.10NA   6.10    3.41  23.46 23.460090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33025  Incision of heart sac                             A  12.87   6.11NA   6.11    3.18  22.16 22.160090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33030  Partial removal of heart sac                      A  35.10  12.42NA  12.42    8.70  56.22 56.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33031  Partial removal of heart sac                      A  43.88  14.45NA  14.45   10.88  69.21 69.210090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33050  Resect heart sac lesion                           A  16.55   8.30NA   8.30    4.17  29.02 29.020090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33120  Exc icar tum resc w/card byp                      A  37.49  11.70NA  11.70    9.24  58.43 58.430090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33130  Rescj external cardiac tumor                      A  23.57  10.02NA  10.02    5.63  39.22 39.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33140  Heart revascularize (tmr)                         A  27.63   9.87NA   9.87    6.61  44.11 44.110090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33141  Heart tmr w/other procedure                       A   2.48   0.48NA   0.48    0.62   3.58  3.580ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
33202  Insert epicard eltrd open                         A  12.87   6.15NA   6.15    3.17  22.19 22.190090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33203  Insert epicard eltrd endo                         A  13.62   6.04NA   6.04    3.43  23.09 23.090090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33206  Insert heart pm atrial                            A   6.96   3.45NA   3.45    1.63  12.04 12.040090.09.84.07201201            33.5675 090 99      0.00   0.00   0.00
33207  Insert heart pm ventricular                       A   7.61   3.25NA   3.25    1.78  12.64 12.640090.09.84.07201201            33.5675 090 99      0.00   0.00   0.00
33208  Insrt heart pm atrial & vent                      A   8.31   3.39NA   3.39    1.95  13.65 13.650090.09.84.07201201            33.5675 090 99      0.00   0.00   0.00
33210  Insert electrd/pm cath sngl                       A   2.97   0.59NA   0.59    0.65   4.21  4.210000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33211  Insert card electrodes dual                       A   3.06   0.63NA   0.63    0.67   4.36  4.360000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33212  Insert pulse gen sngl lead                        A   4.88   2.71NA   2.71    1.16   8.75  8.750090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33213  Insert pulse gen dual leads                       A   5.15   2.72NA   2.72    1.22   9.09  9.090090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33214  Upgrade of pacemaker system                       A   7.40   3.63NA   3.63    1.71  12.74 12.740090.09.84.07200201            33.5675 090 99      0.00   0.00   0.00
33215  Reposition pacing-defib lead                      A   4.80   2.30NA   2.30    1.14   8.24  8.240090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33216  Insert 1 electrode pm-defib                       A   5.48   3.15NA   3.15    1.29   9.92  9.920090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33217  Insert 2 electrode pm-defib                       A   5.45   3.15NA   3.15    1.29   9.89  9.890090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33218  Repair lead pace-defib one                        A   5.67   3.43NA   3.43    1.33  10.43 10.430090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33220  Repair lead pace-defib dual                       A   5.75   3.11NA   3.11    1.36  10.22 10.220090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33221  Insert pulse gen mult leads                       A   5.41   2.84NA   2.84    1.29   9.54  9.540090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33222  Relocation pocket pacemaker                       A   4.73   3.44NA   3.44    1.12   9.29  9.290090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33223  Relocate pocket for defib                         A   6.14   3.32NA   3.32    1.44  10.90 10.900090.09.84.07200001            33.5675 090 99      0.00   0.00   0.00
33224  Insert pacing lead & connect                      A   8.81   2.33NA   2.33    2.08  13.22 13.220000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33225  L ventric pacing lead add-on                      A   8.12   1.78NA   1.78    1.91  11.81 11.810ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
33226  Reposition l ventric lead                         A   8.46   2.20NA   2.20    2.01  12.67 12.670000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33227  Remove&replace pm gen singl                       A   5.12   2.71NA   2.71    1.21   9.04  9.040090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33228  Remv&replc pm gen dual lead                       A   5.38   2.78NA   2.78    1.28   9.44  9.440090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33229  Remv&replc pm gen mult leads                      A   5.65   2.89NA   2.89    1.33   9.87  9.870090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33230  Insrt pulse gen w/dual leads                      A   5.92   2.64NA   2.64    1.41   9.97  9.970090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33231  Insrt pulse gen w/mult leads                      A   6.18   3.00NA   3.00    1.45  10.63 10.630090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33233  Removal of pm generator                           A   3.06   2.58NA   2.58    0.72   6.36  6.360090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33234  Removal of pacemaker system                       A   7.47   3.62NA   3.62    1.76  12.85 12.850090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33235  Removal pacemaker electrode                       A   9.65   5.07NA   5.07    2.28  17.00 17.000090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33236  Remove electrode/thoracotomy                      A  12.41   7.92NA   7.92    2.97  23.30 23.300090.09.84.07200201            33.5675 090 99      0.00   0.00   0.00
33237  Remove electrode/thoracotomy                      A  13.49   8.15NA   8.15    3.22  24.86 24.860090.09.84.07200201            33.5675 090 99      0.00   0.00   0.00
33238  Remove electrode/thoracotomy                      A  15.02   9.44NA   9.44    3.60  28.06 28.060090.09.84.07200201            33.5675 090 99      0.00   0.00   0.00
33240  Insrt pulse gen w/singl lead                      A   5.66   2.59NA   2.59    1.34   9.59  9.590090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33241  Remove pulse generator                            A   2.96   2.26NA   2.26    0.70   5.92  5.920090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33243  Remove eltrd/thoracotomy                          A  22.98  10.42NA  10.42    5.61  39.01 39.010090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33244  Remove elctrd transvenously                       A  13.40   6.37NA   6.37    3.18  22.95 22.950090.09.84.07201101            33.5675 090 99      0.00   0.00   0.00
33249  Insj/rplcmt defib w/lead(s)                       A  14.55   5.91NA   5.91    3.43  23.89 23.890090.09.84.07201101            33.5675 090 99      0.00   0.00   0.00
33250  Ablate heart dysrhythm focus                      A  25.25  10.37NA  10.37    6.05  41.67 41.670090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33251  Ablate heart dysrhythm focus                      A  28.20  10.60NA  10.60    7.10  45.90 45.900090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33254  Ablate atria lmtd                                 A  23.12   9.92NA   9.92    5.68  38.72 38.720090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33255  Ablate atria w/o bypass ext                       A  28.31  11.34NA  11.34    6.77  46.42 46.420090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33256  Ablate atria w/bypass exten                       A  34.03  12.52NA  12.52    8.15  54.70 54.700090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33257  Ablate atria lmtd add-on                          A   9.39   5.32NA   5.32    2.33  17.04 17.040ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33258  Ablate atria x10sv add-on                         A  10.73   5.75NA   5.75    2.57  19.05 19.050ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33259  Ablate atria w/bypass add-on                      A  13.79   7.43NA   7.43    3.36  24.58 24.580ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33261  Ablate heart dysrhythm focus                      A  28.20  10.97NA  10.97    6.75  45.92 45.920090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33262  Rmvl& replc pulse gen 1 lead                      A   5.66   2.87NA   2.87    1.33   9.86  9.860090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33263  Rmvl & rplcmt dfb gen 2 lead                      A   5.93   2.92NA   2.92    1.40  10.25 10.250090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33264  Rmvl & rplcmt dfb gen mlt ld                      A   6.19   2.99NA   2.99    1.46  10.64 10.640090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33265  Ablate atria lmtd endo                            A  23.12   9.94NA   9.94    5.69  38.75 38.750090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33266  Ablate atria x10sv endo                           A  32.21  11.93NA  11.93    7.98  52.12 52.120090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33267  Excl laa open any method                          A  18.04   7.13NA   7.13    4.43  29.60 29.600090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33268  Excl laa opn oth px any meth                      A   2.44   0.48NA   0.48    0.59   3.51  3.510ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33269  Excl laa thrscp any method                        A  13.95   6.42NA   6.42    3.47  23.84 23.840090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
33270  Ins/rep subq defibrillator                        A   8.87   3.81NA   3.81    2.08  14.76 14.760090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33271  Insj subq impltbl dfb elctrd                      A   7.31   3.10NA   3.10    1.75  12.16 12.160090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33272  Rmvl of subq defibrillator                        A   5.28   2.78NA   2.78    1.23   9.29  9.290090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33273  Repos prev impltbl subq dfb                       A   6.34   2.91NA   2.91    1.50  10.75 10.750090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33274  Tcat insj/rpl perm ldls pm                        A   7.61   3.18NA   3.18    1.77  12.56 12.560090.09.84.07201201            33.5675 090 99      0.00   0.00   0.00
33275  Tcat rmvl perm ldls pm w/img                      A   8.38   3.01NA   3.01    2.00  13.39 13.390090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33276  Insj phrnc nrv stim sys                           A   9.26   3.76NA   3.76    2.11  15.13 15.130090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33277  Insj phrnc nrv stim transvns                      A   5.29   1.09NA   1.09    1.27   7.65  7.650ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
33278  Rmvl phrnc nrv stim sys                           A   9.31   3.51NA   3.51    2.06  14.88 14.880090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33279  Rmvl phrnc nrv stim transvns                      A   5.28   2.67NA   2.67    1.29   9.24  9.240090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33280  Rmvl phrnc nrv stim pg only                       A   2.96   2.09NA   2.09    0.70   5.75  5.750090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33281  Reposg phrnc nrv stim trnsvn                      A   5.85   2.89NA   2.89    1.40  10.14 10.140090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33285  Insj subq car rhythm mntr                         A   1.49 118.27     0.42    0.36 120.12  2.270000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33286  Rmvl subq car rhythm mntr                         A   1.46   2.04     0.42    0.36   3.86  2.240000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
33287  Rmv&rplcmt phrnc nrv stim pg                      A   5.90   2.97NA   2.97    1.34  10.21 10.210090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33288  Rmv&rplcmt phrnc nrv stim ld                      A   8.30   3.52NA   3.52    1.84  13.66 13.660090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33289  Tcat impl wrls p-art prs snr                      A   5.85   1.47NA   1.47    1.19   8.51  8.510000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33300  Repair of heart wound                             A  43.85  13.23NA  13.23   10.85  67.93 67.930090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33305  Repair of heart wound                             A  75.01  19.13NA  19.13   18.66 112.80112.800090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33310  Exploratory heart surgery                         A  19.83   9.25NA   9.25    4.75  33.83 33.830090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33315  Exploratory heart surgery                         A  34.13  10.92NA  10.92    8.35  53.40 53.400090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33320  Repair major blood vessel(s)                      A  18.08   7.83NA   7.83    4.55  30.46 30.460090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33321  Repair major vessel                               A  20.29   9.10NA   9.10    4.86  34.25 34.250090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33322  Repair major blood vessel(s)                      A  23.81  10.03NA  10.03    5.93  39.77 39.770090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33330  Insert major vessel graft                         A  24.66  10.25NA  10.25    5.91  40.82 40.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33335  Insert major vessel graft                         A  33.06  11.97NA  11.97    7.93  52.96 52.960090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33340  Perq clsr tcat l atr apndge                       A   9.99   6.18NA   6.18    2.35  18.52 18.520000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
33361  Replace aortic valve perq                         A  21.91   5.14NA   5.14    5.26  32.31 32.310000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
33362  Replace aortic valve open                         A  23.93   5.48NA   5.48    5.78  35.19 35.190000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
33363  Replace aortic valve open                         A  24.83   5.71NA   5.71    6.02  36.56 36.560000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
33364  Replace aortic valve open                         A  25.32   6.48NA   6.48    6.07  37.87 37.870000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
33365  Replace aortic valve open                         A  25.93   5.94NA   5.94    6.28  38.15 38.150000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
33366  Trcath replace aortic valve                       A  28.62   6.45NA   6.45    6.86  41.93 41.930000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
33367  Replace aortic valve w/byp                        A  11.58   2.38NA   2.38    2.76  16.72 16.720ZZZ.00.00.00000011            33.5675 090 99      0.00   0.00   0.00
33368  Replace aortic valve w/byp                        A  14.03   2.88NA   2.88    3.35  20.26 20.260ZZZ.00.00.00000011            33.5675 090 99      0.00   0.00   0.00
33369  Replace aortic valve w/byp                        A  18.53   3.80NA   3.80    4.44  26.77 26.770ZZZ.00.00.00000011            33.5675 090 99      0.00   0.00   0.00
33370  Tcat plmt&rmvl cepd perq                          A   2.44   0.46NA   0.46    0.57   3.47  3.470ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
33390  Valvuloplasty aortic valve                        A  34.13  10.62NA  10.62    8.31  53.06 53.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33391  Valvuloplasty aortic valve                        A  40.46  13.28NA  13.28    9.71  63.45 63.450090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33404  Prepare heart-aorta conduit                       A  30.59  11.92NA  11.92    7.33  49.84 49.840090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33405  Replacement aortic valve opn                      A  40.29  13.38NA  13.38    9.98  63.65 63.650090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33406  Replacement aortic valve opn                      A  51.36  15.89NA  15.89   12.97  80.22 80.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33410  Replacement aortic valve opn                      A  45.25  14.84NA  14.84   11.28  71.37 71.370090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33411  Replacement of aortic valve                       A  60.52  17.88NA  17.88   14.94  93.34 93.340090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33412  Replacement of aortic valve                       A  57.53  16.47NA  16.47   13.82  87.82 87.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33413  Replacement of aortic valve                       A  58.37  17.90NA  17.90   14.00  90.27 90.270090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33414  Repair of aortic valve                            A  38.39  11.69NA  11.69    9.70  59.78 59.780090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33415  Revision subvalvular tissue                       A  36.34  11.67NA  11.67    9.00  57.01 57.010090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33416  Revise ventricle muscle                           A  35.65  12.53NA  12.53    8.77  56.95 56.950090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33417  Repair of aortic valve                            A  28.60  11.49NA  11.49    7.22  47.31 47.310090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33418  Repair tcat mitral valve                          A  31.44   8.46NA   8.46    7.43  47.33 47.330090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33419  Repair tcat mitral valve                          A   7.73   1.47NA   1.47    1.82  11.02 11.020ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
33420  Revision of mitral valve                          A  25.15  10.36NA  10.36    6.02  41.53 41.530090.09.84.07201101            33.5675 090 99      0.00   0.00   0.00
33422  Revision of mitral valve                          A  28.99  11.60NA  11.60    6.96  47.55 47.550090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33425  Repair of mitral valve                            A  48.71  15.64NA  15.64   11.99  76.34 76.340090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33426  Repair of mitral valve                            A  42.20  14.19NA  14.19   10.43  66.82 66.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33427  Repair of mitral valve                            A  43.71  13.84NA  13.84   10.51  68.06 68.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33430  Replacement of mitral valve                       A  49.66  16.62NA  16.62   12.25  78.53 78.530090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33440  Rplcmt a-valve tlcj autol pv                      A  62.40  17.47NA  17.47   14.98  94.85 94.850090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33460  Revision of tricuspid valve                       A  43.58  13.15NA  13.15   10.46  67.19 67.190090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33463  Valvuloplasty tricuspid                           A  55.65  16.58NA  16.58   13.56  85.79 85.790090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33464  Valvuloplasty tricuspid                           A  43.50  14.11NA  14.11   10.44  68.05 68.050090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33465  Replace tricuspid valve                           A  49.45  15.21NA  15.21   12.10  76.76 76.760090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33468  Revision of tricuspid valve                       A  44.00  12.89NA  12.89   11.12  68.01 68.010090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33474  Revision of pulmonary valve                       A  38.42  12.88NA  12.88    9.71  61.01 61.010090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33475  Replacement pulmonary valve                       A  41.34  13.19NA  13.19    9.80  64.33 64.330090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33476  Revision of heart chamber                         A  25.91  10.93NA  10.93    6.53  43.37 43.370090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33477  Implant tcat pulm vlv perq                        A  24.38   5.11NA   5.11    4.23  33.72 33.720000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33478  Revision of heart chamber                         A  26.85  11.11NA  11.11    6.75  44.71 44.710090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33496  Repair prosth valve clot                          A  29.09  11.43NA  11.43    6.98  47.50 47.500090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33500  Repair heart vessel fistula                       A  27.24  10.78NA  10.78    6.53  44.55 44.550090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33501  Repair heart vessel fistula                       A  19.02   8.62NA   8.62    4.55  32.19 32.190090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33502  Coronary artery correction                        A  21.30  10.02NA  10.02    5.36  36.68 36.680090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33503  Coronary artery graft                             A  21.95  10.77NA  10.77    5.53  38.25 38.250090.09.84.07200101            33.5675 090 99      0.00   0.00   0.00
33504  Coronary artery graft                             A  24.82  10.75NA  10.75    6.25  41.82 41.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33505  Repair artery w/tunnel                            A  37.44   9.96NA   9.96    9.43  56.83 56.830090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33506  Repair artery translocation                       A  36.90  10.72NA  10.72    9.29  56.91 56.910090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33507  Repair art intramural                             A  30.62   9.67NA   9.67    7.72  48.01 48.010090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33508  Endoscopic vein harvest                           A   0.30   0.06NA   0.06    0.07   0.43  0.430ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
33509  Ndsc hrv uxtr art 1 sgm cab                       A   3.26   0.66NA   0.66    0.81   4.73  4.730ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
33510  Cabg vein single                                  A  34.11  11.85NA  11.85    8.37  54.33 54.330090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33511  Cabg vein two                                     A  37.49  12.97NA  12.97    9.26  59.72 59.720090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33512  Cabg vein three                                   A  42.88  14.21NA  14.21   10.52  67.61 67.610090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33513  Cabg vein four                                    A  44.24  13.97NA  13.97   10.76  68.97 68.970090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33514  Cabg vein five                                    A  46.88  15.27NA  15.27   11.27  73.42 73.420090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33516  Cabg vein six or more                             A  48.52  15.86NA  15.86   11.66  76.04 76.040090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33517  Cabg artery-vein single                           A   3.52   0.71NA   0.71    0.87   5.10  5.100ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33518  Cabg artery-vein two                              A   7.73   1.55NA   1.55    1.91  11.19 11.190ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33519  Cabg artery-vein three                            A  10.23   2.04NA   2.04    2.52  14.79 14.790ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33521  Cabg artery-vein four                             A  12.28   2.45NA   2.45    3.03  17.76 17.760ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33522  Cabg artery-vein five                             A  13.79   2.74NA   2.74    3.39  19.92 19.920ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33523  Cabg art-vein six or more                         A  15.68   3.22NA   3.22    3.75  22.65 22.650ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33530  Coronary artery bypass/reop                       A   9.88   1.99NA   1.99    2.42  14.29 14.290ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33533  Cabg arterial single                              A  32.91  11.59NA  11.59    8.13  52.63 52.630090.09.82.09202001            33.5675 090 99      0.00   0.00   0.00
33534  Cabg arterial two                                 A  38.88  13.22NA  13.22    9.61  61.71 61.710090.09.82.09202001            33.5675 090 99      0.00   0.00   0.00
33535  Cabg arterial three                               A  43.63  14.08NA  14.08   10.72  68.43 68.430090.09.82.09202001            33.5675 090 99      0.00   0.00   0.00
33536  Cabg arterial four or more                        A  47.22  14.80NA  14.80   11.65  73.67 73.670090.09.82.09202001            33.5675 090 99      0.00   0.00   0.00
33542  Removal of heart lesion                           A  47.00  14.90NA  14.90   11.62  73.52 73.520090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33545  Repair of heart damage                            A  55.63  16.88NA  16.88   13.36  85.87 85.870090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33548  Restore/remodel ventricle                         A  52.79  17.63NA  17.63   12.68  83.10 83.100090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33572  Open coronary endarterectomy                      A   4.33   0.87NA   0.87    1.07   6.27  6.270ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33600  Closure of valve                                  A  29.55  11.68NA  11.68    7.44  48.67 48.670090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33602  Closure of valve                                  A  28.61  11.49NA  11.49    7.22  47.32 47.320090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33606  Anastomosis/artery-aorta                          A  30.74  11.74NA  11.74    7.74  50.22 50.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33608  Repair anomaly w/conduit                          A  31.08  11.98NA  11.98    7.84  50.90 50.900090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33610  Repair by enlargement                             A  30.62  11.88NA  11.88    7.72  50.22 50.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33611  Repair double ventricle                           A  34.68  10.96NA  10.96    8.74  54.38 54.380090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33612  Repair double ventricle                           A  35.66  11.15NA  11.15    9.00  55.81 55.810090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33615  Repair modified fontan                            A  34.99  12.25NA  12.25    8.82  56.06 56.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33617  Repair single ventricle                           A  38.11  12.86NA  12.86    9.62  60.59 60.590090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33619  Repair single ventricle                           A  47.54  17.60NA  17.60   12.00  77.14 77.140090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33620  Apply r&l pulm art bands                          A  29.25   9.40NA   9.40    7.38  46.03 46.030090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33621  Transthor cath for stent                          A  15.78   6.75NA   6.75    3.97  26.50 26.500090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33622  Redo compl cardiac anomaly                        A  62.40  16.44NA  16.44   15.74  94.58 94.580090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33641  Repair heart septum defect                        A  28.84   9.81NA   9.81    7.28  45.93 45.930090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33645  Revision of heart veins                           A  30.52  10.24NA  10.24    7.69  48.45 48.450090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33647  Repair heart septum defects                       A  32.18  10.46NA  10.46    8.11  50.75 50.750090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33660  Repair of heart defects                           A  31.03  10.25NA  10.25    7.83  49.11 49.110090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33665  Repair of heart defects                           A  33.98  10.82NA  10.82    8.58  53.38 53.380090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33670  Repair of heart chambers                          A  35.71   9.74NA   9.74    9.00  54.45 54.450090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33675  Close mult vsd                                    A  35.05  11.06NA  11.06    8.84  54.95 54.950090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33676  Close mult vsd w/resection                        A  36.03  11.24NA  11.24    9.09  56.36 56.360090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33677  Cl mult vsd w/rem pul band                        A  37.49  11.53NA  11.53    9.44  58.46 58.460090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33681  Closure 1 vsd w/wo patch                          A  31.53  12.79NA  12.79    7.95  52.27 52.270090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33684  Clsr 1 vsd w/wo patch w/vlvt                      A  33.51  10.73NA  10.73    8.46  52.70 52.700090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33688  Clsr 1vsd w/wo ptch rmvl bnd                      A  33.88   9.74NA   9.74    8.55  52.17 52.170090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33690  Banding pulmonary artery                          A  19.85   9.76NA   9.76    4.99  34.60 34.600090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33692  Comp rpr tof wo pulm atresia                      A  35.25  10.01NA  10.01    8.90  54.16 54.160090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33694  Cmp rpr tof wo plm atrs ptch                      A  34.68  10.96NA  10.96    8.74  54.38 54.380090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33697  Compl rpr tof w/pulm atresia                      A  36.63  11.34NA  11.34    9.24  57.21 57.210090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33702  Repair of heart defects                           A  26.56  10.58NA  10.58    6.68  43.82 43.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33710  Repair of heart defects                           A  36.56  11.33NA  11.33    9.22  57.11 57.110090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33720  Repair of heart defect                            A  26.58  10.59NA  10.59    6.69  43.86 43.860090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33724  Repair venous anomaly                             A  26.94   9.45NA   9.45    6.78  43.17 43.170090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33726  Repair pul venous stenosis                        A  36.19  11.27NA  11.27    9.14  56.60 56.600090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33730  Repair heart-vein defect(s)                       A  35.24  12.12NA  12.12    8.89  56.25 56.250090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33732  Repair heart-vein defect                          A  28.24  11.42NA  11.42    7.11  46.77 46.770090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33735  Revision of heart chamber                         A  21.65  10.12NA  10.12    5.45  37.22 37.220090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33736  Revision of heart chamber                         A  23.71  10.53NA  10.53    5.98  40.22 40.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33741  Tas congenital car anomal                         A  13.65   2.54NA   2.54    3.26  19.45 19.450000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33745  Tis cgen car anomal 1st shnt                      A  19.50   3.64NA   3.64    4.68  27.82 27.820000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33746  Tis cgen car anomal ea addl                       A   7.80   1.45NA   1.45    1.86  11.11 11.110ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
33750  Shunt subclavian to pulm art                      A  21.66   8.62NA   8.62    5.45  35.73 35.730090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33755  Shunt as-aort to pulm art                         A  22.04  10.20NA  10.20    5.55  37.79 37.790090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33762  Shunt desc aorta to pulm art                      A  22.04   8.69NA   8.69    5.55  36.28 36.280090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33764  Shunt central w/prostc graft                      A  22.04  10.20NA  10.20    5.55  37.79 37.790090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33766  Shunt supr v/c p-art 1 lung                       A  22.98   8.88NA   8.88    5.78  37.64 37.640090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33767  Shunt supr v/c p-art bth lng                      A  24.67   9.21NA   9.21    6.21  40.09 40.090090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33768  Anast cavopulm sec sup v/c                        A   7.80   1.54NA   1.54    1.96  11.30 11.300ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
33770  Rpr tga w/o surg enlgmnt vsd                      A  38.09  10.96NA  10.96    9.61  58.66 58.660090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33771  Rpr tga w/surg enlgmnt vsd                        A  39.61  10.39NA  10.39   10.02  60.02 60.020090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33774  Rpr tga atrial baffle px                          A  30.94  12.25NA  12.25    7.81  51.00 51.000090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33775  Rpr tga atr bfl rmvl plm bnd                      A  32.17  12.02NA  12.02    8.11  52.30 52.300090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33776  Rpr tga atr bfl clsr vsd                          A  33.88  12.95NA  12.95    8.55  55.38 55.380090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33777  Rpr tga bfl rpr sbpulm obstr                      A  33.32  11.21NA  11.21    8.39  52.92 52.920090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33778  Rpr tga aortic pulm art rcns                      A  41.68  13.39NA  13.39   10.52  65.59 65.590090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33779  Rpr tga rcnstj rmvl plm bnd                       A  42.15  11.37NA  11.37   10.64  64.16 64.160090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33780  Rpr tga rcnstj clsr vsd                           A  42.80  11.88NA  11.88   10.80  65.48 65.480090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33781  Rpr tga rcnstj rpr sbpl obst                      A  42.13  10.89NA  10.89   10.63  63.65 63.650090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33782  Nikaidoh proc                                     A  58.58  15.69NA  15.69   14.79  89.06 89.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33783  Nikaidoh proc w/ostia implt                       A  63.45  16.65NA  16.65   16.01  96.11 96.110090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33786  Repair arterial trunk                             A  40.82  12.03NA  12.03   10.29  63.14 63.140090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33788  Revision of pulmonary artery                      A  26.73   9.62NA   9.62    6.71  43.06 43.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33800  Aortic suspension                                 A  16.85   6.94NA   6.94    4.24  28.03 28.030090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33802  Division aberrant vessel                          A  17.91   8.88NA   8.88    4.51  31.30 31.300090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33803  Div aberrant vsl w/reanast                        A  19.80   7.76NA   7.76    4.97  32.53 32.530090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33814  Obltrj a-pulm sep def w/byp                       A  25.91  10.96NA  10.96    6.53  43.40 43.400090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33820  Repair pda by ligation                            A  16.27   7.34NA   7.34    4.09  27.70 27.700090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33822  Repair pda div<18 years                           A  17.27   7.53NA   7.53    4.33  29.13 29.130090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33824  Repair pda div 18 yrs&older                       A  19.72   9.20NA   9.20    4.95  33.87 33.870090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33840  Exc coa w/direct anastomosis                      A  20.81   9.45NA   9.45    5.23  35.49 35.490090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33845  Excision coa w/graft                              A  22.36  10.26NA  10.26    5.62  38.24 38.240090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33851  Exc coa rpr l subcl art/prst                      A  21.43   9.58NA   9.58    5.39  36.40 36.400090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33852  Rpr hypopl a-arch wo byp                          A  23.80  10.04NA  10.04    6.00  39.84 39.840090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
33853  Rpr hypopl a-arch w/byp                           A  31.70  12.10NA  12.10    7.99  51.79 51.790090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33858  As-aort grf f/aortic dsj                          A  61.82  16.69NA  16.69   15.31  93.82 93.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33859  As-aort grf f/ds oth/thn dsj                      A  44.00  12.86NA  12.86   10.86  67.72 67.720090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33863  Ascending aortic graft                            A  57.32  15.54NA  15.54   14.14  87.00 87.000090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33864  Ascending aortic graft                            A  58.58  15.81NA  15.81   14.42  88.81 88.810090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33866  Aortic hemiarch graft                             A  17.31   3.47NA   3.47    4.27  25.05 25.050ZZZ.00.00.00000011            33.5675 090 99      0.00   0.00   0.00
33871  Transvrs a-arch grf hypthrm                       A  59.36  15.84NA  15.84   14.72  89.92 89.920090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33875  Thoracic aortic graft                             A  49.45  14.17NA  14.17   12.33  75.95 75.950090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33877  Thoracoabdominal graft                            A  67.30  14.21NA  14.21   17.06  98.57 98.570090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33880  Evasc rpr ta ndgft cov lsa                        A  26.33   5.63NA   5.63    6.58  38.54 38.540090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33881  Evasc rpr ta ndgft xcov lsa                       A  21.97   4.90NA   4.90    5.49  32.36 32.360090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33882  Evasc rpr ta dplmt mltpc sys                      A  35.00   9.71NA   9.71    8.07  52.78 52.780090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33883  Delayed plmt prox xtn prosth                      A  19.41   4.60NA   4.60    4.78  28.79 28.790090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33886  Delayed plmt dstl xtn prosth                      A  19.41   4.51NA   4.51    4.84  28.76 28.760090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
33894  Evasc st rpr thrc/aa acrs br                      A  17.81   3.32NA   3.32    4.26  25.39 25.390000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33895  Evasc st rpr thrc/aa x crsg                       A  14.18   2.64NA   2.64    3.39  20.21 20.210000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33897  Perq trluml angp nt/recr coa                      A  10.54   1.96NA   1.96    2.52  15.02 15.020000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33900  Perq p-art revsc 1 nm nt uni                      A  10.75   2.00NA   2.00    2.57  15.32 15.320000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33901  Perq p-art revsc 1 nm nt bi                       A  14.14   2.63NA   2.63    3.38  20.15 20.150000.00.00.00220001            33.5675 090 99      0.00   0.00   0.00
33902  Perq p-art revsc 1 abnor uni                      A  13.65   2.54NA   2.54    3.26  19.45 19.450000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33903  Perq p-art revsc 1 abnor bi                       A  16.09   3.00NA   3.00    3.86  22.95 22.950000.00.00.00220001            33.5675 090 99      0.00   0.00   0.00
33904  Perq p-art revsc each addl                        A   5.39   1.01NA   1.01    1.30   7.70  7.700ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
33910  Remove lung artery emboli                         A  47.00  15.20NA  15.20   11.29  73.49 73.490090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33915  Remove lung artery emboli                         A  24.33   8.86NA   8.86    5.83  39.02 39.020090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33916  Surgery of great vessel                           A  76.05  20.45NA  20.45   18.87 115.37115.370090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33917  Repair pulmonary artery                           A  24.67  10.72NA  10.72    6.21  41.60 41.600090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33920  Repair pulmonary atresia                          A  31.92  10.63NA  10.63    8.05  50.60 50.600090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33922  Transect pulmonary artery                         A  23.61  10.00NA  10.00    5.96  39.57 39.570090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33924  Remove pulmonary shunt                            A   5.35   1.06NA   1.06    1.33   7.74  7.740ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
33925  Rpr pul art unifocal w/o cpb                      A  30.52   9.65NA   9.65    7.69  47.86 47.860090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33926  Repr pul art unifocal w/cpb                       A  43.61  12.23NA  12.23   11.01  66.85 66.850090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
33927  Impltj tot rplcmt hrt sys                         A  47.78   9.42NA   9.42   12.06  69.26 69.260XXX.00.00.00202001            33.5675 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.00.00.00202001            33.5675 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.00.00.00002001            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
33935  Transplantation heart/lung                        R  89.49  26.95NA  26.95   21.46 137.90137.900090.09.84.07202121            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
33945  Transplantation of heart                          R  87.26  26.39NA  26.39   21.58 135.23135.230090.09.84.07202121            33.5675 090 99      0.00   0.00   0.00
33946  Ecmo/ecls initiation venous                       A   5.85   1.26NA   1.26    1.26   8.37  8.370XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
33947  Ecmo/ecls initiation artery                       A   6.46   1.36NA   1.36    1.41   9.23  9.230XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
33948  Ecmo/ecls daily mgmt-venous                       A   4.61   1.08NA   1.08    0.81   6.50  6.500XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
33949  Ecmo/ecls daily mgmt artery                       A   4.49   1.02NA   1.02    0.75   6.26  6.260XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
33951  Ecmo/ecls insj prph cannula                       A   7.95   1.79NA   1.79    1.91  11.65 11.650000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33952  Ecmo/ecls insj prph cannula                       A   7.95   1.75NA   1.75    1.82  11.52 11.520000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33953  Ecmo/ecls insj prph cannula                       A   8.88   1.97NA   1.97    2.12  12.97 12.970000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33954  Ecmo/ecls insj prph cannula                       A   8.88   1.95NA   1.95    2.10  12.93 12.930000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33955  Ecmo/ecls insj ctr cannula                        A  15.60   3.35NA   3.35    3.74  22.69 22.690000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33956  Ecmo/ecls insj ctr cannula                        A  15.60   3.28NA   3.28    3.76  22.64 22.640000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33957  Ecmo/ecls repos perph cnula                       A   3.42   0.85NA   0.85    0.82   5.09  5.090000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33958  Ecmo/ecls repos perph cnula                       A   3.42   0.85NA   0.85    0.82   5.09  5.090000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33959  Ecmo/ecls repos perph cnula                       A   4.36   1.05NA   1.05    1.06   6.47  6.470000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33962  Ecmo/ecls repos perph cnula                       A   4.36   1.05NA   1.05    1.06   6.47  6.470000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33963  Ecmo/ecls repos perph cnula                       A   8.78   1.95NA   1.95    2.10  12.83 12.830000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33964  Ecmo/ecls repos perph cnula                       A   9.26   2.05NA   2.05    2.21  13.52 13.520000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33965  Ecmo/ecls rmvl perph cannula                      A   3.42   0.85NA   0.85    0.82   5.09  5.090000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33966  Ecmo/ecls rmvl prph cannula                       A   4.39   1.04NA   1.04    1.03   6.46  6.460000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33967  Insert i-aort percut device                       A   4.72   0.92NA   0.92    1.09   6.73  6.730000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33968  Remove aortic assist device                       A   0.62   0.13NA   0.13    0.14   0.89  0.890000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
33969  Ecmo/ecls rmvl perph cannula                      A   5.09   1.19NA   1.19    1.22   7.50  7.500000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33970  Aortic circulation assist                         A   6.57   1.27NA   1.27    1.57   9.41  9.410000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
33971  Aortic circulation assist                         A  11.69   5.64NA   5.64    2.77  20.10 20.100090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33973  Insert balloon device                             A   9.51   1.95NA   1.95    2.27  13.73 13.730000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
33974  Remove intra-aortic balloon                       A  14.65   7.95NA   7.95    3.50  26.10 26.100090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
33975  Implant ventricular device                        A  24.38   4.87NA   4.87    6.02  35.27 35.270XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33976  Implant ventricular device                        A  29.98   6.15NA   6.15    7.20  43.33 43.330XXX.00.00.00222001            33.5675 090 99      0.00   0.00   0.00
33977  Remove ventricular device                         A  20.34   5.71NA   5.71    4.95  31.00 31.000XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33978  Remove ventricular device                         A  24.38   6.81NA   6.81    5.84  37.03 37.030XXX.00.00.00222001            33.5675 090 99      0.00   0.00   0.00
33979  Insert intracorporeal device                      A  36.56   7.38NA   7.38    9.01  52.95 52.950XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33980  Remove intracorporeal device                      A  32.66   8.26NA   8.26    8.07  48.99 48.990XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33981  Replace vad pump ext                              A  15.71   3.23NA   3.23    3.75  22.69 22.690XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33982  Replace vad intra w/o bp                          A  36.91   7.57NA   7.57    8.85  53.33 53.330XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33983  Replace vad intra w/bp                            A  43.43   8.92NA   8.92   10.44  62.79 62.790XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33984  Ecmo/ecls rmvl prph cannula                       A   5.32   1.11NA   1.11    1.31   7.74  7.740000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
33985  Ecmo/ecls rmvl ctr cannula                        A   9.64   2.13NA   2.13    2.32  14.09 14.090000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33986  Ecmo/ecls rmvl ctr cannula                        A   9.75   2.13NA   2.13    2.41  14.29 14.290000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33987  Artery expos/graft artery                         A   3.94   0.81NA   0.81    0.95   5.70  5.700ZZZ.00.00.00000111            33.5675 090 99      0.00   0.00   0.00
33988  Insertion of left heart vent                      A  14.63   3.16NA   3.16    3.49  21.28 21.280000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33989  Removal of left heart vent                        A   9.26   2.05NA   2.05    2.21  13.52 13.520000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
33990  Insj perq vad l hrt arterial                      A   6.58   1.26NA   1.26    1.53   9.37  9.370000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33991  Insj perq vad l hrt artl&ven                      A   8.62   1.77NA   1.77    2.06  12.45 12.450000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33992  Rmvl perq left heart vad                          A   3.46   0.66NA   0.66    0.82   4.94  4.940000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33993  Reposg perq r/l hrt vad                           A   3.02   0.66NA   0.66    0.58   4.26  4.260000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33995  Insj perq vad r hrt venous                        A   6.58   1.28NA   1.28    1.50   9.36  9.360000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
33997  Rmvl perq right heart vad                         A   2.93   0.58NA   0.58    0.67   4.18  4.180000.00.00.00202001            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
34001  Removal of artery clot                            A  17.43   3.11NA   3.11    4.46  25.00 25.000090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34051  Removal of artery clot                            A  16.57   8.37NA   8.37    3.96  28.90 28.900090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34101  Removal of artery clot                            A  10.66   2.90NA   2.90    2.72  16.28 16.280090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34111  Removal of arm artery clot                        A  10.66   2.93NA   2.93    2.70  16.29 16.290090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34151  Removal of artery clot                            A  25.86   5.40NA   5.40    6.56  37.82 37.820090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34201  Removal of artery clot                            A  18.99   3.93NA   3.93    4.84  27.76 27.760090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34203  Removal of leg artery clot                        A  17.41   3.97NA   3.97    4.44  25.82 25.820090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34401  Removal of vein clot                              A  25.86   4.03NA   4.03    6.60  36.49 36.490090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34421  Removal of vein clot                              A  13.04   2.66NA   2.66    3.32  19.02 19.020090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34451  Removal of vein clot                              A  27.81   4.19NA   4.19    7.11  39.11 39.110090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34471  Removal of vein clot                              A  20.58   3.62NA   3.62    5.25  29.45 29.450090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
34490  Removal of vein clot                              A  10.64   2.44NA   2.44    2.72  15.80 15.800090.09.84.07211001            33.5675 090 99      0.00   0.00   0.00
34501  Repair valve femoral vein                         A  16.43   3.95NA   3.95    4.19  24.57 24.570090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34502  Reconstruct vena cava                             A  27.37   8.62NA   8.62    6.42  42.41 42.410090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
34510  Transposition of vein valve                       A  19.41   3.53NA   3.53    4.95  27.89 27.890090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34520  Cross-over vein graft                             A  18.70   3.57NA   3.57    4.77  27.04 27.040090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34530  Leg vein fusion                                   A  17.48   3.83NA   3.83    4.46  25.77 25.770090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
34701  Evasc rpr a-ao ndgft                              A  23.12   4.51NA   4.51    5.78  33.41 33.410090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34702  Evasc rpr a-ao ndgft rpt                          A  35.10   4.64NA   4.64    8.99  48.73 48.730090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34703  Evasc rpr a-unilac ndgft                          A  25.86   4.71NA   4.71    6.49  37.06 37.060090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34704  Evasc rpr a-unilac ndgft rpt                      A  43.88   5.33NA   5.33   11.25  60.46 60.460090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34705  Evac rpr a-biiliac ndgft                          A  28.84   5.10NA   5.10    7.22  41.16 41.160090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34706  Evasc rpr a-biiliac rpt                           A  43.88   6.44NA   6.44   11.08  61.40 61.400090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34707  Evasc rpr ilio-iliac ndgft                        A  21.72   4.31NA   4.31    5.43  31.46 31.460090.09.84.07212201            33.5675 090 99      0.00   0.00   0.00
34708  Evasc rpr ilio-iliac rpt                          A  35.59   4.67NA   4.67    9.12  49.38 49.380090.09.84.07212201            33.5675 090 99      0.00   0.00   0.00
34709  Plmt xtn prosth evasc rpr                         A   6.34   0.71NA   0.71    1.59   8.64  8.640ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
34710  Dlyd plmt xtn prosth 1st vsl                      A  14.63   3.35NA   3.35    3.65  21.63 21.630090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34711  Dlyd plmt xtn prosth ea addl                      A   5.85   0.60NA   0.60    1.46   7.91  7.910ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
34712  Tcat dlvr enhncd fixj dev                         A  11.70   3.17NA   3.17    2.91  17.78 17.780090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34713  Perq access & clsr fem art                        A   2.44   0.26NA   0.26    0.60   3.30  3.300ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
34714  Opn fem art expos cndt crtj                       A   5.12   0.94NA   0.94    1.28   7.34  7.340ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
34715  Opn ax/subcla art expos                           A   5.85   0.74NA   0.74    1.48   8.07  8.070ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
34716  Opn ax/subcla art expos cndt                      A   7.01   1.39NA   1.39    1.73  10.13 10.130ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
34717  Evasc rpr a-iliac ndgft                           A   8.78   0.89NA   0.89    2.21  11.88 11.880ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
34718  Evasc rpr n/a a-iliac ndgft                       A  23.40   4.02NA   4.02    5.89  33.31 33.310090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34808  Endovas iliac a device addon                      A   4.02   0.39NA   0.39    1.03   5.44  5.440ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
34812  Opn fem art expos                                 A   4.03   0.47NA   0.47    1.04   5.54  5.540ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
34813  Femoral endovas graft add-on                      A   4.67   0.46NA   0.46    1.21   6.34  6.340ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
34820  Opn iliac art expos                               A   6.83   0.54NA   0.54    1.74   9.11  9.110ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
34830  Open aortic tube prosth repr                      A  34.35   4.80NA   4.80    8.79  47.94 47.940090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34831  Open aortoiliac prosth repr                       A  37.03   6.07NA   6.07    9.42  52.52 52.520090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34832  Open aortofemor prosth repr                       A  37.03   5.01NA   5.01    9.47  51.51 51.510090.09.84.07202201            33.5675 090 99      0.00   0.00   0.00
34833  Opn ilac art expos cndt crtj                      A   7.96   0.63NA   0.63    2.04  10.63 10.630ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
34834  Opn brach art expos                               A   2.58   0.26NA   0.26    0.65   3.49  3.490ZZZ.00.00.00012201            33.5675 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.00.00.00202201            33.5675 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.00.00.00202201            33.5675 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.00.00.00202201            33.5675 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.00.00.00202201            33.5675 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.00.00.00202201            33.5675 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.00.00.00202201            33.5675 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.00.00.00202201            33.5675 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.00.00.00202201            33.5675 090 99      0.00   0.00   0.00
35001  Repair defect of artery                           A  20.29   4.72NA   4.72    5.13  30.14 30.140090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35002  Repair artery rupture neck                        A  21.67   3.83NA   3.83    5.54  31.04 31.040090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35005  Repair defect of artery                           A  18.81   3.60NA   3.60    4.80  27.21 27.210090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35011  Repair defect of artery                           A  18.12   4.56NA   4.56    4.69  27.37 27.370090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35013  Repair artery rupture arm                         A  22.65   3.88NA   3.88    5.78  32.31 32.310090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35021  Repair defect of artery                           A  21.62   9.42NA   9.42    5.16  36.20 36.200090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35022  Repair artery rupture chest                       A  25.06  10.12NA  10.12    6.01  41.19 41.190090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35045  Repair defect of arm artery                       A  17.56   4.12NA   4.12    4.40  26.08 26.080090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35081  Repair defect of artery                           A  32.69   6.10NA   6.10    8.33  47.12 47.120090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35082  Repair artery rupture aorta                       A  41.04   7.09NA   7.09   10.41  58.54 58.540090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35091  Repair defect of artery                           A  34.47   4.80NA   4.80    8.75  48.02 48.020090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35092  Repair artery rupture aorta                       A  49.70   6.19NA   6.19   12.71  68.60 68.600090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35102  Repair defect of artery                           A  35.62   6.23NA   6.23    9.07  50.92 50.920090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35103  Repair artery rupture aorta                       A  42.53   5.45NA   5.45   10.89  58.87 58.870090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35111  Repair defect of artery                           A  25.62   4.01NA   4.01    6.55  36.18 36.180090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35112  Repair artery rupture spleen                      A  31.76   4.60NA   4.60    8.12  44.48 44.480090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35121  Repair defect of artery                           A  30.73   4.42NA   4.42    7.87  43.02 43.020090.09.84.07212001            33.5675 090 99      0.00   0.00   0.00
35122  Repair artery rupture belly                       A  36.94   5.01NA   5.01    9.44  51.39 51.390090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35131  Repair defect of artery                           A  25.74   5.40NA   5.40    6.56  37.70 37.700090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35132  Repair artery rupture groin                       A  31.76   4.60NA   4.60    8.12  44.48 44.480090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35141  Repair defect of artery                           A  20.39   4.10NA   4.10    5.17  29.66 29.660090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35142  Repair artery rupture thigh                       A  24.53   5.01NA   5.01    6.23  35.77 35.770090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35151  Repair defect of artery                           A  23.13   4.59NA   4.59    5.90  33.62 33.620090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35152  Repair ruptd popliteal art                        A  26.97   4.21NA   4.21    6.87  38.05 38.050090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35180  Rpr cgen av fistula head&nck                      A  14.72   3.00NA   3.00    3.75  21.47 21.470090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35182  Rpr cgen av fistula thrx&abd                      A  30.92  11.85NA  11.85    7.78  50.55 50.550090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35184  Rpr cgen av fistula xtr                           A  18.35   3.30NA   3.30    4.69  26.34 26.340090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35188  Rpr acq av fistula head&neck                      A  17.55  12.86NA  12.86    7.41  37.82 37.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35189  Rpr acq av fistula thrx&abd                       A  29.23   4.40NA   4.40    7.46  41.09 41.090090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35190  Repair acq av fistula xtr                         A  13.08   4.12NA   4.12    3.34  20.54 20.540090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35201  Repair blood vessel dir neck                      A  16.51   4.79NA   4.79    4.02  25.32 25.320090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35206  Repair blood vessel dir uxtr                      A  13.49   5.06NA   5.06    3.13  21.68 21.680090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35207  Rpr bld vsl dir hand finger                       A  10.67   7.73NA   7.73    2.06  20.46 20.460090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
35211  Rpr blvsl dir ntrathrc w/byp                      A  23.97   9.63NA   9.63    5.93  39.53 39.530090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35216  Rpr blvsl dir ntrthrc wo byp                      A  35.69  12.82NA  12.82    8.60  57.11 57.110090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35221  Rpr bld vsl dir intra-abdl                        A  25.95   7.58NA   7.58    6.55  40.08 40.080090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35226  Repair blood vessel dir lxtr                      A  14.92   3.98NA   3.98    3.75  22.65 22.650090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35231  Repair blvsl vn grf neck                          A  20.63   8.07NA   8.07    3.79  32.49 32.490090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35236  Repair blvsl vn grf uxtr                          A  17.57   5.66NA   5.66    4.23  27.46 27.460090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35241  Rpr blvsl vn grf ntrthrc w/b                      A  24.94  10.10NA  10.10    5.98  41.02 41.020090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35246  Rpr blvsl vn grf ntrthrc w/o                      A  27.52  10.32NA  10.32    6.59  44.43 44.430090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35251  Rpr blvsl vn grf intra-abdl                       A  31.11   7.91NA   7.91    7.85  46.87 46.870090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35256  Repair blvsl vn grf lxtr                          A  18.58   4.67NA   4.67    4.52  27.77 27.770090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35261  Rpr blvsl grf oth/thn vn nck                      A  18.49   3.65NA   3.65    4.73  26.87 26.870090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35266  Rpr blvsl grf oth/th vn uxtr                      A  15.43   4.24NA   4.24    3.92  23.59 23.590090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35271  Rpr blvs gr ot/th vn ntrth w                      A  23.97   9.89NA   9.89    5.73  39.59 39.590090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35276  Rpr blvs gr ot/t vn ntrth wo                      A  25.18  10.54NA  10.54    6.03  41.75 41.750090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35281  Rpr blvsl gr ot/th vn ntr-ab                      A  29.31   7.70NA   7.70    7.47  44.48 44.480090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35286  Rpr blvsl grf oth/th vn lxtr                      A  16.76   4.18NA   4.18    4.26  25.20 25.200090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35301  Rechanneling of artery                            A  20.63   4.72NA   4.72    5.36  30.71 30.710090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35302  Rechanneling of artery                            A  20.82   4.19NA   4.19    5.30  30.31 30.310090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35303  Rechanneling of artery                            A  23.01   4.48NA   4.48    5.85  33.34 33.340090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35304  Rechanneling of artery                            A  23.99   4.45NA   4.45    6.16  34.60 34.600090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35305  Rechanneling of artery                            A  23.01   4.09NA   4.09    5.86  32.96 32.960090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35306  Rechanneling of artery                            A   9.02   0.72NA   0.72    2.31  12.05 12.050ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35311  Rechanneling of artery                            A  27.89   9.21NA   9.21    6.67  43.77 43.770090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35321  Rechanneling of artery                            A  16.18   4.41NA   4.41    4.14  24.73 24.730090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35331  Rechanneling of artery                            A  27.03   4.12NA   4.12    6.90  38.05 38.050090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35341  Rechanneling of artery                            A  25.55   5.23NA   5.23    6.46  37.24 37.240090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35351  Rechanneling of artery                            A  23.99   4.87NA   4.87    6.16  35.02 35.020090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35355  Rechanneling of artery                            A  19.36   3.63NA   3.63    4.93  27.92 27.920090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35361  Rechanneling of artery                            A  29.48   4.42NA   4.42    7.54  41.44 41.440090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35363  Rechanneling of artery                            A  31.54   4.58NA   4.58    8.07  44.19 44.190090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35371  Rechanneling of artery                            A  14.93   3.42NA   3.42    3.80  22.15 22.150090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35372  Rechanneling of artery                            A  18.12   3.77NA   3.77    4.62  26.51 26.510090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35390  Reoperation carotid add-on                        A   3.11   0.39NA   0.39    0.79   4.29  4.290ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35400  Angioscopy                                        A   2.93   0.24NA   0.24    0.75   3.92  3.920ZZZ.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
35500  Harvest vein for bypass                           A   6.28   0.73NA   0.73    1.58   8.59  8.590ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35501  Art byp grft ipsilat carotid                      A  28.36   4.11NA   4.11    7.26  39.73 39.730090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35506  Art byp grft subclav-carotid                      A  24.70   3.69NA   3.69    6.31  34.70 34.700090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35508  Art byp grft carotid-vertbrl                      A  25.44   4.33NA   4.33    6.49  36.26 36.260090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35509  Art byp grft contral carotid                      A  27.39   4.06NA   4.06    7.01  38.46 38.460090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35510  Art byp grft carotid-brchial                      A  23.78   3.63NA   3.63    6.08  33.49 33.490090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35511  Art byp grft subclav-subclav                      A  21.65   3.35NA   3.35    5.53  30.53 30.530090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35512  Art byp grft subclav-brchial                      A  23.29   3.60NA   3.60    5.96  32.85 32.850090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35515  Art byp grft subclav-vertbrl                      A  25.44   4.33NA   4.33    6.49  36.26 36.260090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35516  Art byp grft subclav-axilary                      A  23.60   3.60NA   3.60    6.03  33.23 33.230090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35518  Art byp grft axillary-axilry                      A  22.08   3.38NA   3.38    5.63  31.09 31.090090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35521  Art byp grft axill-femoral                        A  23.53   3.95NA   3.95    6.02  33.50 33.500090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35522  Art byp grft axill-brachial                       A  22.57   3.54NA   3.54    5.76  31.87 31.870090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35523  Art byp grft brchl-ulnr-rdl                       A  23.53   3.98NA   3.98    6.02  33.53 33.530090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35525  Art byp grft brachial-brchl                       A  21.15   3.42NA   3.42    5.40  29.97 29.970090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35526  Art byp grft aor/carot/innom                      A  30.76  10.80NA  10.80    7.38  48.94 48.940090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35531  Art byp grft aorcel/aormesen                      A  38.13   5.10NA   5.10    9.77  53.00 53.000090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35533  Art byp grft axill/fem/fem                        A  29.17   4.39NA   4.39    7.45  41.01 41.010090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35535  Art byp grft hepatorenal                          A  37.18   5.04NA   5.04    9.52  51.74 51.740090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35536  Art byp grft splenorenal                          A  32.89   4.68NA   4.68    8.40  45.97 45.970090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35537  Art byp grft aortoiliac                           A  40.83   5.35NA   5.35   10.46  56.64 56.640090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35538  Art byp grft aortobi-iliac                        A  45.85   5.82NA   5.82   11.75  63.42 63.420090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35539  Art byp grft aortofemoral                         A  43.01   5.52NA   5.52   11.01  59.54 59.540090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35540  Art byp grft aortbifemoral                        A  48.10   5.93NA   5.93   12.33  66.36 66.360090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
35556  Art byp grft fem-popliteal                        A  26.08   5.08NA   5.08    6.62  37.78 37.780090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35558  Art byp grft fem-femoral                          A  22.55   4.80NA   4.80    5.68  33.03 33.030090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35560  Art byp grft aortorenal                           A  33.18   4.70NA   4.70    8.50  46.38 46.380090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35563  Art byp grft ilioiliac                            A  25.47   4.09NA   4.09    6.50  36.06 36.060090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35565  Art byp grft iliofemoral                          A  24.50   4.01NA   4.01    6.26  34.77 34.770090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35566  Art byp fem-ant-post tib/prl                      A  31.54   5.36NA   5.36    8.06  44.96 44.960090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35570  Art byp tibial-tib/peroneal                       A  28.42   4.44NA   4.44    7.28  40.14 40.140090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35571  Art byp pop-tibl-prl-other                        A  24.88   4.69NA   4.69    6.37  35.94 35.940090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35572  Harvest femoropopliteal vein                      A   6.64   0.87NA   0.87    1.68   9.19  9.190ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
35583  Vein byp grft fem-popliteal                       A  27.06   5.03NA   5.03    6.89  38.98 38.980090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35585  Vein byp fem-tibial peroneal                      A  31.54   5.55NA   5.55    8.06  45.15 45.150090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35587  Vein byp pop-tibl peroneal                        A  25.55   4.22NA   4.22    6.53  36.30 36.300090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35600  Open hrv uxtr art 1 sgm cab                       A   3.50   0.70NA   0.70    0.86   5.06  5.060ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35601  Bpg com crtd-ipsi int crtd                        A  26.41   4.80NA   4.80    6.79  38.00 38.000090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35602  Bpg crtd-clat crtd                                A  23.53   5.13NA   5.13    5.95  34.61 34.610090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35606  Bpg carotid-subclavian                            A  21.90   4.41NA   4.41    5.57  31.88 31.880090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35612  Bpg subclavian-subclavian                         A  19.84   3.64NA   3.64    5.06  28.54 28.540090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35616  Bpg subclavian-axillary                           A  21.27   3.32NA   3.32    5.43  30.02 30.020090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35621  Bpg axillary-femoral                              A  20.50   3.93NA   3.93    5.22  29.65 29.650090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35623  Bpg axillary-pop/-tibial                          A  25.27   4.08NA   4.08    6.45  35.80 35.800090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35626  Bpg aor-subcla/innom/carotid                      A  28.41   8.89NA   8.89    7.05  44.35 44.350090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35631  Bpg aor-celiac-msn-renal                          A  35.13   6.06NA   6.06    8.93  50.12 50.120090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35632  Bpg ilio-celiac                                   A  35.23   4.88NA   4.88    9.01  49.12 49.120090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35633  Bpg ilio-mesenteric                               A  38.13   6.11NA   6.11    9.72  53.96 53.960090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35634  Bpg iliorenal                                     A  34.45   4.82NA   4.82    8.81  48.08 48.080090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35636  Bpg splenorenal                                   A  30.96   4.53NA   4.53    7.92  43.41 43.410090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35637  Bpg aortoiliac                                    A  32.22   4.67NA   4.67    8.25  45.14 45.140090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35638  Bpg aortobi-iliac                                 A  32.76   6.30NA   6.30    8.28  47.34 47.340090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35642  Bpg carotid-vertebral                             A  18.47   3.90NA   3.90    4.72  27.09 27.090090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35645  Bpg subclavian-vertebral                          A  17.97   3.31NA   3.31    4.60  25.88 25.880090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35646  Bpg aortobifemoral                                A  32.16   5.87NA   5.87    8.17  46.20 46.200090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35647  Bpg aortofemoral                                  A  28.99   4.28NA   4.28    7.42  40.69 40.690090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35650  Bpg axillary-axillary                             A  19.66   3.20NA   3.20    5.02  27.88 27.880090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35654  Bpg axillary-femoral-femoral                      A  25.62   4.88NA   4.88    6.52  37.02 37.020090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35656  Bpg femoral-popliteal                             A  19.96   4.07NA   4.07    5.07  29.10 29.100090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35661  Bpg femoral-femoral                               A  19.84   4.53NA   4.53    5.04  29.41 29.410090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35663  Bpg ilioiliac                                     A  23.33   3.93NA   3.93    5.97  33.23 33.230090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35665  Bpg iliofemoral                                   A  21.79   4.62NA   4.62    5.51  31.92 31.920090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35666  Bpg fem-ant tib pst tib/prnl                      A  23.07   6.00NA   6.00    5.89  34.96 34.960090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35671  Bpg pop-tibl/-prnl artery                         A  20.25   5.39NA   5.39    5.16  30.80 30.800090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35681  Composite byp grft pros&vein                      A   1.56   0.19NA   0.19    0.40   2.15  2.150ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35682  Composite byp grft 2 veins                        A   7.01   0.65NA   0.65    1.78   9.44  9.440ZZZ.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
35683  Composite byp grft 3/> segmt                      A   8.28   0.66NA   0.66    2.11  11.05 11.050ZZZ.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
35685  Bypass graft patency/patch                        A   3.94   0.39NA   0.39    1.02   5.35  5.350ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35686  Bypass graft/av fist patency                      A   3.26   0.26NA   0.26    0.83   4.35  4.350ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35691  Art trnsposj vertbrl carotid                      A  17.95   3.31NA   3.31    4.58  25.84 25.840090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35693  Art trnsposj subclavian                           A  15.34   3.73NA   3.73    3.91  22.98 22.980090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35694  Art trnsposj subclav carotid                      A  18.80   3.38NA   3.38    4.80  26.98 26.980090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35695  Art trnsposj carotid subclav                      A  19.56   3.44NA   3.44    4.98  27.98 27.980090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35697  Reimplant artery each                             A   2.93   0.29NA   0.29    0.73   3.95  3.950ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
35700  Reoperation bypass graft                          A   3.00   0.31NA   0.31    0.78   4.09  4.090ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
35701  Expl n/flwd surg neck art                         A   7.31   2.87NA   2.87    1.30  11.48 11.480090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35702  Expl n/flwd surg uxtr art                         A   6.94   2.55NA   2.55    1.65  11.14 11.140090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35703  Expl n/flwd surg lxtr art                         A   7.31   2.30NA   2.30    1.76  11.37 11.370090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35800  Explore neck vessels                              A  11.70   5.76NA   5.76    2.34  19.80 19.800090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35820  Explore chest vessels                             A  35.97  11.22NA  11.22    8.82  56.01 56.010090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35840  Explore abdominal vessels                         A  20.23   8.38NA   8.38    5.02  33.63 33.630090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35860  Explore limb vessels                              A  14.87   4.66NA   4.66    3.69  23.22 23.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35870  Repair vessel graft defect                        A  23.89   4.00NA   4.00    6.11  34.00 34.000090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35875  Removal of clot in graft                          A  10.45   3.03NA   3.03    2.64  16.12 16.120090.09.84.07201101            33.5675 090 99      0.00   0.00   0.00
35876  Removal of clot in graft                          A  17.37   3.94NA   3.94    4.33  25.64 25.640090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35879  Revise graft w/vein                               A  16.97   3.89NA   3.89    4.32  25.18 25.180090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35881  Revise graft w/vein                               A  18.87   4.35NA   4.35    4.76  27.98 27.980090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35883  Revj fem anast nonautog grf                       A  22.57   4.13NA   4.13    5.74  32.44 32.440090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35884  Revj fem anast autog vn grf                       A  24.03   3.57NA   3.57    6.15  33.75 33.750090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
35901  Excision graft neck                               A   8.17   2.89NA   2.89    2.08  13.14 13.140090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35903  Excision graft extremity                          A   9.29   3.85NA   3.85    2.37  15.51 15.510090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35905  Excision graft thorax                             A  32.68   4.67NA   4.67    8.35  45.70 45.700090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
35907  Excision graft abdomen                            A  36.34   6.01NA   6.01    9.24  51.59 51.590090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36002  Pseudoaneurysm injection trt                      A   1.91   2.32     0.54    0.30   4.53  2.750000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36005  Injection ext venography                          A   0.93   6.23     0.16    0.16   7.32  1.250000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
36010  Place catheter in vein                            A   2.13  12.80     0.31    0.41  15.34  2.850XXX.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36011  Place catheter in vein                            A   3.06  19.81     0.49    0.54  23.41  4.090XXX.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36012  Place catheter in vein                            A   3.42  20.16     0.56    0.62  24.20  4.600XXX.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36013  Place catheter in artery                          A   2.46  20.35     0.50    0.40  23.21  3.360XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36014  Place catheter in artery                          A   2.94  19.06     0.49    0.48  22.48  3.910XXX.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36015  Place catheter in artery                          A   3.42  19.87     0.55    0.49  23.78  4.460XXX.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36100  Establish access to artery                        A   2.94  11.81     0.37    0.70  15.45  4.010XXX.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36140  Intro ndl icath upr/lxtr art                      A   1.72  12.87     0.27    0.37  14.96  2.360XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36160  Establish access to aorta                         A   2.46  13.51     0.38    0.36  16.33  3.200XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36200  Place catheter in aorta                           A   2.70  13.64     0.36    0.62  16.96  3.680000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36215  Place catheter in artery                          A   4.07  27.17     0.94    0.62  31.86  5.630000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36216  Place catheter in artery                          A   5.14  26.08     1.02    1.13  32.35  7.290000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36217  Place catheter in artery                          A   6.13  51.50     1.37    1.53  59.16  9.030000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36218  Place catheter in artery                          A   0.98   5.69     0.20    0.21   6.88  1.390ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36221  Place cath thoracic aorta                         A   3.82  23.81     0.61    0.90  28.53  5.330000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
36222  Place cath carotid/inom art                       A   5.15  31.25     1.10    1.31  37.71  7.560000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36223  Place cath carotid/inom art                       A   5.61  50.03     1.58    1.71  57.35  8.900000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36224  Place cath carotd art                             A   6.09  62.32     1.89    1.96  70.37  9.940000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36225  Place cath subclavian art                         A   5.61  46.36     1.51    1.69  53.66  8.810000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36226  Place cath vertebral art                          A   6.09  60.43     1.85    1.92  68.44  9.860000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36227  Place cath xtrnl carotid                          A   2.04   5.50     0.55    0.65   8.19  3.240ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
36228  Place cath intracranial art                       A   4.14  40.57     1.16    1.43  46.14  6.730ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
36245  Ins cath abd/l-ext art 1st                        A   4.53  30.50     0.81    0.86  35.89  6.200XXX.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36246  Ins cath abd/l-ext art 2nd                        A   4.89  17.95     0.69    1.05  23.89  6.630000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36247  Ins cath abd/l-ext art 3rd                        A   5.89  33.72     0.87    0.99  40.60  7.750000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36248  Ins cath abd/l-ext art addl                       A   0.98   2.26     0.14    0.12   3.36  1.240ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36251  Ins cath ren art 1st unilat                       A   4.97  30.79     0.80    0.95  36.71  6.720000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36252  Ins cath ren art 1st bilat                        A   6.57  32.17     1.22    1.48  40.22  9.270000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
36253  Ins cath ren art 2nd+ unilat                      A   7.12  48.81     1.13    0.88  56.81  9.130000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36254  Ins cath ren art 2nd+ bilat                       A   7.70  47.75     1.42    1.73  57.18 10.850000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
36260  Insertion of infusion pump                        A   9.66   6.72NA   6.72    2.58  18.96 18.960090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
36261  Revision of infusion pump                         A   5.49   5.25NA   5.25    1.46  12.20 12.200090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
36262  Removal of infusion pump                          A   4.01   4.38NA   4.38    1.08   9.47  9.470090.09.84.07201001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
36400  Vnpnxr<3yrs phy/qhp fem/jug                       A   0.37   0.43     0.08    0.02   0.82  0.470XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36405  Vnpnxr<3yrs phy/qhp scalp vn                      A   0.30   0.40     0.06    0.02   0.72  0.380XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36406  Vnpnxr<3yrs phy/qhp other vn                      A   0.18   0.36     0.04    0.01   0.55  0.230XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36410  Vnpnxr 3yr/> phy/qhp dx/ther                      A   0.18   0.37     0.04    0.02   0.57  0.240XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36420  Venipuncture cutdown < 1 yr                       A   0.98   0.16NA   0.16    0.24   1.38  1.380XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36425  Venipuncture cutdown 1 yr/>                       A   0.74   0.16NA   0.16    0.09   0.99  0.990XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36430  Transfusion bld/bld compnt                        A   0.00   1.39     1.39NA  0.03   1.42  1.425XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36440  Bld push tfuj 2 yr/<                              A   1.00   0.20NA   0.20    0.06   1.26  1.260XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36450  Bld exchange truj newborn                         A   3.41   0.69NA   0.69    0.21   4.31  4.310XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36455  Bld exchange truj oth thn nb                      A   2.37   0.46NA   0.46    0.59   3.42  3.420XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36456  Prtl exchange transfuse nb                        A   1.95   0.39NA   0.39    0.12   2.46  2.460XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36460  Intrauterine transfusion ftl                      A   6.42   1.36NA   1.36    1.13   8.91  8.910XXX.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
36465  Njx noncmpnd sclrsnt 1 vein                       A   2.29  35.75     0.39    0.48  38.52  3.160000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36466  Njx noncmpnd sclrsnt mlt vn                       A   2.93  36.57     0.47    0.59  40.09  3.990000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36468  Njx sclrsnt spider veins                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36470  Njx sclrsnt 1 incmptnt vein                       A   0.73   2.74     0.13    0.15   3.62  1.010000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36471  Njx sclrsnt mlt incmptnt vn                       A   1.46   4.39     0.25    0.29   6.14  2.000000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36473  Endovenous mchnchem 1st vein                      A   3.41  30.99     0.58    0.75  35.15  4.740000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36474  Endovenous mchnchem add-on                        A   1.71   5.11     0.25    0.38   7.20  2.340ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
36475  Endovenous rf 1st vein                            A   5.17  25.30     1.06    1.15  31.62  7.380000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36476  Endovenous rf vein add-on                         A   2.58   5.20     0.37    0.57   8.35  3.520ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
36478  Endovenous laser 1st vein                         A   5.17  23.09     1.13    1.09  29.35  7.390000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36479  Endovenous laser vein addon                       A   2.58   6.17     0.45    0.54   9.29  3.570ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
36481  Insertion of catheter vein                        A   6.56  41.76     1.11    0.75  49.07  8.420000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36482  Endoven ther chem adhes 1st                       A   3.41  45.46     0.59    0.75  49.62  4.750000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
36483  Endoven ther chem adhes sbsq                      A   1.71   2.12     0.27    0.40   4.23  2.380ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
36500  Insertion of catheter vein                        A   3.42   0.71NA   0.71    0.67   4.80  4.800000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36510  Insertion of catheter vein                        A   1.06   1.45     0.22    0.07   2.58  1.350000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36511  Apheresis wbc                                     A   1.95   0.65NA   0.65    0.13   2.73  2.730000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36512  Apheresis rbc                                     A   1.95   0.50NA   0.50    0.12   2.57  2.570000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36513  Apheresis platelets                               A   1.95   0.53NA   0.53    0.16   2.64  2.640000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36514  Apheresis plasma                                  A   1.76  19.47     0.42    0.16  21.39  2.340000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36516  Apheresis immunoads slctv                         A   1.52  64.83     0.36    0.35  66.70  2.230000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36522  Photopheresis                                     A   1.71  38.95     0.50    0.13  40.79  2.340000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36555  Insert non-tunnel cv cath                         A   1.88   4.35     0.33    0.16   6.39  2.370000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36556  Insert non-tunnel cv cath                         A   1.71   5.18     0.38    0.23   7.12  2.320000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36557  Insert tunneled cv cath                           A   4.77  31.74     3.18    1.28  37.79  9.230010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36558  Insert tunneled cv cath                           A   4.48  18.46     1.84    0.64  23.58  6.960010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36560  Insert tunneled cv cath                           A   5.89  32.76     3.45    1.57  40.22 10.910010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36561  Insert tunneled cv cath                           A   5.65  22.22     2.38    0.95  28.82  8.980010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36563  Insert tunneled cv cath                           A   5.84  27.62     3.00    1.41  34.87 10.250010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36565  Insert tunneled cv cath                           A   5.65  18.89     2.50    1.22  25.76  9.370010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36566  Insert tunneled cv cath                           A   6.13 124.58     2.68    1.19 131.90 10.000010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36568  Insj picc <5 yr w/o imaging                       A   2.06   0.19NA   0.19    0.26   2.51  2.510000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36569  Insj picc 5 yr+ w/o imaging                       A   1.85   0.40NA   0.40    0.33   2.58  2.580000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36570  Insert picvad cath                                A   4.98  41.19     3.23    1.33  47.50  9.540010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36571  Insert picvad cath                                A   4.96  34.12     2.77    1.07  40.15  8.800010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
36572  Insj picc rs&i <5 yr                              A   1.77   8.93     0.21    0.22  10.92  2.200000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36573  Insj picc rs&i 5 yr+                              A   1.66   9.11     0.32    0.18  10.95  2.160000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36575  Repair tunneled cv cath                           A   0.65   3.70     0.17    0.07   4.42  0.890000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36576  Repair tunneled cv cath                           A   2.92   7.12     1.62    0.57  10.61  5.110010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36578  Replace tunneled cv cath                          A   3.21   9.20     1.80    0.65  13.06  5.660010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36580  Replace cvad cath                                 A   1.28   4.32     0.26    0.18   5.78  1.720000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36581  Replace tunneled cv cath                          A   3.15  19.11     1.35    0.43  22.69  4.930010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36582  Replace tunneled cv cath                          A   4.87  19.98     2.06    0.83  25.68  7.760010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36583  Replace tunneled cv cath                          A   4.91  31.54     3.22    1.31  37.76  9.440010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36584  Compl rplcmt picc rs&i                            A   1.17   7.91     0.22    0.13   9.21  1.520000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36585  Replace picvad cath                               A   4.48  39.02     3.11    1.21  44.71  8.800010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36589  Removal tunneled cv cath                          A   2.22   2.41     1.18    0.35   4.98  3.750010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36590  Removal tunneled cv cath                          A   3.02   3.19     1.62    0.53   6.74  5.170010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
36591  Draw blood off venous device                      T   0.00   0.90     0.90NA  0.01   0.91  0.913XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
36592  Collect blood from picc                           T   0.00   1.00     1.00NA  0.01   1.01  1.013XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
36593  Declot vascular device                            A   0.00   1.12     1.12NA  0.02   1.14  1.143XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
36595  Mech remov tunneled cv cath                       A   3.50  13.45     0.80    0.42  17.37  4.720000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36596  Mech remov tunneled cv cath                       A   0.73   2.68     0.39    0.11   3.52  1.230000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36597  Reposition venous catheter                        A   1.18   2.05     0.23    0.15   3.38  1.560000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36598  Inj w/fluor eval cv device                        T   0.72   2.68     0.12    0.07   3.47  0.919000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
36600  Withdrawal of arterial blood                      A   0.31   0.49     0.06    0.02   0.82  0.390XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36620  Insertion catheter artery                         A   0.98   0.16NA   0.16    0.08   1.22  1.220000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36625  Insertion catheter artery                         A   2.06   0.47NA   0.47    0.33   2.86  2.860000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36640  Insertion catheter artery                         A   2.05   0.83NA   0.83    0.14   3.02  3.020000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36660  Insertion catheter artery                         A   1.37   0.28NA   0.28    0.07   1.72  1.720000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36680  Insert needle bone cavity                         A   1.17   0.33NA   0.33    0.23   1.73  1.730000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
36800  Insertion of cannula                              A   2.37   0.58NA   0.58    0.27   3.22  3.220000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36810  Insertion of cannula                              A   3.86   1.11NA   1.11    0.34   5.31  5.310000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36815  Insertion of cannula                              A   2.55   0.50NA   0.50    0.64   3.69  3.690000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36818  Av fuse uppr arm cephalic                         A  12.08   3.69NA   3.69    3.05  18.82 18.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36819  Av fuse uppr arm basilic                          A  12.96   3.60NA   3.60    3.31  19.87 19.870090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36820  Av fusion/forearm vein                            A  12.74   3.89NA   3.89    3.24  19.87 19.870090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
36821  Av fusion direct any site                         A  11.60   3.44NA   3.44    2.95  17.99 17.990090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36823  Insertion of cannula(s)                           A  22.41  11.02NA  11.02    6.00  39.43 39.430090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
36825  Artery-vein autograft                             A  13.82   4.22NA   4.22    3.55  21.59 21.590090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36830  Artery-vein nonautograft                          A  11.73   3.45NA   3.45    3.00  18.18 18.180090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36831  Open thrombect av fistula                         A  10.73   3.46NA   3.46    2.75  16.94 16.940090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36832  Av fistula revision open                          A  13.16   4.13NA   4.13    3.32  20.61 20.610090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36833  Av fistula revision                               A  14.14   4.30NA   4.30    3.61  22.05 22.050090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
36835  Insertion thomas shunt                            A   7.32   5.11NA   5.11    1.84  14.27 14.270090.09.84.07201001            33.5675 090 99      0.00   0.00   0.00
36836  Prq av fstl crtj uxtr 1 acs                       A   7.02 232.45     1.34    1.03 240.50  9.390000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
36837  Prq av fstl crt uxtr sep acs                      A   9.07 261.75     1.52    1.41 272.23 12.000000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
36838  Dist revas ligation hemo                          A  21.15   4.31NA   4.31    5.39  30.85 30.850090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
36860  External cannula declotting                       A   1.96   5.26     0.47    0.51   7.73  2.940000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36861  Cannula declotting                                A   2.46   0.59NA   0.59    0.65   3.70  3.700000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36901  Intro cath dialysis circuit                       A   3.28  16.76     0.62    0.51  20.55  4.410000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36902  Intro cath dialysis circuit                       A   4.71  30.22     0.86    0.72  35.65  6.290000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36903  Intro cath dialysis circuit                       A   6.23 136.52     1.05    1.03 143.78  8.310000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
36904  Thrmbc/nfs dialysis circuit                       A   7.31  43.68     1.16    1.13  52.12  9.600000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
36905  Thrmbc/nfs dialysis circuit                       A   8.78  55.95     1.48    1.29  66.02 11.550000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
36906  Thrmbc/nfs dialysis circuit                       A  10.16 165.43     1.67    1.50 177.09 13.330000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
36907  Balo angiop ctr dialysis seg                      A   2.93  13.94     0.44    0.45  17.32  3.820ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36908  Stent plmt ctr dialysis seg                       A   4.14  36.82     0.61    0.69  41.65  5.440ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
36909  Dialysis circuit embolj                           A   4.02  49.70     0.57    0.67  54.39  5.260ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
37140  Revision of circulation                           A  39.00  14.55NA  14.55   10.45  64.00 64.000090.09.84.07201101            33.5675 090 99      0.00   0.00   0.00
37145  Revision of circulation                           A  36.08  13.70NA  13.70    9.67  59.45 59.450090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
37160  Revision of circulation                           A  37.05  14.07NA  14.07    9.93  61.05 61.050090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37180  Revision of circulation                           A  35.59  13.59NA  13.59    9.54  58.72 58.720090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37181  Splice spleen/kidney veins                        A  39.00  14.55NA  14.55   10.45  64.00 64.000090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37182  Insert hepatic shunt (tips)                       A  16.55   2.59NA   2.59    1.85  20.99 20.990000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
37183  Revision tips                                     A   7.55 153.40     1.24    0.85 161.80  9.640000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
37184  Prim art m-thrmbc 1st vsl                         A   8.20  39.12     1.56    1.51  48.83 11.270000.00.00.00211201            33.5675 090 99      0.00   0.00   0.00
37185  Prim art m-thrmbc sbsq vsl                        A   3.20   9.95     0.44    0.59  13.74  4.230ZZZ.00.00.00021201            33.5675 090 99      0.00   0.00   0.00
37186  Sec art thrombectomy add-on                       A   4.80  28.79     0.66    1.06  34.65  6.520ZZZ.00.00.00021201            33.5675 090 99      0.00   0.00   0.00
37187  Venous mech thrombectomy                          A   7.59  39.01     1.45    1.31  47.91 10.350000.00.00.00211201            33.5675 090 99      0.00   0.00   0.00
37188  Ven mechnl thrmbc repeat tx                       A   5.32  34.86     1.12    1.06  41.24  7.500000.00.00.00011201            33.5675 090 99      0.00   0.00   0.00
37191  Ins endovas vena cava filtr                       A   4.35  51.45     0.73    0.64  56.44  5.720000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37192  Redo endovas vena cava filtr                      A   6.92  27.14     0.64    1.76  35.82  9.320000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37193  Rem endovas vena cava filter                      A   6.92  34.29     1.05    1.07  42.28  9.040000.00.00.00201001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
37197  Remove intrvas foreign body                       A   5.89  37.33     0.97    1.06  44.28  7.920000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
37200  Transcatheter biopsy                              A   4.44   0.62NA   0.62    0.48   5.54  5.540000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37211  Thrombolytic art therapy                          A   7.56   1.07NA   1.07    1.50  10.13 10.130000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37212  Thrombolytic venous therapy                       A   6.64   0.97NA   0.97    1.21   8.82  8.820000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37213  Thromblytic art/ven therapy                       A   4.63   0.58NA   0.58    0.85   6.06  6.060000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37214  Cessj therapy cath removal                        A   2.43   0.31NA   0.31    0.47   3.21  3.210000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37215  Transcath stent cca w/eps                         R  17.31   4.70NA   4.70    4.62  26.63 26.630090.09.84.07210001            33.5675 090 99      0.00   0.00   0.00
37217  Stent placemt retro carotid                       A  19.87   4.43NA   4.43    5.02  29.32 29.320090.09.84.07210001            33.5675 090 99      0.00   0.00   0.00
37218  Stent placemt ante carotid                        A  14.38   4.25NA   4.25    3.58  22.21 22.210090.09.84.07210001            33.5675 090 99      0.00   0.00   0.00
37236  Open/perq place stent 1st                         A   8.53  67.32     1.18    1.97  77.82 11.680000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
37237  Open/perq place stent ea add                      A   4.14  31.27     0.48    1.00  36.41  5.620ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
37238  Open/perq place stent same                        A   5.89  90.91     0.98    1.24  98.04  8.110000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
37239  Open/perq place stent ea add                      A   2.90  46.20     0.45    0.59  49.69  3.940ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
37241  Vasc embolize/occlude venous                      A   8.53 121.73     1.31    1.27 131.53 11.110000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37242  Vasc embolize/occlude artery                      A   9.56 188.81     1.34    1.48 199.85 12.380000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
37243  Vasc embolize/occlude organ                       A  11.45 226.62     1.69    1.30 239.37 14.440000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37244  Vasc embolize/occlude bleed                       A  13.41 167.90     2.01    1.53 182.84 16.950000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
37246  Trluml balo angiop 1st art                        A   6.83  44.12     1.06    1.34  52.29  9.230000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
37247  Trluml balo angiop addl art                       A   3.41  13.91     0.52    0.62  17.94  4.550ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
37248  Trluml balo angiop 1st vein                       A   5.85  32.30     1.01    0.93  39.08  7.790000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
37249  Trluml balo angiop addl vein                      A   2.90   9.36     0.40    0.54  12.80  3.840ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
37252  Intrvasc us noncoronary 1st                       A   1.76  24.68     0.24    0.37  26.81  2.370ZZZ.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
37253  Intrvasc us noncoronary addl                      A   1.40   3.40     0.19    0.28   5.08  1.870ZZZ.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
37254  Revsc evasc ivt angio sf 1st                      A   7.30  53.04     1.04    1.71  62.05 10.050000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37255  Revsc evasc ivt angio sf ea                       A   3.00  11.56     0.36    0.71  15.27  4.070ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37256  Revsc evasc ivt angio cplx 1                      A  10.75  59.50     1.47    2.51  72.76 14.730000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37257  Revsc evsc ivt angio cplx ea                      A   3.89  12.54     0.46    0.92  17.35  5.270ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37258  Revsc evasc ivt stent sf 1st                      A   8.75  95.81     1.17    2.09 106.65 12.010000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37259  Revsc evasc ivt stent sf ea                       A   4.00  31.12     0.45    0.98  36.10  5.430ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37260  Revsc evasc ivt st cplx 1st                       A  12.69 236.79     1.65    3.02 252.50 17.360000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37261  Revsc evasc ivt st cplx ea                        A   4.25  95.35     0.48    1.04 100.64  5.770ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37262  Iv lithotrp ivt w/in sm art                       A   3.00  98.47     0.47    0.60 102.07  4.070ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37263  Revsc evasc fpvt angio sf 1                       A   7.75 152.98     1.08    1.83 162.56 10.660000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37264  Revsc evasc fpvt angio sf ea                      A   3.00  61.67     0.38    0.70  65.37  4.080ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37265  Revsc evsc fpvt angio cplx 1                      A  10.50 191.45     1.44    2.48 204.43 14.420000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37266  Rvsc evsc fpvt angio cplx ea                      A   4.00  68.15     0.50    0.93  73.08  5.430ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37267  Revsc evsc fpvt stent sf 1st                      A   8.75 145.10     1.18    2.09 155.94 12.020000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37268  Revsc evasc fpvt stent sf ea                      A   3.73  95.98     0.46    0.89 100.60  5.080ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37269  Revsc evasc fpvt st cplx 1st                      A  14.75 327.62     1.92    3.53 345.90 20.200000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37270  Revsc evasc fpvt st cplx ea                       A   5.00  98.46     0.62    1.20 104.66  6.820ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37271  Revsc evsc fpvt athrc sf 1st                      A   9.00 305.24     1.32    2.00 316.24 12.320000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37272  Revsc evsc fpvt athrc sf ea                       A   4.00  65.08     0.54    0.89  69.97  5.430ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37273  Revsc evsc fpvt athrc cplx 1                      A  12.63 380.61     1.81    2.81 396.05 17.250000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37274  Rvsc evsc fpvt athrc cplx ea                      A   5.50  67.72     0.75    1.23  74.45  7.480ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37275  Rvsc evsc fpvt st athrc sf 1                      A  11.00 294.14     1.50    2.51 307.65 15.010000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37276  Rvsc evsc fpvt st athr sf ea                      A   4.25  98.32     0.54    0.98 103.55  5.770ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37277  Rvsc evsc fpvt st athr cpx 1                      A  15.00 443.28     2.00    3.41 461.69 20.410000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37278  Rvsc evsc fpvt st ath cpx ea                      A   6.00 108.64     0.76    1.35 115.99  8.110ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37279  Iv lithotrp fpvt w/in sm art                      A   4.00 133.99     0.63    0.81 138.80  5.440ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37280  Revsc evsc tpvt angio sf 1st                      A   9.80  68.64     1.29    2.31  80.75 13.400000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37281  Revsc evsc tpvt angio sf ea                       A   3.00  18.38     0.37    0.66  22.04  4.030ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37282  Rvsc evsc tpvt angio cplx 1                       A  12.31 167.37     1.60    2.90 182.58 16.810000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37283  Rvsc evsc tpvt angio cplx ea                      A   4.26  20.63     0.53    0.95  25.84  5.740ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37284  Revsc evasc tpvt st sf 1st                        A  10.00 156.29     1.52    2.30 168.59 13.820000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37285  Revsc evasc tpvt st sf ea                         A   3.34  79.40     0.49    0.73  83.47  4.560ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37286  Revsc evasc tpvt st cplx 1st                      A  13.46 293.82     2.00    3.07 310.35 18.530000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37287  Revsc evasc tpvt st cplx ea                       A   5.00 141.79     0.74    1.12 147.91  6.860ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37288  Revsc evsc tpvt athrc sf 1st                      A  13.50 217.06     1.91    2.84 233.40 18.250000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37289  Revsc evsc tpvt athrc sf ea                       A   4.75  21.83     0.67    1.01  27.59  6.430ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37290  Revsc evsc tpvt athrc cplx 1                      A  17.00 298.16     2.38    3.58 318.74 22.960000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37291  Revsc evsc tpvt athr cplx ea                      A   6.50  24.35     0.92    1.35  32.20  8.770ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37292  Rvsc evsc tpvt st athrc sf 1                      A  15.00 288.29     2.29    3.04 306.33 20.330000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37293  Rvsc evsc tpvt st athr sf ea                      A   6.50  97.22     1.10    1.34 105.06  8.940ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37294  Rvsc evsc tpvt st athr cpx 1                      A  18.00 433.39     2.72    3.65 455.04 24.370000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37295  Rvsc evsc tpvt st ath cpx ea                      A   8.16 169.81     1.39    1.72 179.69 11.270ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37296  Revsc evasc imvt angio sf 1                       A  11.00  77.24     1.44    2.57  90.81 15.010000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37297  Revsc evasc imvt angio sf ea                      A   4.00  19.92     0.50    0.88  24.80  5.380ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
37298  Revsc evsc imvt angio cplx 1                      A  13.70  85.36     1.77    3.05 102.11 18.520000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
37299  Revsc evsc imvt angio cpx ea                      A   5.00  20.83     0.63    1.07  26.90  6.700ZZZ.00.00.00010001            33.5675 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.00.00.00211111            33.5675 090 99      0.00   0.00   0.00
37565  Ligation int jugular vein                         A  11.75   5.27NA   5.27    2.48  19.50 19.500090.09.84.07210101            33.5675 090 99      0.00   0.00   0.00
37600  Ligation xtrnl carotid art                        A  12.11   5.59NA   5.59    2.13  19.83 19.830090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37605  Ligation int/com carotid art                      A  13.92   2.74NA   2.74    3.56  20.22 20.220090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37606  Lig int/com carotid art occl                      A   8.59  10.54NA  10.54    3.61  22.74 22.740090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
37607  Lig/banding angioacs av fstl                      A   6.09   2.79NA   2.79    1.48  10.36 10.360090.09.84.07201101            33.5675 090 99      0.00   0.00   0.00
37609  Ligation/bx temporal artery                       A   2.97   5.83     2.01    0.65   9.45  5.630010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
37615  Ligation major artery neck                        A   7.61   4.81NA   4.81    1.43  13.85 13.850090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37616  Ligation major artery chest                       A  18.50   9.00NA   9.00    4.56  32.06 32.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37617  Ligation major artery abd                         A  23.20   7.37NA   7.37    5.49  36.06 36.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37618  Ligation major artery xtr                         A   5.88   3.76NA   3.76    1.42  11.06 11.060090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37619  Ligation of inf vena cava                         A  29.25  10.30NA  10.30    7.84  47.39 47.390090.09.84.07202001            33.5675 090 99      0.00   0.00   0.00
37650  Ligation of femoral vein                          A   8.28   2.29NA   2.29    2.11  12.68 12.680090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
37660  Ligation common iliac vein                        A  21.72   9.02NA   9.02    5.81  36.55 36.550090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
37700  Ligation&div long saph vein                       A   3.72   2.15NA   2.15    0.95   6.82  6.820090.09.84.07211001            33.5675 090 99      0.00   0.00   0.00
37718  Lig div&strpg short saph vn                       A   6.95   2.15NA   2.15    1.76  10.86 10.860090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
37722  Lig div&strpg long saph vein                      A   7.96   2.70NA   2.70    2.04  12.70 12.700090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
37735  Lig&div&compl strpg saph vn                       A  10.63   2.67NA   2.67    2.71  16.01 16.010090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
37760  Lig prfratr vn radical 1 leg                      A  10.51   2.66NA   2.66    2.68  15.85 15.850090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
37761  Ligate leg veins open                             A   8.90   3.48NA   3.48    2.22  14.60 14.600090.09.84.07212101            33.5675 090 99      0.00   0.00   0.00
37765  Stab phleb veins xtr 10-20                        A   4.68   6.63     1.58    1.09  12.40  7.350010.10.80.10211101            33.5675 090 99      0.00   0.00   0.00
37766  Phleb veins - extrem 20+                          A   5.85   7.53     1.81    1.37  14.75  9.030010.10.80.10211101            33.5675 090 99      0.00   0.00   0.00
37780  Revision of leg vein                              A   3.83   1.79NA   1.79    0.99   6.61  6.610090.09.84.07211101            33.5675 090 99      0.00   0.00   0.00
37785  Ligate/divide/excise vein                         A   3.83   5.33     2.22    0.96  10.12  7.010090.09.84.07211001            33.5675 090 99      0.00   0.00   0.00
37788  Revascularization penis                           A  22.75   8.03NA   8.03    2.93  33.71 33.710090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
37790  Penile venous occlusion                           A   8.22   3.95NA   3.95    1.07  13.24 13.240090.08.83.09200001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
38100  Removal of spleen total                           A  19.06   8.29NA   8.29    4.80  32.15 32.150090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38101  Removal of spleen partial                         A  19.06   8.39NA   8.39    5.08  32.53 32.530090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38102  Removal of spleen total                           A   4.67   1.27NA   1.27    1.13   7.07  7.070ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
38115  Repair of ruptured spleen                         A  21.33   8.95NA   8.95    5.70  35.98 35.980090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38120  Laparoscopy splenectomy                           A  16.64   9.02NA   9.02    4.24  29.90 29.900090.09.84.07202101            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
38200  Injection for spleen x-ray                        A   2.57   0.46NA   0.46    0.24   3.27  3.270000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38205  Harvest allogeneic stem cell                      R   1.46   0.52NA   0.52    0.08   2.06  2.060000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38206  Harvest auto stem cells                           R   1.46   0.47NA   0.47    0.09   2.02  2.020000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38220  Dx bone marrow aspirations                        A   1.17   3.76     0.40    0.09   5.02  1.660XXX.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
38221  Dx bone marrow biopsies                           A   1.25   3.64     0.37    0.11   5.00  1.730XXX.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
38222  Dx bone marrow bx & aspir                         A   1.40   3.77     0.34    0.13   5.30  1.870XXX.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
38228  Car-t admn autologous                             A   3.00   6.35     1.29    0.20   9.55  4.490XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
38230  Bone marrow harvest allogen                       A   3.41   1.08NA   1.08    0.72   5.21  5.210000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38232  Bone marrow harvest autolog                       A   3.41   0.87NA   0.87    0.45   4.73  4.730000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38240  Transplt allo hct/donor                           R   3.90   1.89NA   1.89    0.25   6.04  6.040XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38241  Transplt autol hct/donor                          R   2.93   1.33NA   1.33    0.20   4.46  4.460XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38242  Transplt allo lymphocytes                         A   2.06   0.97NA   0.97    0.14   3.17  3.170000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38243  Transplj hematopoietic boost                      A   2.08   0.82NA   0.82    0.14   3.04  3.040000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
38300  Drainage lymph node lesion                        A   2.30   8.42     3.56    0.61  11.33  6.470010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
38305  Drainage lymph node lesion                        A   6.51   6.46NA   6.46    1.74  14.71 14.710090.11.73.16201001            33.5675 090 99      0.00   0.00   0.00
38308  Incision of lymph channels                        A   6.64   5.25NA   5.25    1.51  13.40 13.400090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38380  Thoracic duct procedure                           A   8.25   5.94NA   5.94    1.33  15.52 15.520090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38381  Thoracic duct procedure                           A  13.05   6.84NA   6.84    3.21  23.10 23.100090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38382  Thoracic duct procedure                           A  10.38   7.16NA   7.16    2.61  20.15 20.150090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38500  Biopsy/removal lymph nodes                        A   3.70   6.46     2.75    0.90  11.06  7.350010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
38505  Needle biopsy lymph nodes                         A   1.55   3.38     0.52    0.17   5.10  2.240000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
38510  Biopsy/removal lymph nodes                        A   6.57   8.66     3.48    1.27  16.50 11.320010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
38520  Biopsy/removal lymph nodes                        A   6.85   4.86NA   4.86    1.49  13.20 13.200090.11.73.16211001            33.5675 090 99      0.00   0.00   0.00
38525  Biopsy/removal lymph nodes                        A   6.27   5.01NA   5.01    1.61  12.89 12.890090.11.73.16211001            33.5675 090 99      0.00   0.00   0.00
38530  Biopsy/removal lymph nodes                        A   8.13   6.04NA   6.04    1.72  15.89 15.890090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38531  Open bx/exc inguinofem nodes                      A   6.57   4.75NA   4.75    1.63  12.95 12.950090.11.73.16210001            33.5675 090 99      0.00   0.00   0.00
38542  Explore deep node(s) neck                         A   7.75   4.98NA   4.98    1.33  14.06 14.060090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38550  Removal neck/armpit lesion                        A   6.93   6.72NA   6.72    1.85  15.50 15.500090.11.73.16200001            33.5675 090 99      0.00   0.00   0.00
38555  Removal neck/armpit lesion                        A  15.20  10.18NA  10.18    4.06  29.44 29.440090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38562  Removal pelvic lymph nodes                        A  10.78   7.02NA   7.02    2.25  20.05 20.050090.11.73.16222101            33.5675 090 99      0.00   0.00   0.00
38564  Removal abdomen lymph nodes                       A  11.10   6.26NA   6.26    2.47  19.83 19.830090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38570  Laparoscopy lymph node biop                       A   8.28   4.38NA   4.38    1.73  14.39 14.390010.10.80.10302201      49320 33.5675 090 99      0.00   0.00   0.00
38571  Laparoscopy lymphadenectomy                       A  11.70   4.49NA   4.49    1.67  17.86 17.860010.10.80.10322201      49320 33.5675 090 99      0.00   0.00   0.00
38572  Laparoscopy lymphadenectomy                       A  15.21   6.59NA   6.59    2.92  24.72 24.720010.10.80.10322201      49320 33.5675 090 99      0.00   0.00   0.00
38573  Laps pelvic lymphadec                             A  19.50   8.64NA   8.64    4.22  32.36 32.360010.10.80.10322201      49320 33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
38700  Removal of lymph nodes neck                       A  12.49   6.84NA   6.84    1.93  21.26 21.260090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38720  Removal of lymph nodes neck                       A  21.40  10.57NA  10.57    3.81  35.78 35.780090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38724  Removal of lymph nodes neck                       A  23.35  10.76NA  10.76    3.69  37.80 37.800090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38740  Remove armpit lymph nodes                         A  10.43   7.06NA   7.06    2.68  20.17 20.170090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38745  Remove armpit lymph nodes                         A  13.52   8.22NA   8.22    3.41  25.15 25.150090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38746  Remove thoracic lymph nodes                       A   4.02   0.81NA   0.81    1.02   5.85  5.850ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
38747  Remove abdominal lymph nodes                      A   4.76   1.22NA   1.22    1.19   7.17  7.170ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
38760  Remove groin lymph nodes                          A  13.28   7.16NA   7.16    2.93  23.37 23.370090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38765  Remove groin lymph nodes                          A  21.36  10.50NA  10.50    4.83  36.69 36.690090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38770  Remove pelvis lymph nodes                         A  13.71   6.11NA   6.11    2.31  22.13 22.130090.11.73.16212101            33.5675 090 99      0.00   0.00   0.00
38780  Remove abdomen lymph nodes                        A  17.26   8.48NA   8.48    3.57  29.31 29.310090.11.73.16202101            33.5675 090 99      0.00   0.00   0.00
38790  Inject for lymphatic x-ray                        A   1.26   0.81NA   0.81    0.20   2.27  2.270000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
38792  Ra tracer id of sentinl node                      A   0.63   1.76     0.12    0.07   2.46  0.820000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
38794  Access thoracic lymph duct                        A   4.50   2.71NA   2.71    0.53   7.74  7.740090.11.73.16200001            33.5675 090 99      0.00   0.00   0.00
38900  Io map of sent lymph node                         A   2.44   1.31     0.65    0.59   4.34  3.680ZZZ.00.00.00012101            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
39000  Exploration of chest                              A   7.38   5.66NA   5.66    1.69  14.73 14.730090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39010  Exploration of chest                              A  12.86   6.82NA   6.82    3.14  22.82 22.820090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39200  Resect mediastinal cyst                           A  14.71   6.49NA   6.49    3.70  24.90 24.900090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39220  Resect mediastinal tumor                          A  19.06   8.47NA   8.47    4.44  31.97 31.970090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39401  Mediastinoscpy w/medstnl bx                       A   5.30   2.14NA   2.14    1.32   8.76  8.760000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
39402  Mediastinoscpy w/lmph nod bx                      A   7.07   2.48NA   2.48    1.76  11.31 11.310000.00.00.00201001            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
39501  Repair diaphragm laceration                       A  13.63   7.31NA   7.31    3.31  24.25 24.250090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39503  Repair of diaphragm hernia                        A 106.19  27.29NA  27.29   26.77 160.25160.250090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39540  Repair of diaphragm hernia                        A  14.21   6.68NA   6.68    3.61  24.50 24.500090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39541  Repair of diaphragm hernia                        A  15.36   7.25NA   7.25    3.98  26.59 26.590090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39545  Revision of diaphragm                             A  14.30   8.24NA   8.24    3.59  26.13 26.130090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39560  Resect diaphragm simple                           A  12.73   6.96NA   6.96    3.03  22.72 22.720090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
39561  Resect diaphragm complex                          A  19.49  12.01NA  12.01    4.96  36.46 36.460090.09.84.07202101            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
40490  Biopsy of lip                                     A   1.19   2.29     0.37    0.12   3.60  1.680000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
40500  Partial excision of lip                           A   4.36  10.87     5.04    0.57  15.80  9.970090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40510  Partial excision of lip                           A   4.70   9.53     4.11    0.69  14.92  9.500090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40520  Partial excision of lip                           A   4.67  10.16     4.40    0.72  15.55  9.790090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40525  Reconstruct lip with flap                         A   7.53   6.18NA   6.18    1.20  14.91 14.910090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40527  Reconstruct lip with flap                         A   9.09   6.16NA   6.16    1.32  16.57 16.570090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
40530  Partial removal of lip                            A   5.40  10.68     4.73    0.86  16.94 10.990090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40650  Rpr lip fth vermilion only                        A   3.69  12.66     5.96    0.82  17.17 10.470090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
40652  Rpr lip fth<half ver height                       A   4.32  12.01     5.70    0.82  17.15 10.840090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
40654  Rpr lip fth>1half ver ht/cpx                      A   5.34  12.26     5.63    0.86  18.46 11.830090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40700  Repair cleft lip/nasal                            A  13.82  10.90NA  10.90    2.57  27.29 27.290090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
40701  Repair cleft lip/nasal                            A  16.80  11.98NA  11.98    3.11  31.89 31.890090.09.81.10222001            33.5675 090 99      0.00   0.00   0.00
40702  Repair cleft lip/nasal                            A  13.91  10.44NA  10.44    2.58  26.93 26.930090.09.81.10222001            33.5675 090 99      0.00   0.00   0.00
40720  Repair cleft lip/nasal                            A  14.35  10.60NA  10.60    2.67  27.62 27.620090.09.81.10210001            33.5675 090 99      0.00   0.00   0.00
40761  Repair cleft lip/nasal                            A  15.44  10.51NA  10.51    2.87  28.82 28.820090.09.81.10201001            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
40800  Drainage of mouth lesion                          A   1.20   4.92     2.11    0.16   6.28  3.470010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
40801  Drainage of mouth lesion                          A   2.56   6.30     2.77    0.34   9.20  5.670010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
40804  Removal foreign body mouth                        A   1.27   4.80     2.00    0.19   6.26  3.460010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
40805  Removal foreign body mouth                        A   2.72   5.71     2.49    0.30   8.73  5.510010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
40806  Incision of lip fold                              A   0.30   2.67     0.50    0.06   3.03  0.860000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
40808  Biopsy of mouth lesion                            A   1.02   3.87     1.31    0.14   5.03  2.470010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
40810  Excision of mouth lesion                          A   1.33   4.96     1.93    0.18   6.47  3.440010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
40812  Excise/repair mouth lesion                        A   2.31   5.82     2.44    0.29   8.42  5.040010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
40814  Excise/repair mouth lesion                        A   3.43   7.57     4.05    0.44  11.44  7.920090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40816  Excision of mouth lesion                          A   3.68   8.06     4.21    0.49  12.23  8.380090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
40818  Excise oral mucosa for graft                      A   2.76   7.80     4.27    0.35  10.91  7.380090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
40819  Excise lip or cheek fold                          A   2.45   5.57     2.93    0.27   8.29  5.650090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
40820  Treatment of mouth lesion                         A   1.31   6.09     3.13    0.15   7.55  4.590010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
40830  Repair mouth laceration                           A   1.77   4.94     2.15    0.23   6.94  4.150010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
40831  Repair mouth laceration                           A   2.51   6.51     2.94    0.34   9.36  5.790010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
40840  Reconstruction of mouth                           R   8.92  16.17     6.58    1.36  26.45 16.860090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
40842  Reconstruction of mouth                           R   8.92  14.84     6.05    1.33  25.09 16.300090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
40843  Reconstruction of mouth                           R  12.47  23.96     8.52    2.32  38.75 23.310090.09.81.10222001            33.5675 090 99      0.00   0.00   0.00
40844  Reconstruction of mouth                           R  16.38  29.14    12.31    3.04  48.56 31.730090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
40845  Reconstruction of mouth                           R  18.88  22.59     9.78    2.75  44.22 31.410090.09.81.10200001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
41000  Drainage of mouth lesion                          A   1.32   3.27     1.58    0.18   4.77  3.080010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41005  Drainage of mouth lesion                          A   1.28   5.48     1.91    0.16   6.92  3.350010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41006  Drainage of mouth lesion                          A   3.26   6.81     2.81    0.38  10.45  6.450090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41007  Drainage of mouth lesion                          A   3.12   6.60     2.70    0.36  10.08  6.180090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41008  Drainage of mouth lesion                          A   3.37   8.55     3.47    0.49  12.41  7.330090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41009  Drainage of mouth lesion                          A   3.62   8.86     3.81    0.48  12.96  7.910090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41010  Incision of tongue fold                           A   1.08   5.07     1.83    0.16   6.31  3.070010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41015  Drainage of mouth lesion                          A   3.98   7.86     3.95    0.45  12.29  8.380090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41016  Drainage of mouth lesion                          A   4.09   9.83     5.09    0.56  14.48  9.740090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41017  Drainage of mouth lesion                          A   4.09   9.70     4.98    0.55  14.34  9.620090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41018  Drainage of mouth lesion                          A   5.09  10.62     5.42    0.71  16.42 11.220090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41019  Place needles h&n for rt                          A   8.62   2.85NA   2.85    0.68  12.15 12.150000.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
41100  Biopsy of tongue                                  A   1.38   4.06     1.35    0.19   5.63  2.920010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41105  Biopsy of tongue                                  A   1.43   4.04     1.38    0.20   5.67  3.010010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41108  Biopsy of floor of mouth                          A   1.07   3.87     1.30    0.15   5.09  2.520010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41110  Excision of tongue lesion                         A   1.52   5.06     1.83    0.21   6.79  3.560010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41112  Excision of tongue lesion                         A   2.76   7.11     3.62    0.38  10.25  6.760090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
41113  Excision of tongue lesion                         A   3.21   7.38     3.69    0.43  11.02  7.330090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
41114  Excision of tongue lesion                         A   8.60   6.56NA   6.56    1.26  16.42 16.420090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41115  Excision of tongue fold                           A   1.75   5.66     1.99    0.25   7.66  3.990010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41116  Excision of mouth lesion                          A   2.46   7.22     3.21    0.36  10.04  6.030090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
41120  Partial removal of tongue                         A  10.86  16.80NA  16.80    1.61  29.27 29.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41130  Partial removal of tongue                         A  15.35  17.84NA  17.84    2.28  35.47 35.470090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41135  Tongue and neck surgery                           A  29.39  23.64NA  23.64    4.36  57.39 57.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41140  Removal of tongue                                 A  28.42  25.14NA  25.14    4.14  57.70 57.700090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41145  Tongue removal neck surgery                       A  36.98  29.96NA  29.96    5.40  72.34 72.340090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41150  Tongue mouth jaw surgery                          A  29.11  24.73NA  24.73    4.31  58.15 58.150090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41153  Tongue mouth neck surgery                         A  32.75  25.33NA  25.33    4.84  62.92 62.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41155  Tongue jaw & neck surgery                         A  43.19  28.61NA  28.61    6.44  78.24 78.240090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
41250  Repair tongue laceration                          A   1.91   7.75     2.66    0.42  10.08  4.990010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41251  Repair tongue laceration                          A   2.26  10.00     3.98    0.55  12.81  6.790010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41252  Repair tongue laceration                          A   2.94   6.87     2.41    0.50  10.31  5.850010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41510  Tongue to lip surgery                             A   3.42   9.00NA   9.00    0.48  12.90 12.900090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41512  Tongue suspension                                 A   6.69  10.85NA  10.85    0.99  18.53 18.530090.10.76.14200001            33.5675 090 99      0.00   0.00   0.00
41520  Reconstruction tongue fold                        A   2.76   7.65     3.74    0.40  10.81  6.900090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41530  Tongue base vol reduction                         A   3.41  23.64     6.94    0.48  27.53 10.830000.00.00.00200001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
41800  Drainage of gum lesion                            A   1.24   9.98     4.16    0.26  11.48  5.660010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41805  Removal foreign body gum                          A   1.31   8.05     4.24    0.19   9.55  5.740010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41806  Removal foreign body jawbone                      A   2.72   9.64     4.74    0.40  12.76  7.860010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41820  Excision gum each quadrant                        R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
41821  Excision of gum flap                              R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
41822  Excision of gum lesion                            R   2.35   8.66     2.86    0.43  11.44  5.640010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41823  Excision of gum lesion                            R   3.68  12.84     6.32    0.68  17.20 10.680090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41825  Excision of gum lesion                            A   1.37   4.90     1.77    0.18   6.45  3.320010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41826  Excision of gum lesion                            A   2.35   6.35     2.72    0.29   8.99  5.360010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
41827  Excision of gum lesion                            A   3.73   8.77     3.71    0.47  12.97  7.910090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
41828  Excision of gum lesion                            R   3.06   7.74     2.38    0.56  11.36  6.000010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41830  Removal of gum tissue                             R   3.36  11.12     4.85    0.62  15.10  8.830010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
41850  Treatment of gum lesion                           R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
41870  Periodontal mucosal grafting                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
41872  Gingivoplasty each quadrant                       R   2.93  11.90     5.48    0.54  15.37  8.950090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
41874  Alveoloplasty each quadrant                       R   3.11   8.17     3.23    0.41  11.69  6.750090.09.81.10200001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
42000  Drainage mouth roof lesion                        A   1.25   3.36     1.54    0.18   4.79  2.970010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42100  Biopsy roof of mouth                              A   1.33   2.98     1.53    0.18   4.49  3.040010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42104  Excision lesion mouth roof                        A   1.65   4.67     1.80    0.22   6.54  3.670010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42106  Excision lesion mouth roof                        A   2.10   5.46     2.12    0.27   7.83  4.490010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42107  Excision lesion mouth roof                        A   4.45   9.05     4.08    0.59  14.09  9.120090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42120  Remove palate/lesion                              A  11.56  14.06NA  14.06    1.69  27.31 27.310090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42140  Excision of uvula                                 A   1.66   7.24     2.66    0.23   9.13  4.550090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42145  Repair palate pharynx/uvula                       A   9.54   7.29NA   7.29    1.39  18.22 18.220090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42160  Treatment mouth roof lesion                       A   1.80   4.94     1.84    0.22   6.96  3.860010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42180  Repair lac palate<2 cm                            A   2.49   4.78     2.20    0.36   7.63  5.050010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42182  Repair palate                                     A   3.77   5.54     2.51    0.54   9.85  6.820010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42200  Reconstruct cleft palate                          A  12.22  10.74NA  10.74    2.27  25.23 25.230090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42205  Reconstruct cleft palate                          A  13.32  10.19NA  10.19    2.48  25.99 25.990090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42210  Reconstruct cleft palate                          A  14.65  11.68NA  11.68    2.72  29.05 29.050090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42215  Reconstruct cleft palate                          A   8.77   9.03NA   9.03    1.63  19.43 19.430090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42220  Reconstruct cleft palate                          A   6.98   7.87NA   7.87    1.30  16.15 16.150090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42225  Reconstruct cleft palate                          A   9.53  17.73NA  17.73    1.76  29.02 29.020090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42226  Lengthening of palate                             A  10.09  13.43NA  13.43    1.47  24.99 24.990090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42227  Lengthening of palate                             A   9.65  12.15NA  12.15    1.40  23.20 23.200090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42235  Repair palate                                     A   7.81  11.70NA  11.70    1.14  20.65 20.650090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42260  Repair nose to lip fistula                        A   9.96  14.12     6.17    1.45  25.53 17.580090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42280  Preparation palate mold                           A   1.55   3.77     1.17    0.22   5.54  2.940010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42281  Insertion palate prosthesis                       A   1.93   5.03     2.40    0.27   7.23  4.600010.10.80.10200001            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
42300  Drainage of salivary gland                        A   1.93   4.23     2.05    0.26   6.42  4.240010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42305  Drainage of salivary gland                        A   6.15   4.47NA   4.47    0.90  11.52 11.520090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42310  Drainage of salivary gland                        A   1.57   3.69     2.04    0.22   5.48  3.830010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42320  Drainage of salivary gland                        A   2.34   5.14     2.16    0.35   7.83  4.850010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42330  Removal of salivary stone                         A   2.20   4.59     1.97    0.33   7.12  4.500010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42335  Removal of salivary stone                         A   3.32   9.03     3.37    0.48  12.83  7.170090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42340  Removal of salivary stone                         A   4.60  10.48     3.99    0.66  15.74  9.250090.09.81.10210001            33.5675 090 99      0.00   0.00   0.00
42400  Biopsy of salivary gland                          A   0.76   1.99     0.59    0.08   2.83  1.430000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
42405  Biopsy of salivary gland                          A   3.26   5.47     2.33    0.46   9.19  6.050010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42408  Excision of salivary cyst                         A   4.54  11.88     4.52    0.65  17.07  9.710090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42409  Drainage of salivary cyst                         A   2.84   8.33     3.04    0.42  11.59  6.300090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42410  Excise parotid gland/lesion                       A   9.33   5.90NA   5.90    1.45  16.68 16.680090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
42415  Excise parotid gland/lesion                       A  16.73   8.31NA   8.31    2.51  27.55 27.550090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
42420  Excise parotid gland/lesion                       A  19.04   8.84NA   8.84    2.83  30.71 30.710090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
42425  Excise parotid gland/lesion                       A  13.08   6.85NA   6.85    1.94  21.87 21.870090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
42426  Excise parotid gland/lesion                       A  22.09   9.34NA   9.34    3.48  34.91 34.910090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
42440  Excise submaxillary gland                         A   5.99   4.21NA   4.21    0.89  11.09 11.090090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
42450  Excise sublingual gland                           A   4.62   8.85     4.58    0.66  14.13  9.860090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42500  Repair salivary duct                              A   4.31   8.51     4.45    0.62  13.44  9.380090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42505  Repair salivary duct                              A   6.16  10.13     5.22    0.90  17.19 12.280090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42507  Parotid duct diversion                            A   6.09   6.24NA   6.24    0.89  13.22 13.220090.09.81.10222001            33.5675 090 99      0.00   0.00   0.00
42509  Parotid duct diversion                            A  11.47   8.38NA   8.38    1.67  21.52 21.520090.09.81.10220001            33.5675 090 99      0.00   0.00   0.00
42510  Parotid duct diversion                            A   8.14   6.75NA   6.75    1.20  16.09 16.090090.09.81.10222101            33.5675 090 99      0.00   0.00   0.00
42550  Injection for salivary x-ray                      A   1.22   3.06     0.22    0.12   4.40  1.560000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
42600  Closure of salivary fistula                       A   4.82  10.63     4.04    0.70  16.15  9.560090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42650  Dilation of salivary duct                         A   0.75   1.44     0.74    0.11   2.30  1.600000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
42660  Dilation of salivary duct                         A   1.10   1.80     0.84    0.16   3.06  2.100000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
42665  Ligation of salivary duct                         A   2.56   8.09     2.97    0.38  11.03  5.910090.09.81.10200001            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
42700  I&d abscess peritonsillar                         A   1.63   4.07     1.95    0.26   5.96  3.840010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42720  I&d absc phrngl ntraorl appr                      A   6.15   6.31     2.94    0.91  13.37 10.000010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42725  I&d absc phrngl xtrnl appr                        A  12.10   7.18NA   7.18    1.92  21.20 21.200090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42800  Biopsy of throat                                  A   1.40   3.17     1.57    0.21   4.78  3.180010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42804  Biopsy of upper nose/throat                       A   1.26   5.01     1.94    0.18   6.45  3.380010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42806  Biopsy of upper nose/throat                       A   1.59   5.39     2.04    0.22   7.20  3.850010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42808  Excise pharynx lesion                             A   2.29   4.38     1.80    0.35   7.02  4.440010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42809  Remove pharynx foreign body                       A   1.81   4.33     1.41    0.28   6.42  3.500010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
42810  Excision of neck cyst                             A   3.30   7.79     3.95    0.47  11.56  7.720090.09.81.10212001            33.5675 090 99      0.00   0.00   0.00
42815  Excision of neck cyst                             A   7.13   6.14NA   6.14    1.05  14.32 14.320090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
42820  Remove tonsils and adenoids                       A   4.11   3.11NA   3.11    0.59   7.81  7.810090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42821  Remove tonsils and adenoids                       A   4.25   3.29NA   3.29    0.61   8.15  8.150090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42825  Removal of tonsils                                A   3.42   3.39NA   3.39    0.48   7.29  7.290090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42826  Removal of tonsils                                A   3.36   3.09NA   3.09    0.48   6.93  6.930090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42830  Removal of adenoids                               A   2.58   2.89NA   2.89    0.38   5.85  5.850090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42831  Removal of adenoids                               A   2.74   3.23NA   3.23    0.40   6.37  6.370090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42835  Removal of adenoids                               A   2.32   2.82NA   2.82    0.35   5.49  5.490090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42836  Removal of adenoids                               A   3.18   3.03NA   3.03    0.46   6.67  6.670090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42842  Extensive surgery of throat                       A  11.92  13.58NA  13.58    1.77  27.27 27.270090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42844  Extensive surgery of throat                       A  17.34  16.83NA  16.83    2.61  36.78 36.780090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42845  Extensive surgery of throat                       A  31.75  21.39NA  21.39    4.64  57.78 57.780090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42860  Excision of tonsil tags                           A   2.24   2.80NA   2.80    0.34   5.38  5.380090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42870  Excision of lingual tonsil                        A   5.38  10.25NA  10.25    0.79  16.42 16.420090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
42890  Limited pharyngectomy                             A  18.65  16.17NA  16.17    2.76  37.58 37.580090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42892  Revision of pharyngeal walls                      A  25.38  20.06NA  20.06    3.70  49.14 49.140090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42894  Revision of pharyngeal walls                      A  33.07  24.14NA  24.14    4.84  62.05 62.050090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42900  Repair throat wound                               A   5.16   2.73NA   2.73    0.76   8.65  8.650010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42950  Reconstruction of throat                          A   8.06  12.69NA  12.69    1.20  21.95 21.950090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
42953  Repair throat esophagus                           A   9.21  16.13NA  16.13    1.43  26.77 26.770090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42955  Surgical opening of throat                        A   7.81  11.91NA  11.91    1.14  20.86 20.860090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42960  Control throat bleeding                           A   2.32   1.67NA   1.67    0.37   4.36  4.360010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
42961  Control throat bleeding                           A   5.63   4.71NA   4.71    0.82  11.16 11.160090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42962  Control throat bleeding                           A   7.22   5.43NA   5.43    1.06  13.71 13.710090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42970  Control nose/throat bleeding                      A   5.67   4.41NA   4.41    0.83  10.91 10.910090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
42971  Control nose/throat bleeding                      A   6.44   4.60NA   4.60    0.93  11.97 11.970090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42972  Control nose/throat bleeding                      A   7.40   4.83NA   4.83    1.08  13.31 13.310090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
42975  Dise eval slp do brth flx dx                      A   1.54   0.75NA   0.75    0.21   2.50  2.500000.00.00.00301001      31575 33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
43020  Incision of esophagus                             A   8.02   6.36NA   6.36    2.14  16.52 16.520090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43030  Cricopharyngeal myotomy                           A   7.79   4.96NA   4.96    1.22  13.97 13.970090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43045  Esophagotomy thrc rmvl fb                         A  21.33  10.98NA  10.98    5.37  37.68 37.680090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43100  Excision of esophagus lesion                      A   9.42   5.93NA   5.93    1.36  16.71 16.710090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43101  Excision of esophagus lesion                      A  16.64   8.17NA   8.17    4.19  29.00 29.000090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43107  Removal of esophagus                              A  50.75  19.03NA  19.03   12.82  82.60 82.600090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43108  Removal of esophagus                              A  80.80  21.57NA  21.57   20.37 122.74122.740090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43112  Esphg tot w/thrcm                                 A  60.45  20.08NA  20.08   15.24  95.77 95.770090.09.81.10202201            33.5675 090 99      0.00   0.00   0.00
43113  Removal of esophagus                              A  78.06  22.93NA  22.93   19.70 120.69120.690090.09.81.10202201            33.5675 090 99      0.00   0.00   0.00
43116  Partial removal of esophagus                      A  90.67  23.52NA  23.52   22.88 137.07137.070090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43117  Partial removal of esophagus                      A  56.06  20.48NA  20.48   14.13  90.67 90.670090.09.81.10202201            33.5675 090 99      0.00   0.00   0.00
43118  Partial removal of esophagus                      A  65.39  18.54NA  18.54   16.49 100.42100.420090.09.81.10202201            33.5675 090 99      0.00   0.00   0.00
43121  Partial removal of esophagus                      A  50.14  17.40NA  17.40   12.66  80.20 80.200090.09.81.10202201            33.5675 090 99      0.00   0.00   0.00
43122  Partial removal of esophagus                      A  43.08  16.00NA  16.00   10.87  69.95 69.950090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43123  Partial removal of esophagus                      A  81.04  23.52NA  23.52   20.45 125.01125.010090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43124  Removal of esophagus                              A  67.36  22.05NA  22.05   16.98 106.39106.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43130  Removal of esophagus pouch                        A  12.22   6.95NA   6.95    2.22  21.39 21.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43135  Removal of esophagus pouch                        A  25.52   9.62NA   9.62    6.43  41.57 41.570090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43180  Esophagoscopy rigid trnso                         A   8.80   4.23NA   4.23    1.31  14.34 14.340090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
43191  Esophagoscopy rigid trnso dx                      A   2.43   1.26NA   1.26    0.37   4.06  4.060000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43192  Esophagoscp rig trnso inject                      A   2.72   1.28NA   1.28    0.40   4.40  4.400000.00.00.00301001      43191 33.5675 090 99      0.00   0.00   0.00
43193  Esophagoscp rig trnso biopsy                      A   2.72   1.30NA   1.30    0.41   4.43  4.430000.00.00.00301001      43191 33.5675 090 99      0.00   0.00   0.00
43194  Esophagoscp rig trnso rem fb                      A   3.42   0.94NA   0.94    0.48   4.84  4.840000.00.00.00301001      43191 33.5675 090 99      0.00   0.00   0.00
43195  Esophagoscopy rigid balloon                       A   2.99   1.35NA   1.35    0.43   4.77  4.770000.00.00.00301001      43191 33.5675 090 99      0.00   0.00   0.00
43196  Esophagoscp guide wire dilat                      A   3.23   1.46NA   1.46    0.45   5.14  5.140000.00.00.00301001      43191 33.5675 090 99      0.00   0.00   0.00
43197  Esophagoscopy flex dx brush                       A   1.48   4.21     0.36    0.21   5.90  2.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43198  Esophagosc flex trnsn biopsy                      A   1.77   4.51     0.43    0.25   6.53  2.450000.00.00.00301001      43197 33.5675 090 99      0.00   0.00   0.00
43200  Esophagoscopy flexible brush                      A   1.38   7.00     0.79    0.21   8.59  2.380000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43201  Esoph scope w/submucous inj                       A   1.68   6.43     0.86    0.22   8.33  2.760000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43202  Esophagoscopy flex biopsy                         A   1.68   9.88     0.90    0.21  11.77  2.790000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43204  Esoph scope w/sclerosis inj                       A   2.27   1.09NA   1.09    0.25   3.61  3.610000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43205  Esophagus endoscopy/ligation                      A   2.38   1.13NA   1.13    0.26   3.77  3.770000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43206  Esoph optical endomicroscopy                      A   2.23   7.72     1.08    0.24  10.19  3.550000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43210  Egd esophagogastrc fndoplsty                      A   7.56   2.70NA   2.70    1.10  11.36 11.360000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43211  Esophagoscop mucosal resect                       A   4.10   1.64NA   1.64    0.45   6.19  6.190000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43212  Esophagoscop stent placement                      A   3.32   1.25NA   1.25    0.51   5.08  5.080000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43213  Esophagoscopy retro balloon                       A   4.51  32.37     1.57    0.67  37.55  6.750000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43214  Esophagosc dilate balloon 30                      A   3.32   1.22NA   1.22    0.50   5.04  5.040000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43215  Esophagoscopy flex remove fb                      A   2.38  10.33     1.08    0.36  13.07  3.820000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43216  Esophagoscopy lesion removal                      A   2.24  11.13     1.09    0.24  13.61  3.570000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43217  Esophagoscopy snare les remv                      A   2.73  10.98     1.23    0.30  14.01  4.260000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43220  Esophagoscopy balloon <30mm                       A   1.95  26.47     0.96    0.26  28.68  3.170000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43226  Esoph endoscopy dilation                          A   2.18   9.89     0.97    0.36  12.43  3.510000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43227  Esophagoscopy control bleed                       A   2.82  16.44     1.22    0.36  19.62  4.400000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43229  Esophagoscopy lesion ablate                       A   3.40  19.60     1.42    0.41  23.41  5.230000.00.00.00301001      43200 33.5675 090 99      0.00   0.00   0.00
43231  Esophagoscop ultrasound exam                      A   2.73   1.13NA   1.13    0.27   4.13  4.130000.00.00.00301201      43200 33.5675 090 99      0.00   0.00   0.00
43232  Esophagoscopy w/us needle bx                      A   3.50   1.42NA   1.42    0.39   5.31  5.310000.00.00.00301201      43200 33.5675 090 99      0.00   0.00   0.00
43233  Egd balloon dil esoph30 mm/>                      A   3.97   1.52NA   1.52    0.62   6.11  6.110000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43235  Egd diagnostic brush wash                         A   2.04   7.38     1.03    0.24   9.66  3.310000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43236  Uppr gi scope w/submuc inj                        A   2.33  10.76     1.10    0.27  13.36  3.700000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43237  Endoscopic us exam esoph                          A   3.38   1.42NA   1.42    0.38   5.18  5.180000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43238  Egd us fine needle bx/aspir                       A   4.06   1.62NA   1.62    0.44   6.12  6.120000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43239  Egd biopsy single/multiple                        A   2.33   9.94     1.10    0.27  12.54  3.700000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43240  Egd w/transmural drain cyst                       A   6.97   2.48NA   2.48    0.79  10.24 10.240000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43241  Egd tube/cath insertion                           A   2.43   1.07NA   1.07    0.30   3.80  3.800000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43242  Egd us fine needle bx/aspir                       A   4.61   1.78NA   1.78    0.49   6.88  6.880000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43243  Egd injection varices                             A   4.16   1.57NA   1.57    0.53   6.26  6.260000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43244  Egd varices ligation                              A   4.29   1.69NA   1.69    0.47   6.45  6.450000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43245  Egd dilate stricture                              A   3.00  16.19     1.28    0.42  19.61  4.700000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43246  Egd place gastrostomy tube                        A   3.47   1.34NA   1.34    0.53   5.34  5.340000.00.00.00300201      43235 33.5675 090 99      0.00   0.00   0.00
43247  Egd remove foreign body                           A   3.03   9.35     1.30    0.38  12.76  4.710000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43248  Egd guide wire insertion                          A   2.84  10.53     1.25    0.34  13.71  4.430000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43249  Esoph egd dilation <30 mm                         A   2.60  32.44     1.18    0.30  35.34  4.080000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43250  Egd cautery tumor polyp                           A   2.90  11.61     1.25    0.42  14.93  4.570000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43251  Egd remove lesion snare                           A   3.38  12.57     1.41    0.39  16.34  5.180000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43252  Egd optical endomicroscopy                        A   2.89   8.05     1.25    0.35  11.29  4.490000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43253  Egd us transmural injxn/mark                      A   4.61   1.78NA   1.78    0.50   6.89  6.890000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43254  Egd endo mucosal resection                        A   4.75   1.81NA   1.81    0.53   7.09  7.090000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43255  Egd control bleeding any                          A   3.47  16.77     1.44    0.39  20.63  5.300000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43257  Egd w/thrml txmnt gerd                            A   4.05   1.62NA   1.62    0.45   6.12  6.120000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43259  Egd us exam duodenum/jejunum                      A   3.94   1.58NA   1.58    0.43   5.95  5.950000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43260  Ercp w/specimen collection                        A   5.70   2.09NA   2.09    0.62   8.41  8.410000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43261  Endo cholangiopancreatograph                      A   6.00   2.18NA   2.18    0.67   8.85  8.850000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43262  Endo cholangiopancreatograph                      A   6.34   2.28NA   2.28    0.70   9.32  9.320000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43263  Ercp sphincter pressure meas                      A   6.34   2.30NA   2.30    0.70   9.34  9.340000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43264  Ercp remove duct calculi                          A   6.46   2.32NA   2.32    0.72   9.50  9.500000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43265  Ercp lithotripsy calculi                          A   7.73   2.68NA   2.68    0.87  11.28 11.280000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43266  Egd endoscopic stent place                        A   3.82   1.46NA   1.46    0.48   5.76  5.760000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43270  Egd lesion ablation                               A   3.91  19.68     1.57    0.44  24.03  5.920000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43273  Endoscopic pancreatoscopy                         A   2.18   0.64NA   0.64    0.23   3.05  3.050ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
43274  Ercp duct stent placement                         A   8.27   2.85NA   2.85    0.92  12.04 12.040000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43275  Ercp remove forgn body duct                       A   6.69   2.38NA   2.38    0.76   9.83  9.830000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43276  Ercp stent exchange w/dilate                      A   8.62   2.95NA   2.95    0.98  12.55 12.550000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43277  Ercp ea duct/ampulla dilate                       A   6.73   2.40NA   2.40    0.75   9.88  9.880000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43278  Ercp lesion ablate w/dilate                       A   7.72   2.68NA   2.68    0.87  11.27 11.270000.00.00.00301001      43260 33.5675 090 99      0.00   0.00   0.00
43279  Lap myotomy heller                                A  21.55   8.79NA   8.79    5.58  35.92 35.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43280  Laparoscopy fundoplasty                           A  17.65   8.05NA   8.05    4.60  30.30 30.300090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43281  Lap paraesophag hern repair                       A  25.94   9.97NA   9.97    6.75  42.66 42.660090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43282  Lap paraesoph her rpr w/mesh                      A  29.35  10.91NA  10.91    7.70  47.96 47.960090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43283  Lap esoph lengthening                             A   2.88   0.64NA   0.64    0.73   4.25  4.250ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
43284  Laps esophgl sphnctr agmntj                       A   9.88   6.25NA   6.25    2.63  18.76 18.760090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43285  Rmvl esophgl sphnctr dev                          A  10.21   6.33NA   6.33    2.73  19.27 19.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43286  Esphg tot w/laps moblj                            A  53.63  20.84NA  20.84   13.71  88.18 88.180090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43287  Esphg dstl 2/3 w/laps moblj                       A  61.43  21.65NA  21.65   15.54  98.62 98.620090.09.81.10202201            33.5675 090 99      0.00   0.00   0.00
43288  Esphg thrsc moblj                                 A  64.76  22.49NA  22.49   16.45 103.70103.700090.09.81.10202201            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
43290  Egd flx trnsorl dplmnt balo                       A   3.03  76.51     1.32    0.36  79.90  4.710000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43291  Egd flx trnsorl rmvl balo                         A   2.73  12.14     1.23    0.30  15.17  4.260000.00.00.00301001      43235 33.5675 090 99      0.00   0.00   0.00
43300  Repair of esophagus                               A   9.10   6.10NA   6.10    1.32  16.52 16.520090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43305  Repair esophagus and fistula                      A  17.65   8.02NA   8.02    2.58  28.25 28.250090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43310  Repair of esophagus                               A  25.60   9.89NA   9.89    6.44  41.93 41.930090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43312  Repair esophagus and fistula                      A  28.52   8.55NA   8.55    7.20  44.27 44.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43313  Esophagoplasty congenital                         A  47.24  21.21NA  21.21   12.66  81.11 81.110090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43314  Tracheo-esophagoplasty cong                       A  52.09  19.92NA  19.92   13.96  85.97 85.970090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43320  Fuse esophagus & stomach                          A  22.73  10.35NA  10.35    6.08  39.16 39.160090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43325  Revise esophagus & stomach                        A  22.04  10.18NA  10.18    5.89  38.11 38.110090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43327  Esoph fundoplasty lap                             A  13.02   7.20NA   7.20    3.47  23.69 23.690090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43328  Esoph fundoplasty thor                            A  19.41   7.48NA   7.48    4.88  31.77 31.770090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43330  Esophagomyotomy abdominal                         A  21.64  10.08NA  10.08    5.77  37.49 37.490090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43331  Esophagomyotomy thoracic                          A  22.48  10.25NA  10.25    5.66  38.39 38.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43332  Transab esoph hiat hern rpr                       A  19.13   8.26NA   8.26    4.88  32.27 32.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43333  Transab esoph hiat hern rpr                       A  20.92   8.87NA   8.87    5.41  35.20 35.200090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43334  Transthor diaphrag hern rpr                       A  21.57   7.91NA   7.91    5.45  34.93 34.930090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43335  Transthor diaphrag hern rpr                       A  23.37   8.26NA   8.26    5.88  37.51 37.510090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43336  Thorabd diaphr hern repair                        A  25.16   9.34NA   9.34    6.34  40.84 40.840090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43337  Thorabd diaphr hern repair                        A  26.96   9.70NA   9.70    6.78  43.44 43.440090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43338  Esoph lengthening                                 A   2.15   0.42NA   0.42    0.53   3.10  3.100ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
43340  Fuse esophagus & intestine                        A  22.42  10.27NA  10.27    6.00  38.69 38.690090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43341  Fuse esophagus & intestine                        A  23.62  10.47NA  10.47    5.96  40.05 40.050090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43351  Surgical opening esophagus                        A  21.50  11.28NA  11.28    5.41  38.19 38.190090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43352  Surgical opening esophagus                        A  17.36   9.24NA   9.24    4.36  30.96 30.960090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43360  Gastrointestinal repair                           A  39.11  14.54NA  14.54    9.87  63.52 63.520090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43361  Gastrointestinal repair                           A  44.54  18.60NA  18.60   11.94  75.08 75.080090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43400  Ligate esophagus veins                            A  24.96  10.89NA  10.89    6.67  42.52 42.520090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43405  Ligate/staple esophagus                           A  24.11  11.80NA  11.80    6.07  41.98 41.980090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43410  Repair esophagus wound                            A  16.00   8.67NA   8.67    2.34  27.01 27.010090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43415  Repair esophagus wound                            A  43.76  17.52NA  17.52   11.01  72.29 72.290090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43420  Repair esophagus opening                          A  16.36   7.56NA   7.56    2.39  26.31 26.310090.09.81.10200101            33.5675 090 99      0.00   0.00   0.00
43425  Repair esophagus opening                          A  24.41  10.62NA  10.62    6.16  41.19 41.190090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43450  Dilate esophagus 1/mult pass                      A   1.25   4.95     0.79    0.15   6.35  2.190000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43453  Dilate esophagus                                  A   1.37  23.35     0.77    0.18  24.90  2.320000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43460  Pressure treatment esophagus                      A   3.70   1.50NA   1.50    0.42   5.62  5.620000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43496  Free jejunum flap microvasc                       C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43497  Transorl lwr esophgl myotomy                      A  12.96   6.75NA   6.75    1.80  21.51 21.510090.09.81.10301001      43235 33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
43500  Surgical opening of stomach                       A  12.47   6.79NA   6.79    3.25  22.51 22.510090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43501  Surgical repair of stomach                        A  22.04  10.11NA  10.11    5.83  37.98 37.980090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43502  Surgical repair of stomach                        A  25.05  10.87NA  10.87    6.69  42.61 42.610090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43510  Surgical opening of stomach                       A  14.76   8.37NA   8.37    3.93  27.06 27.060090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43520  Incision of pyloric muscle                        A  11.01   6.44NA   6.44    2.94  20.39 20.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43605  Biopsy of stomach                                 A  13.38   7.01NA   7.01    3.58  23.97 23.970090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43610  Excision of stomach lesion                        A  15.93   7.54NA   7.54    4.07  27.54 27.540090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43611  Excision of stomach lesion                        A  19.87   9.57NA   9.57    4.96  34.40 34.400090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43620  Removal of stomach                                A  33.19  12.84NA  12.84    8.89  54.92 54.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43621  Removal of stomach                                A  38.54  14.30NA  14.30    9.78  62.62 62.620090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43622  Removal of stomach                                A  39.03  14.26NA  14.26   10.46  63.75 63.750090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43631  Removal of stomach partial                        A  23.90  10.55NA  10.55    6.14  40.59 40.590090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43632  Removal of stomach partial                        A  34.26  13.17NA  13.17    8.72  56.15 56.150090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43633  Removal of stomach partial                        A  32.31  12.65NA  12.65    8.21  53.17 53.170090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43634  Removal of stomach partial                        A  35.72  13.45NA  13.45    9.57  58.74 58.740090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43635  Removal of stomach partial                        A   2.01   0.48NA   0.48    0.53   3.02  3.020ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
43640  Vagotomy & pylorus repair                         A  19.07   9.42NA   9.42    5.09  33.58 33.580090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43641  Vagotomy & pylorus repair                         A  19.31   9.48NA   9.48    5.15  33.94 33.940090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43644  Lap gastric bypass/roux-en-y                      A  28.67  12.14NA  12.14    7.64  48.45 48.450090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43645  Lap gastr bypass incl smll i                      A  30.74  12.59NA  12.59    8.11  51.44 51.440090.09.81.10202101            33.5675 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.00.00.00202101            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
43651  Laparoscopy vagus nerve                           A   9.88   6.47NA   6.47    2.63  18.98 18.980090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
43652  Laparoscopy vagus nerve                           A  11.83   6.94NA   6.94    3.16  21.93 21.930090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
43653  Laparoscopy gastrostomy                           A   8.27   6.49NA   6.49    2.16  16.92 16.920090.09.81.10202101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
43752  Nasal/orogastric w/tube plmt                      A   0.79   0.15NA   0.15    0.09   1.03  1.030000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
43753  Tx gastro intub w/asp                             A   0.44   0.09NA   0.09    0.08   0.61  0.610000.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
43754  Dx gastr intub w/asp spec                         A   0.44   9.61     0.88    0.11  10.16  1.430000.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
43755  Dx gastr intub w/asp specs                        A   0.92   5.71     0.64    0.09   6.72  1.650000.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
43756  Dx duod intub w/asp spec                          A   0.75   8.26     0.59    0.07   9.08  1.410000.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
43757  Dx duod intub w/asp specs                         A   1.23  10.84     0.73    0.14  12.21  2.100000.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
43761  Reposition gastrostomy tube                       A   1.96   1.44     0.41    0.28   3.68  2.650000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43762  Rplc gtube no revj trc                            A   0.73   7.27     0.15    0.15   8.15  1.030000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43763  Rplc gtube revj gstrst trc                        A   1.37   9.50     0.84    0.28  11.15  2.490000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
43770  Lap place gastr adj device                        A  17.55   9.75NA   9.75    4.70  32.00 32.000090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43771  Lap revise gastr adj device                       A  20.27  10.42NA  10.42    5.42  36.11 36.110090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
43772  Lap rmvl gastr adj device                         A  15.31   7.51NA   7.51    3.97  26.79 26.790090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43773  Lap replace gastr adj device                      A  20.27  10.42NA  10.42    5.42  36.11 36.110090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43774  Lap rmvl gastr adj all parts                      A  15.37   7.73NA   7.73    4.07  27.17 27.170090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
43775  Lap sleeve gastrectomy                            A  19.87   4.81NA   4.81    5.26  29.94 29.940090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43800  Pyloroplasty                                      A  15.04   7.30NA   7.30    3.74  26.08 26.080090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43810  Gastroduodenostomy                                A  16.46   7.76NA   7.76    4.40  28.62 28.620090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43820  Gastrojejunostomy wo vagotmy                      A  21.97  10.11NA  10.11    5.54  37.62 37.620090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43825  Gastrojejunostomy w/vagotomy                      A  21.22   9.94NA   9.94    5.68  36.84 36.840090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43830  Gstrst open wo constj tube                        A  10.58   6.98NA   6.98    2.68  20.24 20.240090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43831  Gastrostomy open neonatal                         A   8.28   7.45NA   7.45    2.20  17.93 17.930090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43832  Gstrst open w/constj tube                         A  16.91   8.23NA   8.23    4.38  29.52 29.520090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43840  Gstrrphy sutr duol/gstr ulcr                      A  22.26  10.11NA  10.11    5.73  38.10 38.100090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43843  Gstr rstcv oth/thn v-band                         A  20.68   9.91NA   9.91    5.53  36.12 36.120090.09.81.10202201            33.5675 090 99      0.00   0.00   0.00
43845  Gastroplasty duodenal switch                      A  32.47  13.66NA  13.66    8.57  54.70 54.700090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43846  Gstr rstcv px shrt roux-en-y                      A  26.72  12.45NA  12.45    7.16  46.33 46.330090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43847  Gstr rstcv px sm int rcnstj                       A  29.52  13.12NA  13.12    7.90  50.54 50.540090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43848  Revj open gstr rstcv px                           A  31.93  13.40NA  13.40    8.32  53.65 53.650090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43860  Revj gstr/jj anast w/o vgtmy                      A  27.19  11.29NA  11.29    6.91  45.39 45.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43865  Revj gstr/jj anast w/vgtmy                        A  28.32  11.66NA  11.66    7.57  47.55 47.550090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43870  Closure gastrostomy surgical                      A  11.15   6.30NA   6.30    2.72  20.17 20.170090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43880  Closure gastrocolic fistula                       A  26.50  11.22NA  11.22    7.09  44.81 44.810090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43881  Impl/rplcmt gstr nstim eltrd                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
43882  Rev/rmvl gstr nstim eltrd                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
43886  Gstr rstcv px opn revj port                       A   4.52   5.43NA   5.43    1.21  11.16 11.160090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
43887  Gstr rstcv px opn rmvl port                       A   4.21   4.70NA   4.70    1.13  10.04 10.040090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
43888  Gstr rstcv px opn rmvl&rplc                       A   6.28   5.86NA   5.86    1.67  13.81 13.810090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
43889  Gstr rstcv px trnsorl esg                         A  12.56   7.00NA   7.00    1.99  21.55 21.550090.09.84.07300001      43235 33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
44005  Freeing of bowel adhesion                         A  18.00   8.01NA   8.01    4.54  30.55 30.550090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44010  Incision of small bowel                           A  13.90   6.89NA   6.89    2.64  23.43 23.430090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44015  Insert needle cath bowel                          A   2.55   0.62NA   0.62    0.62   3.79  3.790ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
44020  Explore small intestine                           A  15.81   7.56NA   7.56    4.03  27.40 27.400090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44021  Decompress small bowel                            A  15.90   7.35NA   7.35    3.96  27.21 27.210090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44025  Incision of large bowel                           A  16.10   7.50NA   7.50    3.93  27.53 27.530090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44050  Reduce bowel obstruction                          A  15.13   7.39NA   7.39    3.87  26.39 26.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44055  Correct malrotation of bowel                      A  24.99   9.92NA   9.92    6.34  41.25 41.250090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44100  Biopsy of bowel                                   A   1.96   0.57NA   0.57    0.21   2.74  2.740000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
44110  Excise intestine lesion(s)                        A  13.69   7.00NA   7.00    3.18  23.87 23.870090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44111  Excision of bowel lesion(s)                       A  16.11   7.57NA   7.57    3.43  27.11 27.110090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44120  Removal of small intestine                        A  20.30   8.62NA   8.62    5.10  34.02 34.020090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44121  Removal of small intestine                        A   4.33   1.08NA   1.08    1.07   6.48  6.480ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
44125  Removal of small intestine                        A  19.53   8.63NA   8.63    4.70  32.86 32.860090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44126  Enterectomy w/o taper cong                        A  41.17  16.20NA  16.20   11.05  68.42 68.420090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44127  Enterectomy w/taper cong                          A  48.07  17.73NA  17.73   12.87  78.67 78.670090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44128  Enterectomy cong add-on                           A   4.33   1.05NA   1.05    1.16   6.54  6.540ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
44130  Bowel to bowel fusion                             A  21.56   9.95NA   9.95    5.34  36.85 36.850090.09.81.10202101            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
44139  Mobilization of colon                             A   2.17   0.54NA   0.54    0.49   3.20  3.200ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
44140  Partial removal of colon                          A  22.03  10.00NA  10.00    5.40  37.43 37.430090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44141  Partial removal of colon                          A  29.16  14.31NA  14.31    7.16  50.63 50.630090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44143  Partial removal of colon                          A  27.10  12.13NA  12.13    6.60  45.83 45.830090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44144  Partial removal of colon                          A  29.16  12.76NA  12.76    7.02  48.94 48.940090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44145  Partial removal of colon                          A  27.87  11.33NA  11.33    6.17  45.37 45.370090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44146  Partial removal of colon                          A  34.42  15.82NA  15.82    7.90  58.14 58.140090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44147  Partial removal of colon                          A  32.85  12.46NA  12.46    7.35  52.66 52.660090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44150  Removal of colon                                  A  29.43  15.59NA  15.59    6.79  51.81 51.810090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44151  Removal of colon/ileostomy                        A  34.05  17.03NA  17.03    9.13  60.21 60.210090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44155  Removal of colon/ileostomy                        A  33.56  16.46NA  16.46    7.47  57.49 57.490090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44156  Removal of colon/ileostomy                        A  36.48  18.03NA  18.03    9.79  64.30 64.300090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44157  Colectomy w/ileoanal anast                        A  34.81  17.01NA  17.01    9.32  61.14 61.140090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44158  Colectomy w/neo-rectum pouch                      A  35.78  17.25NA  17.25    9.58  62.61 62.610090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44160  Removal of colon                                  A  20.37   9.38NA   9.38    4.90  34.65 34.650090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44180  Lap enterolysis                                   A  14.89   7.20NA   7.20    3.79  25.88 25.880090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44186  Lap jejunostomy                                   A  10.12   6.00NA   6.00    2.59  18.71 18.710090.09.84.07202101            33.5675 090 99      0.00   0.00   0.00
44187  Lap ileo/jejuno-stomy                             A  16.97  10.31NA  10.31    3.40  30.68 30.680090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44188  Lap colostomy                                     A  18.87  11.04NA  11.04    4.21  34.12 34.120090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44202  Lap enterectomy                                   A  22.81  10.19NA  10.19    5.59  38.59 38.590090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44203  Lap resect s/intestine addl                       A   4.33   1.07NA   1.07    1.07   6.47  6.470ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
44204  Laparo partial colectomy                          A  25.76  10.80NA  10.80    5.75  42.31 42.310090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44205  Lap colectomy part w/ileum                        A  22.38   9.55NA   9.55    4.78  36.71 36.710090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44206  Lap part colectomy w/stoma                        A  29.05  12.31NA  12.31    6.56  47.92 47.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44207  L colectomy/coloproctostomy                       A  31.12  11.90NA  11.90    6.36  49.38 49.380090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44208  L colectomy/coloproctostomy                       A  33.14  14.10NA  14.10    6.71  53.95 53.950090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44210  Laparo total proctocolectomy                      A  29.34  13.86NA  13.86    5.53  48.73 48.730090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44211  Lap colectomy w/proctectomy                       A  36.15  16.36NA  16.36    5.19  57.70 57.700090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44212  Laparo total proctocolectomy                      A  33.72  16.01NA  16.01    6.02  55.75 55.750090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44213  Lap mobil splenic fl add-on                       A   3.41   0.83NA   0.83    0.70   4.94  4.940ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
44227  Lap close enterostomy                             A  27.90  11.39NA  11.39    6.20  45.49 45.490090.09.81.10202101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
44300  Open bowel to skin                                A  13.41   7.04NA   7.04    3.39  23.84 23.840090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44310  Ileostomy/jejunostomy                             A  17.15   7.97NA   7.97    3.85  28.97 28.970090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44312  Revision of ileostomy                             A   9.19   5.83NA   5.83    1.99  17.01 17.010090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
44314  Revision of ileostomy                             A  16.32   8.33NA   8.33    3.36  28.01 28.010090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44316  Devise bowel pouch                                A  23.00  10.49NA  10.49    6.16  39.65 39.650090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44320  Colostomy                                         A  19.41   9.68NA   9.68    4.50  33.59 33.590090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44322  Colostomy with biopsies                           A  12.99  12.99NA  12.99    3.47  29.45 29.450090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44340  Revision of colostomy                             A   9.05   7.12NA   7.12    2.01  18.18 18.180090.09.81.10201101            33.5675 090 99      0.00   0.00   0.00
44345  Revision of colostomy                             A  16.79   9.00NA   9.00    3.75  29.54 29.540090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44346  Revision of colostomy                             A  19.14   9.58NA   9.58    4.22  32.94 32.940090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44360  Small bowel endoscopy                             A   2.43   1.13NA   1.13    0.26   3.82  3.820000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
44361  Small bowel endoscopy/biopsy                      A   2.70   1.22NA   1.22    0.29   4.21  4.210000.00.00.00301001      44360 33.5675 090 99      0.00   0.00   0.00
44363  Small bowel endoscopy                             A   3.31   1.39NA   1.39    0.38   5.08  5.080000.00.00.00300001      44360 33.5675 090 99      0.00   0.00   0.00
44364  Small bowel endoscopy                             A   3.54   1.47NA   1.47    0.39   5.40  5.400000.00.00.00300001      44360 33.5675 090 99      0.00   0.00   0.00
44365  Small bowel endoscopy                             A   3.13   1.34NA   1.34    0.35   4.82  4.820000.00.00.00300001      44360 33.5675 090 99      0.00   0.00   0.00
44366  Small bowel endoscopy                             A   4.19   1.66NA   1.66    0.45   6.30  6.300000.00.00.00301001      44360 33.5675 090 99      0.00   0.00   0.00
44369  Small bowel endoscopy                             A   4.30   1.69NA   1.69    0.47   6.46  6.460000.00.00.00300001      44360 33.5675 090 99      0.00   0.00   0.00
44370  Small bowel endoscopy/stent                       A   4.57   1.99NA   1.99    0.49   7.05  7.050000.00.00.00300001      44360 33.5675 090 99      0.00   0.00   0.00
44372  Small bowel endoscopy                             A   4.19   1.61NA   1.61    0.55   6.35  6.350000.00.00.00301001      44360 33.5675 090 99      0.00   0.00   0.00
44373  Small bowel endoscopy                             A   3.31   1.36NA   1.36    0.43   5.10  5.100000.00.00.00301001      44360 33.5675 090 99      0.00   0.00   0.00
44376  Small bowel endoscopy                             A   5.02   1.88NA   1.88    0.54   7.44  7.440000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
44377  Small bowel endoscopy/biopsy                      A   5.28   1.94NA   1.94    0.59   7.81  7.810000.00.00.00300001      44376 33.5675 090 99      0.00   0.00   0.00
44378  Small bowel endoscopy                             A   6.84   2.43NA   2.43    0.76  10.03 10.030000.00.00.00300001      44376 33.5675 090 99      0.00   0.00   0.00
44379  S bowel endoscope w/stent                         A   7.18   2.75NA   2.75    0.81  10.74 10.740000.00.00.00300001      44376 33.5675 090 99      0.00   0.00   0.00
44380  Small bowel endoscopy br/wa                       A   0.85   5.76     0.65    0.09   6.70  1.590000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
44381  Small bowel endoscopy br/wa                       A   1.35  30.44     0.80    0.17  31.96  2.320000.00.00.00301001      44380 33.5675 090 99      0.00   0.00   0.00
44382  Small bowel endoscopy                             A   1.14   8.75     0.76    0.13  10.02  2.030000.00.00.00301001      44380 33.5675 090 99      0.00   0.00   0.00
44384  Small bowel endoscopy                             A   2.78   0.90NA   0.90    0.36   4.04  4.040000.00.00.00301001      44380 33.5675 090 99      0.00   0.00   0.00
44385  Endoscopy of bowel pouch                          A   1.17   6.00     0.68    0.17   7.34  2.020000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
44386  Endoscopy bowel pouch/biop                        A   1.46   8.77     0.79    0.18  10.41  2.430000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
44388  Colonoscopy thru stoma spx                        A   2.65   7.53     1.16    0.41  10.59  4.220000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
4438853Colonoscopy thru stoma spx                        A   1.33   3.76     0.58    0.21   5.30  2.120000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
44389  Colonoscopy with biopsy                           A   2.94  10.36     1.26    0.40  13.70  4.600000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44390  Colonoscopy for foreign body                      A   3.65   9.39     1.50    0.41  13.45  5.560000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44391  Colonoscopy for bleeding                          A   4.02  16.52     1.59    0.47  21.01  6.080000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44392  Colonoscopy & polypectomy                         A   3.44   8.91     1.35    0.59  12.94  5.380000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44394  Colonoscopy w/snare                               A   3.93  10.04     1.54    0.51  14.48  5.980000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44401  Colonoscopy with ablation                         A   4.23  72.58     1.68    0.47  77.28  6.380000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44402  Colonoscopy w/stent plcmt                         A   4.58   1.78NA   1.78    0.50   6.86  6.860000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44403  Colonoscopy w/resection                           A   5.36   2.01NA   2.01    0.59   7.96  7.960000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44404  Colonoscopy w/injection                           A   2.94  10.61     1.25    0.39  13.94  4.580000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44405  Colonoscopy w/dilation                            A   3.15  14.89     1.36    0.36  18.40  4.870000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44406  Colonoscopy w/ultrasound                          A   4.00   1.61NA   1.61    0.44   6.05  6.050000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44407  Colonoscopy w/ndl aspir/bx                        A   4.84   1.85NA   1.85    0.53   7.22  7.220000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44408  Colonoscopy w/decompression                       A   4.04   1.62NA   1.62    0.44   6.10  6.100000.00.00.00301001      44388 33.5675 090 99      0.00   0.00   0.00
44500  Intro gastrointestinal tube                       A   0.38   0.07NA   0.07    0.04   0.49  0.490000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
44602  Suture small intestine                            A  24.10   8.53NA   8.53    6.00  38.63 38.630090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44603  Suture small intestine                            A  27.46  10.32NA  10.32    6.66  44.44 44.440090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44604  Suture large intestine                            A  17.71   7.20NA   7.20    4.27  29.18 29.180090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44605  Repair of bowel lesion                            A  21.53   9.18NA   9.18    5.75  36.46 36.460090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44615  Intestinal stricturoplasty                        A  17.71   7.94NA   7.94    4.14  29.79 29.790090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44620  Repair bowel opening                              A  14.07   6.96NA   6.96    3.04  24.07 24.070090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44625  Repair bowel opening                              A  16.85   7.62NA   7.62    3.48  27.95 27.950090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44626  Repair bowel opening                              A  27.20  10.18NA  10.18    6.22  43.60 43.600090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44640  Repair bowel-skin fistula                         A  23.60   9.41NA   9.41    5.43  38.44 38.440090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44650  Repair bowel fistula                              A  24.49   9.63NA   9.63    5.50  39.62 39.620090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44660  Repair bowel-bladder fistula                      A  23.31   8.75NA   8.75    4.36  36.42 36.420090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44661  Repair bowel-bladder fistula                      A  26.67   9.85NA   9.85    5.82  42.34 42.340090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44680  Surgical revision intestine                       A  17.51   8.02NA   8.02    4.69  30.22 30.220090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44700  Suspend bowel w/prosthesis                        A  17.04   7.30NA   7.30    3.10  27.44 27.440090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44701  Intraop colon lavage add-on                       A   3.02   0.73NA   0.73    0.81   4.56  4.560ZZZ.00.00.00002101            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
44720  Prep donor intestine/venous                       A   4.88   1.18NA   1.18    1.31   7.37  7.370XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
44721  Prep donor intestine/artery                       A   6.83   1.66NA   1.66    1.82  10.31 10.310XXX.00.00.00202101            33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
44800  Excision of bowel pouch                           A  11.75   7.49NA   7.49    2.91  22.15 22.150090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44820  Excision of mesentery lesion                      A  13.39   7.23NA   7.23    3.58  24.20 24.200090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44850  Repair of mesentery                               A  11.81   6.52NA   6.52    2.91  21.24 21.240090.09.81.10202101            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
44900  I&d appendix abscess open                         A  12.26   6.74NA   6.74    3.27  22.27 22.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44950  Appendectomy                                      A  10.34   5.18NA   5.18    2.61  18.13 18.130090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44955  Appendectomy add-on                               A   1.49   0.39NA   0.39    0.36   2.24  2.240ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
44960  Appendectomy                                      A  14.14   6.88NA   6.88    3.68  24.70 24.700090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
44970  Laparoscopy appendectomy                          A   9.21   5.72NA   5.72    2.38  17.31 17.310090.09.81.10202201            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
45000  Drainage of pelvic abscess                        A   6.14   5.09NA   5.09    1.13  12.36 12.360090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
45005  Drainage of rectal abscess                        A   1.97   8.50     2.72    0.51  10.98  5.200010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
45020  Drainage of rectal abscess                        A   8.35   6.54NA   6.54    1.63  16.52 16.520090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
45100  Biopsy of rectum                                  A   3.94   4.33NA   4.33    0.78   9.05  9.050090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
45108  Anorectal myomectomy                              A   4.99   4.84NA   4.84    1.33  11.16 11.160090.09.81.10201101            33.5675 090 99      0.00   0.00   0.00
45110  Removal of rectum                                 A  29.99  14.55NA  14.55    5.53  50.07 50.070090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45111  Partial removal of rectum                         A  17.56   9.07NA   9.07    3.63  30.26 30.260090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45112  Removal of rectum                                 A  32.35  12.11NA  12.11    4.66  49.12 49.120090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45113  Partial proctectomy                               A  32.39  13.71NA  13.71    4.66  50.76 50.760090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45114  Partial removal of rectum                         A  30.02  12.50NA  12.50    8.03  50.55 50.550090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45116  Partial removal of rectum                         A  27.03  11.20NA  11.20    3.89  42.12 42.120090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45119  Remove rectum w/reservoir                         A  32.64  13.77NA  13.77    4.71  51.12 51.120090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45120  Removal of rectum                                 A  25.74  12.24NA  12.24    6.87  44.85 44.850090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45121  Removal of rectum and colon                       A  28.35  12.87NA  12.87    7.59  48.81 48.810090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45123  Partial proctectomy                               A  18.39   9.25NA   9.25    3.28  30.92 30.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45126  Pelvic exenteration                               A  47.87  18.16NA  18.16    8.30  74.33 74.330090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
45130  Excision of rectal prolapse                       A  18.04   8.80NA   8.80    3.24  30.08 30.080090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45135  Excision of rectal prolapse                       A  21.80  10.88NA  10.88    3.13  35.81 35.810090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45136  Excise ileoanal reservior                         A  30.05  14.58NA  14.58    4.32  48.95 48.950090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45150  Excision of rectal stricture                      A   5.70   5.31NA   5.31    1.51  12.52 12.520090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
45160  Excision of rectal lesion                         A  15.92   9.06NA   9.06    4.25  29.23 29.230090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45171  Exc rect tum transanal part                       A   7.93   8.83NA   8.83    1.56  18.32 18.320090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45172  Exc rect tum transanal full                       A  11.83   9.81NA   9.81    2.16  23.80 23.800090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45190  Destruction rectal tumor                          A  10.16   8.52NA   8.52    1.45  20.13 20.130090.09.81.10201101            33.5675 090 99      0.00   0.00   0.00
45300  Proctosigmoidoscopy dx                            A   0.78   3.54     0.44    0.13   4.45  1.350000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
45303  Proctosigmoidoscopy dilate                        A   1.37  29.10     0.80    0.23  30.70  2.400000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45305  Proctosigmoidoscopy w/bx                          A   1.12   4.62     0.75    0.20   5.94  2.070000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45307  Proctosigmoidoscopy fb                            A   1.56   5.10     0.89    0.42   7.08  2.870000.00.00.00300001      45300 33.5675 090 99      0.00   0.00   0.00
45308  Proctosigmoidoscopy removal                       A   1.27   5.18     0.82    0.35   6.80  2.440000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45309  Proctosigmoidoscopy removal                       A   1.37   5.27     0.84    0.37   7.01  2.580000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45315  Proctosigmoidoscopy removal                       A   1.66   5.43     0.91    0.43   7.52  3.000000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45317  Proctosigmoidoscopy bleed                         A   1.85   5.04     0.92    0.30   7.19  3.070000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45320  Proctosigmoidoscopy ablate                        A   1.64   5.29     0.91    0.43   7.36  2.980000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45321  Proctosigmoidoscopy volvul                        A   1.61   0.90NA   0.90    0.43   2.94  2.940000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45327  Proctosigmoidoscopy w/stent                       A   1.85   0.96NA   0.96    0.48   3.29  3.290000.00.00.00301001      45300 33.5675 090 99      0.00   0.00   0.00
45330  Diagnostic sigmoidoscopy                          A   0.82   5.50     0.67    0.12   6.44  1.610000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
45331  Sigmoidoscopy and biopsy                          A   1.11   8.42     0.75    0.14   9.67  2.000000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45332  Sigmoidoscopy w/fb removal                        A   1.72   7.43     0.93    0.22   9.37  2.870000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45333  Sigmoidoscopy & polypectomy                       A   1.51   9.29     0.86    0.22  11.02  2.590000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45334  Sigmoidoscopy for bleeding                        A   1.95  14.12     1.00    0.22  16.29  3.170000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45335  Sigmoidoscopy w/submuc inj                        A   1.01   8.67     0.72    0.14   9.82  1.870000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45337  Sigmoidoscopy & decompress                        A   2.05   0.70NA   0.70    0.24   2.99  2.990000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45338  Sigmoidoscopy w/tumr remove                       A   2.00   7.78     1.01    0.25  10.03  3.260000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45340  Sig w/tndsc balloon dilation                      A   1.22  13.80     0.78    0.17  15.19  2.170000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45341  Sigmoidoscopy w/ultrasound                        A   2.07   1.04NA   1.04    0.23   3.34  3.340000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45342  Sigmoidoscopy w/us guide bx                       A   2.91   1.27NA   1.27    0.36   4.54  4.540000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45346  Sigmoidoscopy w/ablation                          A   2.74  71.54     1.21    0.34  74.62  4.290000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45347  Sigmoidoscopy w/plcmt stent                       A   2.65   1.14NA   1.14    0.30   4.09  4.090000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45349  Sigmoidoscopy w/resection                         A   3.43   1.43NA   1.43    0.39   5.25  5.250000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45350  Sgmdsc w/band ligation                            A   1.64  20.41     0.90    0.21  22.26  2.750000.00.00.00301001      45330 33.5675 090 99      0.00   0.00   0.00
45378  Diagnostic colonoscopy                            A   3.18   7.73     1.34    0.41  11.32  4.930000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
4537853Diagnostic colonoscopy                            A   1.59   3.87     0.67    0.21   5.67  2.470000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
45379  Colonoscopy w/fb removal                          A   4.17   9.69     1.63    0.49  14.35  6.290000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45380  Colonoscopy and biopsy                            A   3.47  10.48     1.43    0.42  14.37  5.320000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45381  Colonoscopy submucous njx                         A   3.47  10.79     1.43    0.42  14.68  5.320000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45382  Colonoscopy w/control bleed                       A   4.54  16.82     1.75    0.50  21.86  6.790000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45384  Colonoscopy w/lesion removal                      A   3.97  11.57     1.51    0.61  16.15  6.090000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45385  Colonoscopy w/lesion removal                      A   4.46  10.00     1.72    0.51  14.97  6.690000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45386  Colonoscopy w/balloon dilat                       A   3.68  15.95     1.49    0.44  20.07  5.610000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45388  Colonoscopy w/ablation                            A   4.76  74.26     1.78    0.60  79.62  7.140000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45389  Colonoscopy w/stent plcmt                         A   5.11   1.89NA   1.89    0.58   7.58  7.580000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45390  Colonoscopy w/resection                           A   5.89   2.15NA   2.15    0.65   8.69  8.690000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45391  Colonoscopy w/endoscope us                        A   4.52   1.76NA   1.76    0.49   6.77  6.770000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45392  Colonoscopy w/endoscopic fnb                      A   5.36   1.99NA   1.99    0.61   7.96  7.960000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45393  Colonoscopy w/decompression                       A   4.56   1.42NA   1.42    0.56   6.54  6.540000.00.00.00301001      45378 33.5675 090 99      0.00   0.00   0.00
45395  Lap removal of rectum                             A  32.18  15.69NA  15.69    6.00  53.87 53.870090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45397  Lap remove rectum w/pouch                         A  35.59  16.39NA  16.39    6.16  58.14 58.140090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45398  Colonoscopy w/band ligation                       A   4.10  22.32     1.57    0.60  27.02  6.270000.00.00.00301001      45378 33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
45400  Laparoscopic proc                                 A  18.95   8.96NA   8.96    3.36  31.27 31.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45402  Lap proctopexy w/sig resect                       A  25.85  10.84NA  10.84    5.01  41.70 41.700090.09.81.10202101            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
45500  Repair of rectum                                  A   7.54   7.52NA   7.52    2.01  17.07 17.070090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
45505  Repair of rectum                                  A   8.15   8.18NA   8.18    1.46  17.79 17.790090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
45520  Treatment of rectal prolapse                      A   0.54   4.44     0.52    0.07   5.05  1.130000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
45540  Correct rectal prolapse                           A  17.67   8.32NA   8.32    3.18  29.17 29.170090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45541  Correct rectal prolapse                           A  14.48   9.26NA   9.26    2.93  26.67 26.670090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45550  Repair rectum/remove sigmoid                      A  24.18  11.73NA  11.73    4.58  40.49 40.490090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45560  Repair of rectocele                               A  11.21   5.84NA   5.84    1.92  18.97 18.970090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45562  Exploration/repair of rectum                      A  17.53  11.41NA  11.41    4.69  33.63 33.630090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45563  Exploration/repair of rectum                      A  25.72  14.42NA  14.42    6.86  47.00 47.000090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45800  Repair rect/bladder fistula                       A  19.80  11.12NA  11.12    5.29  36.21 36.210090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45805  Repair fistula w/colostomy                        A  22.74  12.89NA  12.89    6.08  41.71 41.710090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45820  Repair rectourethral fistula                      A  19.86  11.13NA  11.13    5.30  36.29 36.290090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45825  Repair fistula w/colostomy                        A  23.57  13.90NA  13.90    6.31  43.78 43.780090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
45900  Reduction of rectal prolapse                      A   2.92   2.62NA   2.62    0.79   6.33  6.330010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
45905  Dilation of anal sphincter                        A   2.29   2.35NA   2.35    0.42   5.06  5.060010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
45910  Dilation of rectal narrowing                      A   2.78   2.37NA   2.37    0.48   5.63  5.630010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
45915  Remove rectal obstruction                         A   3.11   8.35     3.21    0.62  12.08  6.940010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
45990  Surg dx exam anorectal                            A   1.76   0.87NA   0.87    0.35   2.98  2.980000.00.00.00200111            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
46020  Placement of seton                                A   1.81   1.15NA   1.15    0.36   3.32  3.320000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
46030  Removal anal seton oth mrk                        A   1.44   6.82     0.73    0.24   8.50  2.410000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
46040  I&d ischiorct&/perirct absc                       A   5.24  12.43     6.58    1.20  18.87 13.020090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46045  I&d absc tranal under anes                        A   5.72   6.43NA   6.43    1.25  13.40 13.400090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46050  I&d perianal abscess supfc                        A   1.21   6.55     1.65    0.24   8.00  3.100010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46060  I&d ischiorectal/ntrmrl absc                      A   6.21   7.31NA   7.31    1.20  14.72 14.720090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46070  Incision anal septum infant                       A   2.72   5.23NA   5.23    0.72   8.67  8.670090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
46080  Sphnctrotmy anal div sphnctr                      A   2.46   6.50     1.54    0.49   9.45  4.490010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46083  Inc thrombosed hroid xtrnl                        A   1.41   5.06     1.53    0.28   6.75  3.220010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46200  Removal of anal fissure                           A   3.50  11.79     6.31    0.60  15.89 10.410090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46220  Excise anal ext tag/papilla                       A   1.57   6.39     1.72    0.29   8.25  3.580010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46221  Ligation of hemorrhoid(s)                         A   2.30   7.09     3.24    0.36   9.75  5.900010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46230  Removal of anal tags                              A   2.55   7.22     1.95    0.48  10.25  4.980010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46250  Remove ext hem groups 2+                          A   4.14  11.09     4.56    0.84  16.07  9.540090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46255  Remove int/ext hem 1 group                        A   4.84  11.64     4.75    0.91  17.39 10.500090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46257  Remove in/ex hem grp & fiss                       A   5.62   6.02NA   6.02    0.81  12.45 12.450090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46258  Remove in/ex hem grp w/fistu                      A   6.25   6.48NA   6.48    1.67  14.40 14.400090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
46260  Remove in/ex hem groups 2+                        A   6.56   6.46NA   6.46    1.34  14.36 14.360090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46261  Remove in/ex hem grps & fiss                      A   7.57   6.42NA   6.42    1.44  15.43 15.430090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46262  Remove in/ex hem grps w/fist                      A   7.71   7.83NA   7.83    2.06  17.60 17.600090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46270  Remove anal fist subq                             A   4.80  12.17     6.43    0.99  17.96 12.220090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46275  Remove anal fist inter                            A   5.28  12.62     6.47    0.98  18.88 12.730090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46280  Remove anal fist complex                          A   6.23   7.06NA   7.06    1.16  14.45 14.450090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46285  Remove anal fist 2 stage                          A   5.28  12.62     6.51    0.99  18.89 12.780090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46288  Repair anal fistula                               A   7.61   7.50NA   7.50    1.43  16.54 16.540090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46320  Removal of hemorrhoid clot                        A   1.60   5.08     1.36    0.28   6.96  3.240010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46500  Injection into hemorrhoid(s)                      A   1.70   8.75     3.85    0.27  10.72  5.820010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46505  Chemodenervation anal musc                        A   3.10   6.61     3.73    0.55  10.26  7.380010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
46600  Diagnostic anoscopy spx                           A   0.54   3.24     0.59    0.08   3.86  1.210000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
46601  Diagnostic anoscopy                               A   1.56   3.20     0.79    0.21   4.97  2.560000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46604  Anoscopy and dilation                             A   1.00  19.51     0.69    0.18  20.69  1.870000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46606  Anoscopy and biopsy                               A   1.17   7.82     0.76    0.20   9.19  2.130000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46607  Diagnostic anoscopy & biopsy                      A   2.15   4.46     0.94    0.30   6.91  3.390000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46608  Anoscopy remove for body                          A   1.27   8.03     0.82    0.35   9.65  2.440000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46610  Anoscopy remove lesion                            A   1.25   7.68     0.80    0.23   9.16  2.280000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46611  Anoscopy                                          A   1.27   5.76     0.77    0.20   7.23  2.240000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46612  Anoscopy remove lesions                           A   1.46   9.13     0.86    0.39  10.98  2.710000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46614  Anoscopy control bleeding                         A   0.98   4.35     0.70    0.16   5.49  1.840000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46615  Anoscopy                                          A   1.46   4.07     0.84    0.21   5.74  2.510000.00.00.00301001      46600 33.5675 090 99      0.00   0.00   0.00
46700  Repair of anal stricture                          A   9.56   8.00NA   8.00    1.59  19.15 19.150090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46705  Repair of anal stricture                          A   7.24   8.09NA   8.09    1.93  17.26 17.260090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46706  Repr of anal fistula w/glue                       A   2.38   2.33NA   2.33    0.62   5.33  5.330010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46707  Repair anorectal fist w/plug                      A   6.23   7.48NA   7.48    1.66  15.37 15.370090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
46710  Repr per/vag pouch sngl proc                      A  16.71  10.80NA  10.80    4.46  31.97 31.970090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46712  Repr per/vag pouch dbl proc                       A  35.54  17.12NA  17.12    9.52  62.18 62.180090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46715  Rep perf anoper fistu                             A   7.43   7.18NA   7.18    1.98  16.59 16.590090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
46716  Rep perf anoper/vestib fistu                      A  17.10  14.71NA  14.71    4.57  36.38 36.380090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46730  Construction of absent anus                       A  29.88  19.23NA  19.23    8.00  57.11 57.110090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46735  Construction of absent anus                       A  35.24  20.52NA  20.52    9.42  65.18 65.180090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46740  Construction of absent anus                       A  33.05  20.14NA  20.14    8.85  62.04 62.040090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46742  Repair of imperforated anus                       A  39.14  21.47NA  21.47   10.49  71.10 71.100090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46744  Repair of cloacal anomaly                         A  57.47  26.06NA  26.06   15.39  98.92 98.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46746  Repair of cloacal anomaly                         A  63.80  27.76NA  27.76   17.08 108.64108.640090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46748  Repair of cloacal anomaly                         A  69.63  29.17NA  29.17   18.65 117.45117.450090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46750  Repair of anal sphincter                          A  11.85   6.66NA   6.66    2.06  20.57 20.570090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46751  Repair of anal sphincter                          A   9.07   8.39NA   8.39    2.42  19.88 19.880090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46753  Reconstruction of anus                            A   8.67   7.40NA   7.40    2.33  18.40 18.400090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46754  Removal of suture from anus                       A   2.93   8.07     3.83    0.42  11.42  7.180010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
46760  Repair of anal sphincter                          A  17.01  11.93NA  11.93    2.46  31.40 31.400090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46761  Repair of anal sphincter                          A  14.91   7.36NA   7.36    2.58  24.85 24.850090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
46900  Destruction anal lesion(s)                        A   1.86   5.92     1.84    0.26   8.04  3.960010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46910  Destruction anal lesion(s)                        A   1.86   6.72     1.73    0.30   8.88  3.890010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46916  Cryosurgery anal lesion(s)                        A   1.86   5.55     1.60    0.20   7.61  3.660010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46917  Laser surgery anal lesions                        A   1.86  11.75     1.47    0.29  13.90  3.620010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46922  Excision of anal lesion(s)                        A   1.86   8.09     1.80    0.36  10.31  4.020010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46924  Destruction anal lesion(s)                        A   2.74  15.44     1.98    0.43  18.61  5.150010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46930  Destroy internal hemorrhoids                      A   1.57   5.63     2.93    0.22   7.42  4.720090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
46940  Treatment of anal fissure                         A   2.29   6.05     1.45    0.35   8.69  4.090010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
46942  Treatment of anal fissure                         A   2.02   6.01     1.39    0.29   8.32  3.700010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
46945  Int hrhc lig 1 hroid w/o img                      A   3.60   6.27NA   6.27    0.62  10.49 10.490090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46946  Int hrhc lig 2+hroid w/o img                      A   4.39   6.43NA   6.43    0.67  11.49 11.490090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46947  Hemorrhoidopexy by stapling                       A   5.43   4.71NA   4.71    1.22  11.36 11.360090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
46948  Int hrhc tranal dartlzj 2+                        A   5.43   6.82NA   6.82    1.09  13.34 13.340090.09.81.10201001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
47000  Needle biopsy of liver perq                       A   1.61   6.84     0.51    0.17   8.62  2.290000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47001  Ndl biopsy lvr tm oth maj px                      A   1.85   0.45NA   0.45    0.47   2.77  2.770ZZZ.00.00.00001101            33.5675 090 99      0.00   0.00   0.00
47010  Hepatot opn drg absc/cst 1/2                      A  18.92  10.44NA  10.44    4.86  34.22 34.220090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47015  Lapt aspir&/njx hep prst cst                      A  18.04  10.20NA  10.20    4.82  33.06 33.060090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47100  Wedge biopsy of liver                             A  12.59   8.62NA   8.62    3.18  24.39 24.390090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47120  Partial removal of liver                          A  38.03  17.31NA  17.31    9.53  64.87 64.870090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47122  Extensive removal of liver                        A  57.99  21.40NA  21.40   14.84  94.23 94.230090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47125  Partial removal of liver                          A  51.71  19.64NA  19.64   13.27  84.62 84.620090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47130  Partial removal of liver                          A  55.76  20.56NA  20.56   14.19  90.51 90.510090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47135  Transplantation of liver                          R  87.75  39.91NA  39.91   23.20 150.86150.860090.09.81.10202121            33.5675 090 99      0.00   0.00   0.00
47140  Partial removal donor liver                       A  57.92  26.71NA  26.71   15.52 100.15100.150090.09.81.10202121            33.5675 090 99      0.00   0.00   0.00
47141  Partial removal donor liver                       A  69.71  30.94NA  30.94   18.67 119.32119.320090.09.81.10202121            33.5675 090 99      0.00   0.00   0.00
47142  Partial removal donor liver                       A  77.45  32.81NA  32.81   20.74 131.00131.000090.09.81.10202101            33.5675 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.00.00.00202101            33.5675 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  0.000090.09.81.10202101            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
47146  Prep donor liver/venous                           A   5.85   1.42NA   1.42    1.56   8.83  8.830XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
47147  Prep donor liver/arterial                         A   6.83   1.67NA   1.67    1.79  10.29 10.290XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
47300  Surgery for liver lesion                          A  17.69   9.92NA   9.92    4.51  32.12 32.120090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47350  Repair liver wound                                A  21.93  11.22NA  11.22    5.34  38.49 38.490090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47360  Repair liver wound                                A  30.53  13.55NA  13.55    8.16  52.24 52.240090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47361  Repair liver wound                                A  51.29  18.62NA  18.62   13.01  82.92 82.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47362  Repair liver wound                                A  22.95  11.54NA  11.54    5.57  40.06 40.060090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47370  Laparo ablate liver tumor rf                      A  20.28   9.66NA   9.66    5.16  35.10 35.100090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47371  Laparo ablate liver cryosurg                      A  20.28   9.70NA   9.70    5.42  35.40 35.400090.09.81.10202101            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
47380  Open ablate liver tumor rf                        A  23.95  10.44NA  10.44    5.86  40.25 40.250090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47381  Open ablate liver tumor cryo                      A  24.26  10.66NA  10.66    6.48  41.40 41.400090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47382  Percut ablate liver rf                            A  14.60  86.46     2.94    1.64 102.70 19.180010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
47383  Perq abltj lvr cryoablation                       A   8.66 164.56     2.29    1.12 174.34 12.070010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
47384  Abltj ire liver 1+ tum perq                       A   9.41   2.17NA   2.17    1.12  12.70 12.700000.00.00.00201001            33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
47400  Incision of liver duct                            A  35.45  14.74NA  14.74    9.49  59.68 59.680090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47420  Incision of bile duct                             A  21.48  10.23NA  10.23    5.38  37.09 37.090090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47425  Incision of bile duct                             A  21.75  10.89NA  10.89    5.82  38.46 38.460090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47460  Incise bile duct sphincter                        A  20.01  10.46NA  10.46    5.34  35.81 35.810090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47480  Incision of gallbladder                           A  12.92   8.98NA   8.98    3.18  25.08 25.080090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47490  Incision of gallbladder                           A   4.64   3.80NA   3.80    0.49   8.93  8.930010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
47531  Injection for cholangiogram                       A   1.27  10.52     0.44    0.14  11.93  1.850000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47532  Injection for cholangiogram                       A   4.14  19.60     0.84    0.49  24.23  5.470000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47533  Plmt biliary drainage cath                        A   5.25  27.44     0.97    0.57  33.26  6.790000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47534  Plmt biliary drainage cath                        A   7.41  28.24     1.26    0.82  36.47  9.490000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47535  Conversion ext bil drg cath                       A   3.85  21.12     0.79    0.43  25.40  5.070000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47536  Exchange biliary drg cath                         A   2.54  15.28     0.61    0.28  18.10  3.430000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47537  Removal biliary drg cath                          A   1.79  11.86     0.52    0.20  13.85  2.510000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47538  Perq plmt bile duct stent                         A   4.63  99.51     0.92    0.50 104.64  6.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47539  Perq plmt bile duct stent                         A   8.53 109.41     1.46    0.99 118.93 10.980000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47540  Perq plmt bile duct stent                         A   8.80 108.70     1.51    0.96 118.46 11.270000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47541  Plmt access bil tree sm bwl                       A   6.58  27.98     1.36    0.85  35.41  8.790000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
47542  Dilate biliary duct/ampulla                       A   2.78  11.14     0.40    0.33  14.25  3.510ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
47543  Endoluminal bx biliary tree                       A   2.93   7.93     0.42    0.33  11.19  3.680ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
47544  Removal duct glbldr calculi                       A   3.20  20.16     0.46    0.37  23.73  4.030ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
47550  Bile duct endoscopy add-on                        A   2.94   0.69NA   0.69    0.71   4.34  4.340ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
47552  Biliary endo perq dx w/speci                      A   5.88   0.97NA   0.97    0.78   7.63  7.630000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
47553  Biliary endoscopy thru skin                       A   6.18   0.57NA   0.57    0.81   7.56  7.560000.00.00.00301001      47552 33.5675 090 99      0.00   0.00   0.00
47554  Biliary endoscopy thru skin                       A   8.82   1.80NA   1.80    1.25  11.87 11.870000.00.00.00301101      47552 33.5675 090 99      0.00   0.00   0.00
47555  Biliary endoscopy thru skin                       A   7.36   0.68NA   0.68    0.96   9.00  9.000000.00.00.00301001      47552 33.5675 090 99      0.00   0.00   0.00
47556  Biliary endoscopy thru skin                       A   8.34   0.77NA   0.77    1.09  10.20 10.200000.00.00.00301001      47552 33.5675 090 99      0.00   0.00   0.00
47562  Laparoscopic cholecystectomy                      A  10.21   6.04NA   6.04    2.67  18.92 18.920090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47563  Laparo cholecystectomy/graph                      A  11.18   6.37NA   6.37    2.94  20.49 20.490090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47564  Laparo cholecystectomy/explr                      A  17.55   9.63NA   9.63    4.60  31.78 31.780090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47570  Laparo cholecystoenterostomy                      A  12.25   6.52NA   6.52    3.27  22.04 22.040090.09.81.10202101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
47600  Cholecystectomy                                   A  17.04   8.86NA   8.86    4.35  30.25 30.250090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47605  Cholecystectomy w/cholang                         A  18.02   9.10NA   9.10    4.66  31.78 31.780090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47610  Removal of gallbladder                            A  20.40   9.44NA   9.44    5.30  35.14 35.140090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47612  Removal of gallbladder                            A  20.68   9.46NA   9.46    5.53  35.67 35.670090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47620  Removal of gallbladder                            A  22.49   9.90NA   9.90    6.02  38.41 38.410090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47700  Exploration of bile ducts                         A  16.09   9.80NA   9.80    4.30  30.19 30.190090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47701  Bile duct revision                                A  28.01  13.02NA  13.02    7.48  48.51 48.510090.09.81.10200001            33.5675 090 99      0.00   0.00   0.00
47711  Excision of bile duct tumor                       A  25.25  11.75NA  11.75    6.33  43.33 43.330090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47712  Excision of bile duct tumor                       A  32.88  13.80NA  13.80    8.80  55.48 55.480090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47715  Excision of bile duct cyst                        A  21.01  10.92NA  10.92    5.61  37.54 37.540090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47720  Fuse gallbladder & bowel                          A  17.88  10.16NA  10.16    4.78  32.82 32.820090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47721  Fuse upper gi structures                          A  21.44  11.03NA  11.03    5.73  38.20 38.200090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47740  Fuse gallbladder & bowel                          A  20.70  10.85NA  10.85    5.53  37.08 37.080090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47741  Fuse gallbladder & bowel                          A  23.60  11.55NA  11.55    6.31  41.46 41.460090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47760  Fuse bile ducts and bowel                         A  37.36  15.43NA  15.43    9.42  62.21 62.210090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47765  Fuse liver ducts & bowel                          A  50.89  19.10NA  19.10   13.64  83.63 83.630090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47780  Fuse bile ducts and bowel                         A  41.26  16.56NA  16.56   10.55  68.37 68.370090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47785  Fuse bile ducts and bowel                         A  54.79  20.17NA  20.17   14.03  88.99 88.990090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47800  Reconstruction of bile ducts                      A  25.52  11.93NA  11.93    6.37  43.82 43.820090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47801  Placement bile duct support                       A  17.16   9.72NA   9.72    4.19  31.07 31.070090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
47900  Suture bile duct injury                           A  21.88  11.13NA  11.13    5.85  38.86 38.860090.09.81.10202101            33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
48000  Drainage of abdomen                               A  31.15  12.82NA  12.82    8.33  52.30 52.300090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48001  Placement of drain pancreas                       A  38.70  14.66NA  14.66   10.37  63.73 63.730090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48020  Removal of pancreatic stone                       A  18.61   9.78NA   9.78    4.96  33.35 33.350090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48100  Biopsy of pancreas open                           A  14.10   7.61NA   7.61    3.56  25.27 25.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48102  Needle biopsy pancreas                            A   4.58   9.68     1.03    0.49  14.75  6.100010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
48105  Resect/debride pancreas                           A  48.03  18.08NA  18.08   10.41  76.52 76.520090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48120  Removal of pancreas lesion                        A  17.95   8.60NA   8.60    4.80  31.35 31.350090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48140  Partial removal of pancreas                       A  25.66  11.51NA  11.51    6.44  43.61 43.610090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48145  Partial removal of pancreas                       A  26.71  11.75NA  11.75    7.14  45.60 45.600090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48146  Pancreatectomy                                    A  29.84  15.11NA  15.11    7.98  52.93 52.930090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48148  Removal of pancreatic duct                        A  19.88  10.09NA  10.09    5.30  35.27 35.270090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48150  Partial removal of pancreas                       A  51.52  21.52NA  21.52   12.92  85.96 85.960090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48152  Pancreatectomy                                    A  47.43  19.90NA  19.90   12.70  80.03 80.030090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48153  Pancreatectomy                                    A  51.47  20.90NA  20.90   13.34  85.71 85.710090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48154  Pancreatectomy                                    A  47.66  19.95NA  19.95   12.76  80.37 80.370090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48155  Removal of pancreas                               A  28.71  15.24NA  15.24    7.29  51.24 51.240090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48400  Injection intraop add-on                          A   1.90   0.46NA   0.46    0.49   2.85  2.850ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
48500  Surgery of pancreatic cyst                        A  17.71  10.24NA  10.24    4.74  32.69 32.690090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48510  Drain pancreatic pseudocyst                       A  16.76  10.01NA  10.01    4.48  31.25 31.250090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48520  Fuse pancreas cyst and bowel                      A  17.70   8.53NA   8.53    4.74  30.97 30.970090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48540  Fuse pancreas cyst and bowel                      A  21.39   9.43NA   9.43    5.72  36.54 36.540090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48545  Pancreatorrhaphy                                  A  21.67  10.38NA  10.38    5.78  37.83 37.830090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48547  Duodenal exclusion                                A  29.62  12.30NA  12.30    7.93  49.85 49.850090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
48548  Fuse pancreas and bowel                           A  27.39  11.90NA  11.90    7.33  46.62 46.620090.09.81.10202101            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
48552  Prep donor pancreas/venous                        A   4.19   1.02NA   1.02    1.12   6.33  6.330XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
48554  Transpl allograft pancreas                        R  36.86  30.08NA  30.08    9.73  76.67 76.670090.09.81.10202221            33.5675 090 99      0.00   0.00   0.00
48556  Removal allograft pancreas                        A  18.98  13.27NA  13.27    5.06  37.31 37.310090.09.81.10202221            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
49000  Exploration of abdomen                            A  12.23   6.58NA   6.58    3.01  21.82 21.820090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49002  Reopening of abdomen                              A  17.19   7.71NA   7.71    4.27  29.17 29.170090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49010  Exploration behind abdomen                        A  15.66   6.34NA   6.34    3.88  25.88 25.880090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49013  Prpertl pel pack hemrrg trma                      A   8.14   1.97NA   1.97    2.17  12.28 12.280000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49014  Reexploration pelvic wound                        A   6.56   2.05NA   2.05    1.75  10.36 10.360000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49020  Drainage abdom abscess open                       A  26.00  12.21NA  12.21    6.34  44.55 44.550090.09.81.10202001            33.5675 090 99      0.00   0.00   0.00
49040  Drain open abdom abscess                          A  16.11   8.45NA   8.45    4.15  28.71 28.710090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49060  Drain open retroperi abscess                      A  18.07   8.41NA   8.41    4.24  30.72 30.720090.09.81.10201101            33.5675 090 99      0.00   0.00   0.00
49062  Drain to peritoneal cavity                        A  11.91   6.87NA   6.87    3.18  21.96 21.960090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49082  Abd paracentesis                                  A   1.21   5.93     0.72    0.20   7.34  2.130000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49083  Abd paracentesis w/imaging                        A   1.95   6.35     0.62    0.21   8.51  2.780000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49084  Peritoneal lavage                                 A   1.95   0.46NA   0.46    0.46   2.87  2.870000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49180  Biopsy abdominal mass                             A   1.69   3.23     0.26    0.18   5.10  2.130000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49185  Sclerotx fluid collection                         A   2.29  33.53     0.56    0.30  36.12  3.150000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
49186  Opn exc/dstr ntra-abd 5 cm/<                      A  21.45  10.28NA  10.28    4.84  36.57 36.570090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49187  Opn exc/dstr ntra-abd 5.1-10                      A  27.93  11.95NA  11.95    6.42  46.30 46.300090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49188  Opn exc/dst ntra-abd 10.1-20                      A  33.15  14.67NA  14.67    7.64  55.46 55.460090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49189  Opn exc/dst ntra-abd 20.1-30                      A  39.00  16.29NA  16.29    9.00  64.29 64.290090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49190  Opn exc/dstr ntra-abd >30 cm                      A  48.75  19.26NA  19.26   11.04  79.05 79.050090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49215  Excise sacral spine tumor                         A  36.86  15.04NA  15.04    8.08  59.98 59.980090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49250  Excision of umbilicus                             A   8.78   6.13NA   6.13    2.10  17.01 17.010090.09.81.10201101            33.5675 090 99      0.00   0.00   0.00
49255  Removal of omentum                                A  12.25   7.40NA   7.40    2.86  22.51 22.510090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49320  Diag laparo separate proc                         A   5.01   3.23NA   3.23    1.23   9.47  9.470010.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
49321  Laparoscopy biopsy                                A   5.30   3.30NA   3.30    1.26   9.86  9.860010.10.80.10302201      49320 33.5675 090 99      0.00   0.00   0.00
49322  Laparoscopy aspiration                            A   5.86   3.36NA   3.36    1.42  10.64 10.640010.10.80.10302201      49320 33.5675 090 99      0.00   0.00   0.00
49323  Laparo drain lymphocele                           A   9.97   5.79NA   5.79    2.33  18.09 18.090090.10.80.10302201      49320 33.5675 090 99      0.00   0.00   0.00
49324  Lap insert tunnel ip cath                         A   6.16   3.19NA   3.19    1.61  10.96 10.960010.10.80.10302201      49320 33.5675 090 99      0.00   0.00   0.00
49325  Lap revision perm ip cath                         A   6.65   3.26NA   3.26    1.73  11.64 11.640010.10.80.10302201      49320 33.5675 090 99      0.00   0.00   0.00
49326  Lap w/omentopexy add-on                           A   3.41   0.76NA   0.76    0.90   5.07  5.070ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
49327  Lap ins device for rt                             A   2.32   0.56NA   0.56    0.61   3.49  3.490ZZZ.00.00.00002101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
49400  Air injection into abdomen                        A   1.83   2.47     0.31    0.21   4.51  2.350000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49402  Remove foreign body adbomen                       A  13.74   6.88NA   6.88    3.32  23.94 23.940090.09.81.10201101            33.5675 090 99      0.00   0.00   0.00
49405  Image cath fluid colxn visc                       A   3.90  20.76     0.67    0.42  25.08  4.990000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49406  Image cath fluid peri/retro                       A   3.90  20.74     0.67    0.42  25.06  4.990000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49407  Image cath fluid trns/vgnl                        A   4.14  17.41     0.74    0.51  22.06  5.390000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49411  Ins mark abd/pel for rt perq                      A   3.48  10.25     0.90    0.36  14.09  4.740000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49412  Ins device for rt guide open                      A   1.46   0.36NA   0.36    0.39   2.21  2.210ZZZ.00.00.00000101            33.5675 090 99      0.00   0.00   0.00
49418  Insert tun ip cath perc                           A   3.86  23.83     0.93    0.44  28.13  5.230000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49419  Insert tun ip cath w/port                         A   6.90   3.23NA   3.23    1.59  11.72 11.720090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
49421  Ins tun ip cath for dial opn                      A   4.10   1.06NA   1.06    1.03   6.19  6.190000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49422  Remove tunneled ip cath                           A   3.90   1.18NA   1.18    0.96   6.04  6.040000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
49423  Exchange drainage catheter                        A   1.42  14.87     0.24    0.16  16.45  1.820000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49424  Assess cyst contrast inject                       A   0.74   4.31     0.15    0.07   5.12  0.960000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49425  Insert abdomen-venous drain                       A  11.91   7.26NA   7.26    3.18  22.35 22.350090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49426  Revise abdomen-venous shunt                       A  10.15   6.38NA   6.38    2.71  19.24 19.240090.09.81.10201001            33.5675 090 99      0.00   0.00   0.00
49427  Injection abdominal shunt                         A   0.87   0.08NA   0.08    0.11   1.06  1.060000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49428  Ligation of shunt                                 A   6.70   3.84NA   3.84    1.78  12.32 12.320010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
49429  Removal of shunt                                  A   7.25   3.82NA   3.82    1.94  13.01 13.010010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
49435  Insert subq exten to ip cath                      A   2.19   0.41NA   0.41    0.57   3.17  3.170ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
49436  Embedded ip cath exit-site                        A   2.65  13.51     1.99    0.68  16.84  5.320010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
49440  Place gastrostomy tube perc                       A   3.83  19.34     1.08    0.43  23.60  5.340010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
49441  Place duod/jej tube perc                          A   4.41  24.27     1.39    0.71  29.39  6.510010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
49442  Place cecostomy tube perc                         A   3.66  18.18     1.32    0.36  22.20  5.340010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
49446  Change g-tube to g-j perc                         A   2.98  19.53     0.45    0.35  22.86  3.780000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49450  Replace g/c tube perc                             A   1.33  15.41     0.21    0.15  16.89  1.690000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49451  Replace duod/jej tube perc                        A   1.79  16.02     0.28    0.21  18.02  2.280000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49452  Replace g-j tube perc                             A   2.79  18.69     0.41    0.30  21.78  3.500000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49460  Fix g/colon tube w/device                         A   0.94  20.31     0.22    0.12  21.37  1.280000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49465  Fluoro exam of g/colon tube                       A   0.60   3.23     0.11    0.06   3.89  0.770000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
49491  Rpr hern preemie reduc                            A  12.22   7.39NA   7.39    3.26  22.87 22.870090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49492  Rpr ing hern premie blocked                       A  15.04   8.22NA   8.22    4.02  27.28 27.280090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49495  Rpr ing hernia baby reduc                         A   6.05   4.29NA   4.29    1.62  11.96 11.960090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49496  Rpr ing hernia baby blocked                       A   9.18   6.21NA   6.21    2.46  17.85 17.850090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49500  Rpr ing hernia init reduce                        A   5.69   5.15NA   5.15    1.51  12.35 12.350090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49501  Rpr ing hernia init blocked                       A   9.13   5.99NA   5.99    2.44  17.56 17.560090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49505  Prp i/hern init reduc >5 yr                       A   7.76   5.40NA   5.40    2.05  15.21 15.210090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49507  Prp i/hern init block >5 yr                       A   8.86   5.83NA   5.83    2.32  17.01 17.010090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49520  Rerepair ing hernia reduce                        A   9.74   5.91NA   5.91    2.56  18.21 18.210090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49521  Rerepair ing hernia blocked                       A  11.19   6.40NA   6.40    2.92  20.51 20.510090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49525  Repair ing hernia sliding                         A   8.71   5.61NA   5.61    2.28  16.60 16.600090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49540  Repair lumbar hernia                              A  10.47   6.10NA   6.10    2.70  19.27 19.270090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49550  Rpr rem hernia init reduce                        A   8.77   5.65NA   5.65    2.30  16.72 16.720090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49553  Rpr fem hernia init blocked                       A   9.67   6.04NA   6.04    2.52  18.23 18.230090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49555  Rerepair fem hernia reduce                        A   9.16   5.85NA   5.85    2.46  17.47 17.470090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49557  Rerepair fem hernia blocked                       A  11.33   6.45NA   6.45    2.95  20.73 20.730090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49591  Rpr aa hrn 1st < 3 cm rdc                         A   5.81   2.15NA   2.15    1.49   9.45  9.450000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49592  Rpr aa hrn 1st < 3 ncr/strn                       A   8.25   2.67NA   2.67    2.16  13.08 13.080000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49593  Rpr aa hrn 1st 3-10 rdc                           A  10.00   3.11NA   3.11    2.61  15.72 15.720000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49594  Rpr aa hrn 1st 3-10 ncr/strn                      A  13.12   3.86NA   3.86    3.45  20.43 20.430000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49595  Rpr aa hrn 1st > 10 rdc                           A  13.59   4.03NA   4.03    3.47  21.09 21.090000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49596  Rpr aa hrn 1st > 10 ncr/strn                      A  18.20   5.11NA   5.11    4.73  28.04 28.040000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49600  Repair umbilical lesion                           A  11.26   6.80NA   6.80    3.01  21.07 21.070090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49605  Repair umbilical lesion                           A  84.91  26.81NA  26.81   22.74 134.46134.460090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49606  Repair umbilical lesion                           A  18.53   8.27NA   8.27    4.94  31.74 31.740090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49610  Repair umbilical lesion                           A  10.64   6.36NA   6.36    2.84  19.84 19.840090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49611  Repair umbilical lesion                           A   9.11   6.13NA   6.13    2.43  17.67 17.670090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49613  Rpr aa hrn rcr < 3 rdc                            A   7.23   2.50NA   2.50    1.86  11.59 11.590000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49614  Rpr aa hrn rcr < 3 ncr/strn                       A   9.99   3.09NA   3.09    2.61  15.69 15.690000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49615  Rpr aa hrn rcr 3-10 rdc                           A  11.17   3.40NA   3.40    2.91  17.48 17.480000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49616  Rpr aa hrn rcr 3-10 ncr/strn                      A  15.16   4.34NA   4.34    3.95  23.45 23.450000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49617  Rpr aa hrn rcr > 10 rdc                           A  15.63   4.57NA   4.57    4.00  24.20 24.200000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49618  Rpr aa hrn rcr > 10 ncr/strn                      A  22.10   6.09NA   6.09    5.69  33.88 33.880000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49621  Rpr parastomal hernia rdc                         A  13.36   3.94NA   3.94    3.16  20.46 20.460000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49622  Rpr parastomal hrna ncr/strn                      A  16.63   4.71NA   4.71    4.10  25.44 25.440000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
49623  Rmvl ninfct mesh hernia rpr                       A   3.66   0.90NA   0.90    0.95   5.51  5.510ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
49650  Lap ing hernia repair init                        A   6.20   4.87NA   4.87    1.63  12.70 12.700090.09.81.10212101            33.5675 090 99      0.00   0.00   0.00
49651  Lap ing hernia repair recur                       A   8.17   6.15NA   6.15    2.15  16.47 16.470090.09.81.10212101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
49900  Repair of abdominal wall                          A  12.10   8.82NA   8.82    3.04  23.96 23.960090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
49904  Omental flap extra-abdom                          A  21.79  11.77NA  11.77    5.01  38.57 38.570090.10.80.10201111            33.5675 090 99      0.00   0.00   0.00
49905  Omental flap intra-abdom                          A   6.38   1.57NA   1.57    1.48   9.43  9.430ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
49906  Free omental flap microvasc                       C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.10201101            33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
50010  Renal exploration                                 A  11.97   5.70NA   5.70    1.53  19.20 19.200090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50020  Drg perirnl/renal absc open                       A  17.63   7.53NA   7.53    2.27  27.43 27.430090.08.83.09201101            33.5675 090 99      0.00   0.00   0.00
50040  Nfros nfrot w/drg                                 A  16.26   6.59NA   6.59    2.09  24.94 24.940090.08.83.09211101            33.5675 090 99      0.00   0.00   0.00
50045  Nephrotomy w/exploration                          A  16.40   6.62NA   6.62    2.11  25.13 25.130090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50060  Nl removal calculus                               A  20.43   7.46NA   7.46    2.62  30.51 30.510090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50065  Nl sec surg operj calculus                        A  21.76   7.73NA   7.73    2.79  32.28 32.280090.08.83.09212001            33.5675 090 99      0.00   0.00   0.00
50070  Nl comp cgen kdn abnormality                      A  21.30   7.63NA   7.63    2.74  31.67 31.670090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50075  Nl rmvl lg staghorn calculus                      A  26.41   9.02NA   9.02    3.39  38.82 38.820090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50080  Perq nl/pl lithotrp smpl<2cm                      A  12.10   5.16NA   5.16    1.56  18.82 18.820090.08.83.09211001            33.5675 090 99      0.00   0.00   0.00
50081  Perq nl/pl lithotrp cplx>2cm                      A  20.39   6.99NA   6.99    2.61  29.99 29.990090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50100  Trnsxj/repos abrrnt rnl vsls                      A  17.01   9.13NA   9.13    4.54  30.68 30.680090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50120  Pyelotomy w/exploration                           A  16.78   6.61NA   6.61    2.16  25.55 25.550090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50125  Pyelotomy w/drg pyelostomy                        A  17.37   6.82NA   6.82    2.22  26.41 26.410090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50130  Pyelotomy w/removal calculus                      A  18.35   7.02NA   7.02    2.36  27.73 27.730090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50200  Renal biopsy perq                                 A   2.32  12.17     0.74    0.24  14.73  3.300000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50205  Renal bx surg exposure kdn                        A  11.98   6.39NA   6.39    2.98  21.35 21.350090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50220  Remove kidney open                                A  18.21   7.59NA   7.59    3.04  28.84 28.840090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50225  Removal kidney open complex                       A  21.33   7.64NA   7.64    2.75  31.72 31.720090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50230  Removal kidney open radical                       A  23.21   7.73NA   7.73    3.27  34.21 34.210090.08.83.09212201            33.5675 090 99      0.00   0.00   0.00
50234  Removal of kidney & ureter                        A  23.45   8.14NA   8.14    3.16  34.75 34.750090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50236  Removal of kidney & ureter                        A  26.27   9.50NA   9.50    3.37  39.14 39.140090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50240  Nephrectomy partial                               A  23.60   8.87NA   8.87    3.18  35.65 35.650090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50250  Opn abltj 1/> rnl mas crysrg                      A  21.66   8.14NA   8.14    2.78  32.58 32.580090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50280  Exc/unroofing cyst kidney                         A  16.66   6.67NA   6.67    2.14  25.47 25.470090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50290  Excision perinephric cyst                         A  15.75   6.48NA   6.48    2.02  24.25 24.250090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50320  Remove kidney living donor                        A  21.87  16.68NA  16.68    5.85  44.40 44.400090.08.83.09212101            33.5675 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.00.00.00202101            33.5675 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.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
50327  Prep renal graft/venous                           A   3.90   0.93NA   0.93    1.00   5.83  5.830XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
50328  Prep renal graft/arterial                         A   3.41   0.82NA   0.82    0.86   5.09  5.090XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
50329  Prep renal graft/ureteral                         A   3.26   0.78NA   0.78    0.83   4.87  4.870XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
50340  Recipient nephrectomy                             A  13.69  10.74NA  10.74    3.65  28.08 28.080090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50360  Rnl altrnsplj w/o rcp nfrct                       A  38.88  19.75NA  19.75   10.03  68.66 68.660090.08.83.09202221            33.5675 090 99      0.00   0.00   0.00
50365  Rnl altrnsplj w/rcp nfrct                         A  44.98  26.78NA  26.78   12.06  83.82 83.820090.08.83.09212221            33.5675 090 99      0.00   0.00   0.00
50370  Rmvl transplanted rnl algrft                      A  18.41  11.96NA  11.96    4.66  35.03 35.030090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50380  Rnl autotrnsplj rimpltj kdn                       A  29.36  22.01NA  22.01    7.87  59.24 59.240090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50382  Change ureter stent percut                        A   5.12  22.71     0.80    0.57  28.40  6.490000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50384  Remove ureter stent percut                        A   4.63  19.38     0.72    0.53  24.54  5.880000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50385  Change stent via transureth                       A   4.09  25.23     1.08    0.50  29.82  5.670000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50386  Remove stent via transureth                       A   2.97  19.18     0.96    0.38  22.53  4.310000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50387  Change nephroureteral cath                        A   1.71  13.66     0.25    0.19  15.56  2.150000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50389  Remove renal tube w/fluoro                        A   1.07  10.67     0.18    0.12  11.86  1.370000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50390  Drainage of kidney lesion                         A   1.91   0.30NA   0.30    0.21   2.42  2.420000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50391  Instll rx agnt into rnal tub                      A   1.91   1.66     0.39    0.24   3.81  2.540000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50396  Measure kidney pressure                           A   2.04   0.76NA   0.76    0.20   3.00  3.000000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50400  Revision of kidney/ureter                         A  20.74   7.52NA   7.52    2.67  30.93 30.930090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50405  Revision of kidney/ureter                         A  25.21   8.78NA   8.78    3.24  37.23 37.230090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50430  Njx px nfrosgrm &/urtrgrm                         A   2.83  15.30     0.89    0.34  18.47  4.060000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50431  Njx px nfrosgrm &/urtrgrm                         A   1.07   8.03     0.58    0.12   9.22  1.770000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50432  Plmt nephrostomy catheter                         A   3.90  21.54     0.99    0.43  25.87  5.320000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50433  Plmt nephroureteral catheter                      A   4.92  26.73     1.12    0.53  32.18  6.570000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50434  Convert nephrostomy catheter                      A   3.66  21.83     0.92    0.41  25.90  4.990000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50435  Exchange nephrostomy cath                         A   1.77  14.90     0.66    0.20  16.87  2.630000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50436  Dilat xst trc ndurlgc px                          A   2.71   1.02NA   1.02    0.35   4.08  4.080000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50437  Dilat xst trc new access rcs                      A   4.73   1.41NA   1.41    0.57   6.71  6.710000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50500  Repair of kidney wound                            A  20.69  10.02NA  10.02    5.53  36.24 36.240090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50520  Close kidney-skin fistula                         A  18.41   9.47NA   9.47    4.91  32.79 32.790090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50525  Close nephrovisceral fistula                      A  23.78  11.14NA  11.14    6.36  41.28 41.280090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50526  Close nephrovisceral fistula                      A  25.65  11.60NA  11.60    6.85  44.10 44.100090.08.83.09202001            33.5675 090 99      0.00   0.00   0.00
50540  Revision of horseshoe kidney                      A  20.57   7.49NA   7.49    2.64  30.70 30.700090.08.83.09222101            33.5675 090 99      0.00   0.00   0.00
50541  Laparo ablate renal cyst                          A  16.44   5.99NA   5.99    2.15  24.58 24.580090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50542  Laparo ablate renal mass                          A  20.83   7.73NA   7.73    2.72  31.28 31.280090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50543  Laparo partial nephrectomy                        A  26.72   9.63NA   9.63    3.46  39.81 39.810090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50544  Laparoscopy pyeloplasty                           A  22.79   7.29NA   7.29    2.95  33.03 33.030090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50545  Laparo radical nephrectomy                        A  24.43   7.91NA   7.91    3.18  35.52 35.520090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50546  Laparoscopic nephrectomy                          A  21.32   8.03NA   8.03    2.96  32.31 32.310090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50547  Laparo removal donor kidney                       A  25.68  14.12NA  14.12    6.31  46.11 46.110090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50548  Laparo remove w/ureter                            A  24.73   7.71NA   7.71    3.22  35.66 35.660090.08.83.09212101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
50551  Kidney endoscopy                                  A   5.45   5.14     1.62    0.70  11.29  7.770000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50553  Kidney endoscopy                                  A   5.83   5.48     1.70    0.75  12.06  8.280000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50555  Kidney endoscopy & biopsy                         A   6.36   5.68     1.80    0.82  12.86  8.980000.00.00.00310001      50551 33.5675 090 99      0.00   0.00   0.00
50557  Kidney endoscopy & treatment                      A   6.44   5.81     1.82    0.83  13.08  9.090000.00.00.00310001      50551 33.5675 090 99      0.00   0.00   0.00
50561  Kidney endoscopy & treatment                      A   7.39   6.47     2.02    0.96  14.82 10.370000.00.00.00310001      50551 33.5675 090 99      0.00   0.00   0.00
50562  Renal scope w/tumor resect                        A  10.63   3.36NA   3.36    1.35  15.34 15.340090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50570  Kidney endoscopy                                  A   9.29   2.38NA   2.38    1.21  12.88 12.880000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50572  Kidney endoscopy                                  A  10.07   2.53NA   2.53    1.30  13.90 13.900000.00.00.00310001      50570 33.5675 090 99      0.00   0.00   0.00
50574  Kidney endoscopy & biopsy                         A  10.73   2.67NA   2.67    1.37  14.77 14.770000.00.00.00310001      50570 33.5675 090 99      0.00   0.00   0.00
50575  Kidney endoscopy                                  A  13.61   3.26NA   3.26    1.75  18.62 18.620000.00.00.00311001      50570 33.5675 090 99      0.00   0.00   0.00
50576  Kidney endoscopy & treatment                      A  10.70   2.66NA   2.66    1.36  14.72 14.720000.00.00.00310001      50570 33.5675 090 99      0.00   0.00   0.00
50580  Kidney endoscopy & treatment                      A  11.54   2.84NA   2.84    1.48  15.86 15.860000.00.00.00310001      50570 33.5675 090 99      0.00   0.00   0.00
50590  Fragmenting of kidney stone                       A   9.53  12.00     4.84    1.23  22.76 15.600090.08.83.09211001            33.5675 090 99      0.00   0.00   0.00
50592  Perc rf ablate renal tumor                        A   6.39  71.42     1.83    0.69  78.50  8.910010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
50593  Perc cryo ablate renal tum                        A   8.66  95.37     2.33    0.95 104.98 11.940010.10.80.10212001            33.5675 090 99      0.00   0.00   0.00
50600  Exploration of ureter                             A  16.74   6.27NA   6.27    2.15  25.16 25.160090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50605  Insert ureteral support                           A  16.37   7.79NA   7.79    3.86  28.02 28.020090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50606  Endoluminal bx urtr rnl plvs                      A   3.08  10.76     0.29    0.40  14.24  3.770ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
50610  Removal of ureter stone                           A  16.82   6.37NA   6.37    2.16  25.35 25.350090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50620  Removal of ureter stone                           A  16.02   6.21NA   6.21    2.06  24.29 24.290090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50630  Removal of ureter stone                           A  15.80   6.16NA   6.16    2.04  24.00 24.000090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50650  Removal of ureter                                 A  18.35   7.04NA   7.04    2.49  27.88 27.880090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50660  Removal of ureter                                 A  20.49   7.47NA   7.47    2.63  30.59 30.590090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50684  Injection for ureter x-ray                        A   0.74   3.02     0.58    0.08   3.84  1.400000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50686  Measure ureter pressure                           A   1.47   2.75     0.75    0.19   4.41  2.410000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
50688  Change of ureter tube/stent                       A   1.17   0.83NA   0.83    0.13   2.13  2.130010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
50690  Injection for ureter x-ray                        A   1.13   2.25     0.61    0.12   3.50  1.860000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
50693  Plmt ureteral stent prq                           A   3.86  24.06     1.00    0.42  28.34  5.280000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50694  Plmt ureteral stent prq                           A   5.12  26.09     1.19    0.55  31.76  6.860000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50695  Plmt ureteral stent prq                           A   6.63  30.77     1.44    0.71  38.11  8.780000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
50700  Revision of ureter                                A  16.27   6.59NA   6.59    2.09  24.95 24.950090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50705  Ureteral embolization/occl                        A   3.93  48.58     0.36    0.49  53.00  4.780ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
50706  Balloon dilate urtrl strix                        A   3.71  19.62     0.53    0.41  23.74  4.650ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
50715  Release of ureter                                 A  20.12   9.14NA   9.14    4.26  33.52 33.520090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50722  Release of ureter                                 A  17.50   6.51NA   6.51    3.05  27.06 27.060090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50725  Release/revise ureter                             A  19.70   7.30NA   7.30    2.53  29.53 29.530090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50727  Revise ureter                                     A   8.07   5.00NA   5.00    1.11  14.18 14.180090.08.83.09202201            33.5675 090 99      0.00   0.00   0.00
50728  Revise ureter                                     A  11.88   5.68NA   5.68    1.51  19.07 19.070090.08.83.09202201            33.5675 090 99      0.00   0.00   0.00
50740  Fusion of ureter & kidney                         A  19.57   9.75NA   9.75    5.22  34.54 34.540090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50750  Fusion of ureter & kidney                         A  20.69   7.51NA   7.51    2.65  30.85 30.850090.08.83.09212001            33.5675 090 99      0.00   0.00   0.00
50760  Ureteroureterostomy                               A  19.57   7.86NA   7.86    3.32  30.75 30.750090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50770  Splicing of ureters                               A  20.69   7.51NA   7.51    2.65  30.85 30.850090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50780  Reimplant ureter in bladder                       A  19.45   7.64NA   7.64    3.05  30.14 30.140090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50782  Reimplant ureter in bladder                       A  19.17   7.19NA   7.19    2.48  28.84 28.840090.08.83.09212201            33.5675 090 99      0.00   0.00   0.00
50783  Reimplant ureter in bladder                       A  20.18   7.40NA   7.40    2.60  30.18 30.180090.08.83.09212201            33.5675 090 99      0.00   0.00   0.00
50785  Reimplant ureter in bladder                       A  21.67   7.84NA   7.84    2.97  32.48 32.480090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50800  Implant ureter in bowel                           A  16.00   6.86NA   6.86    2.06  24.92 24.920090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50810  Fusion of ureter & bowel                          A  22.04  11.88NA  11.88    5.89  39.81 39.810090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50815  Urine shunt to intestine                          A  21.70   8.37NA   8.37    2.78  32.85 32.850090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50820  Construct bowel bladder                           A  23.47   8.57NA   8.57    3.25  35.29 35.290090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50825  Construct bowel bladder                           A  29.91  10.08NA  10.08    3.85  43.84 43.840090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50830  Revise urine flow                                 A  32.93  10.70NA  10.70    4.23  47.86 47.860090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50840  Replace ureter by bowel                           A  21.83   8.40NA   8.40    2.81  33.04 33.040090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50845  Appendico-vesicostomy                             A  21.90   9.07NA   9.07    2.82  33.79 33.790090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50860  Transplant ureter to skin                         A  16.65   6.67NA   6.67    2.14  25.46 25.460090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50900  Repair of ureter                                  A  14.66   6.25NA   6.25    1.88  22.79 22.790090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50920  Closure ureter/skin fistula                       A  15.41   6.41NA   6.41    1.98  23.80 23.800090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50930  Closure ureter/bowel fistula                      A  19.69   7.30NA   7.30    2.53  29.52 29.520090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
50940  Release of ureter                                 A  15.53   6.44NA   6.44    2.00  23.97 23.970090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50945  Laparoscopy ureterolithotomy                      A  17.52   6.19NA   6.19    2.25  25.96 25.960090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50947  Laparo new ureter/bladder                         A  25.14   8.48NA   8.48    3.32  36.94 36.940090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
50948  Laparo new ureter/bladder                         A  23.22   7.63NA   7.63    3.02  33.87 33.870090.08.83.09212101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
50951  Endoscopy of ureter                               A   5.68   5.37     1.66    0.72  11.77  8.060000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50953  Endoscopy of ureter                               A   6.07   5.63     1.75    0.79  12.49  8.610000.00.00.00310001      50951 33.5675 090 99      0.00   0.00   0.00
50955  Ureter endoscopy & biopsy                         A   6.57   5.88     1.85    0.85  13.30  9.270000.00.00.00310001      50951 33.5675 090 99      0.00   0.00   0.00
50957  Ureter endoscopy & treatment                      A   6.61   5.96     1.86    0.85  13.42  9.320000.00.00.00310001      50951 33.5675 090 99      0.00   0.00   0.00
50961  Ureter endoscopy & treatment                      A   5.89   5.48     1.71    0.76  12.13  8.360000.00.00.00310001      50951 33.5675 090 99      0.00   0.00   0.00
50970  Ureter endoscopy                                  A   6.95   1.88NA   1.88    0.90   9.73  9.730000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50972  Ureter endoscopy & catheter                       A   6.71   1.83NA   1.83    0.87   9.41  9.410000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
50974  Ureter endoscopy & biopsy                         A   8.93   2.30NA   2.30    1.15  12.38 12.380000.00.00.00310001      50970 33.5675 090 99      0.00   0.00   0.00
50976  Ureter endoscopy & treatment                      A   8.80   2.27NA   2.27    1.14  12.21 12.210000.00.00.00310001      50970 33.5675 090 99      0.00   0.00   0.00
50980  Ureter endoscopy & treatment                      A   6.67   1.82NA   1.82    0.86   9.35  9.350000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
51020  Cystotomy/cystostomy w/fulg                       A   7.50   4.56NA   4.56    0.98  13.04 13.040090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51040  Incise & drain bladder                            A   4.38   3.23NA   3.23    0.56   8.17  8.170090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51045  Incise bladder/drain ureter                       A   7.61   4.84NA   4.84    1.22  13.67 13.670090.08.83.09202001            33.5675 090 99      0.00   0.00   0.00
51050  Removal of bladder stone                          A   7.77   4.21NA   4.21    1.01  12.99 12.990090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51060  Removal of ureter stone                           A   9.70   5.01NA   5.01    1.25  15.96 15.960090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51065  Remove ureter calculus                            A   9.70   4.92NA   4.92    1.25  15.87 15.870090.08.83.09200001            33.5675 090 99      0.00   0.00   0.00
51080  Drainage of bladder abscess                       A   6.54   3.96NA   3.96    0.84  11.34 11.340090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51100  Drain bladder by needle                           A   0.76   1.38     0.16    0.09   2.23  1.010000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51101  Drain bladder by trocar/cath                      A   0.99   3.55     0.21    0.13   4.67  1.330000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51102  Drain bl w/cath insertion                         A   2.63   4.26     0.81    0.33   7.22  3.770000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51500  Removal of bladder cyst                           A  10.77   5.23NA   5.23    1.37  17.37 17.370090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51520  Removal of bladder lesion                         A   9.95   5.06NA   5.06    1.29  16.30 16.300090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51525  Removal of bladder lesion                         A  15.03   6.12NA   6.12    2.00  23.15 23.150090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51530  Removal of bladder lesion                         A  13.37   5.76NA   5.76    1.72  20.85 20.850090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51535  Repair of ureter lesion                           A  13.55   5.80NA   5.80    1.74  21.09 21.090090.08.83.09212101            33.5675 090 99      0.00   0.00   0.00
51550  Partial removal of bladder                        A  16.80   6.80NA   6.80    2.49  26.09 26.090090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51555  Partial removal of bladder                        A  22.60   8.10NA   8.10    3.11  33.81 33.810090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51565  Revise bladder & ureter(s)                        A  23.09   8.40NA   8.40    2.97  34.46 34.460090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51570  Removal of bladder                                A  26.77   8.83NA   8.83    3.45  39.05 39.050090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51575  Removal of bladder & nodes                        A  33.33  10.57NA  10.57    4.28  48.18 48.180090.08.83.09222101            33.5675 090 99      0.00   0.00   0.00
51580  Remove bladder/revise tract                       A  34.49  11.47NA  11.47    4.44  50.40 50.400090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51585  Removal of bladder & nodes                        A  38.65  12.33NA  12.33    4.96  55.94 55.940090.08.83.09222101            33.5675 090 99      0.00   0.00   0.00
51590  Remove bladder/revise tract                       A  35.42  11.12NA  11.12    4.71  51.25 51.250090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51595  Remove bladder/revise tract                       A  40.29  12.35NA  12.35    5.29  57.93 57.930090.08.83.09222101            33.5675 090 99      0.00   0.00   0.00
51596  Remove bladder/create pouch                       A  43.15  13.68NA  13.68    5.69  62.52 62.520090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51597  Removal of pelvic structures                      A  41.79  13.56NA  13.56    5.73  61.08 61.080090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51600  Injection for bladder x-ray                       A   0.86   5.26     0.17    0.09   6.21  1.120000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51605  Preparation for bladder xray                      A   0.62   0.36NA   0.36    0.07   1.05  1.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51610  Injection for bladder x-ray                       A   1.02   2.70     0.59    0.12   3.84  1.730000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51700  Irrigation of bladder                             A   0.59   1.68     0.12    0.07   2.34  0.780000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51701  Insert bladder catheter                           A   0.49   0.80     0.10    0.07   1.36  0.660000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51702  Insert temp bladder cath                          A   0.49   1.40     0.12    0.07   1.96  0.680000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51703  Insert bladder cath complex                       A   1.43   3.00     0.40    0.19   4.62  2.020000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51705  Change of bladder tube                            A   0.88   2.03     0.41    0.12   3.03  1.410000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51710  Change of bladder tube                            A   1.32   2.72     0.70    0.17   4.21  2.190000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51715  Endoscopic injection/implant                      A   3.64   6.20     1.11    0.53  10.37  5.280000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51720  Treatment of bladder lesion                       A   0.85   1.79     0.18    0.11   2.75  1.140000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51721  Ins trurl ablt trnsdc thr us                      A   3.95  12.46     1.31    0.49  16.90  5.750000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51725  Simple cystometrogram                             A   1.47   4.27     4.27NA  0.20   5.94  5.941000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
5172526Simple cystometrogram                             A   1.47   0.63     0.63    0.18   2.28  2.281000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51725TCSimple cystometrogram                             A   0.00   3.64     3.64NA  0.02   3.66  3.661000.00.00.00200001            33.5675 020 99      0.00   0.00   0.00
51726  Complex cystometrogram                            A   1.67   6.27     6.27NA  0.17   8.11  8.111000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
5172626Complex cystometrogram                            A   1.67   0.70     0.70    0.15   2.52  2.521000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51726TCComplex cystometrogram                            A   0.00   5.57     5.57NA  0.02   5.59  5.591000.00.00.00201001            33.5675 020 99      0.00   0.00   0.00
51727  Cystometrogram w/up                               A   2.06   7.59     7.59NA  0.26   9.91  9.911000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
5172726Cystometrogram w/up                               A   2.06   0.87     0.87    0.24   3.17  3.171000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51727TCCystometrogram w/up                               A   0.00   6.72     6.72NA  0.02   6.74  6.741000.00.00.00200001            33.5675 020 99      0.00   0.00   0.00
51728  Cystometrogram w/vp                               A   2.06   7.80     7.80NA  0.22  10.08 10.081000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
5172826Cystometrogram w/vp                               A   2.06   0.86     0.86    0.20   3.12  3.121000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51728TCCystometrogram w/vp                               A   0.00   6.94     6.94NA  0.02   6.96  6.961000.00.00.00200001            33.5675 020 99      0.00   0.00   0.00
51729  Cystometrogram w/vp&up                            A   2.45   7.84     7.84NA  0.31  10.60 10.601000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
5172926Cystometrogram w/vp&up                            A   2.45   1.04     1.04    0.28   3.77  3.771000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51729TCCystometrogram w/vp&up                            A   0.00   6.80     6.80NA  0.03   6.83  6.831000.00.00.00200001            33.5675 020 99      0.00   0.00   0.00
51736  Urine flow measurement                            A   0.17   0.24     0.24NA  0.03   0.44  0.441XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
5173626Urine flow measurement                            A   0.17   0.07     0.07    0.02   0.26  0.261XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51736TCUrine flow measurement                            A   0.00   0.17     0.17NA  0.01   0.18  0.181XXX.00.00.00200001            33.5675 020 99      0.00   0.00   0.00
51741  Electro-uroflowmetry first                        A   0.17   0.26     0.26NA  0.03   0.46  0.461XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
5174126Electro-uroflowmetry first                        A   0.17   0.07     0.07    0.02   0.26  0.261XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51741TCElectro-uroflowmetry first                        A   0.00   0.19     0.19NA  0.01   0.20  0.201XXX.00.00.00201001            33.5675 020 99      0.00   0.00   0.00
51784  Anal/urinary muscle study                         A   0.73   1.18     1.18NA  0.08   1.99  1.991XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
5178426Anal/urinary muscle study                         A   0.73   0.31     0.31    0.07   1.11  1.111XXX.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
51784TCAnal/urinary muscle study                         A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.00201001            33.5675 020 99      0.00   0.00   0.00
51785  Anal/urinary muscle study                         A   1.49   9.75     9.75NA  0.51  11.75 11.751XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
5178526Anal/urinary muscle study                         A   1.49   0.83     0.83    0.48   2.80  2.801XXX.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51785TCAnal/urinary muscle study                         A   0.00   8.92     8.92NA  0.03   8.95  8.951XXX.00.00.00200001            33.5675 030 99      0.00   0.00   0.00
51792  Urinary reflex study                              A   1.07   6.14     6.14NA  0.19   7.40  7.401000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
5179226Urinary reflex study                              A   1.07   0.45     0.45    0.16   1.68  1.681000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
51792TCUrinary reflex study                              A   0.00   5.69     5.69NA  0.03   5.72  5.721000.00.00.00200001            33.5675 020 99      0.00   0.00   0.00
51797  Intraabdominal pressure test                      A   0.78   3.79     3.79NA  0.07   4.64  4.641ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
5179726Intraabdominal pressure test                      A   0.78   0.33     0.33    0.07   1.18  1.181ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
51797TCIntraabdominal pressure test                      A   0.00   3.46     3.46NA  0.00   3.46  3.461ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
51798  Us urine capacity measure                         A   0.00   0.36     0.36NA  0.02   0.38  0.383XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
51800  Revision of bladder/urethra                       A  18.42   7.09NA   7.09    2.37  27.88 27.880090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51820  Revision of urinary tract                         A  19.10   7.62NA   7.62    2.47  29.19 29.190090.08.83.09222101            33.5675 090 99      0.00   0.00   0.00
51840  Attach bladder/urethra                            A  11.08   5.92NA   5.92    1.63  18.63 18.630090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51841  Attach bladder/urethra                            A  13.34   6.46NA   6.46    1.71  21.51 21.510090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51845  Repair bladder neck                               A   9.90   4.70NA   4.70    1.28  15.88 15.880090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51860  Repair of bladder wound                           A  12.29   6.14NA   6.14    1.99  20.42 20.420090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51865  Repair of bladder wound                           A  15.41   6.63NA   6.63    2.21  24.25 24.250090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51880  Repair of bladder opening                         A   7.67   4.08NA   4.08    1.11  12.86 12.860090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51900  Repair bladder/vagina lesion                      A  14.26   6.22NA   6.22    1.83  22.31 22.310090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51920  Close bladder-uterus fistula                      A  13.07   5.99NA   5.99    1.68  20.74 20.740090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51925  Hysterectomy/bladder repair                       A  17.09   8.22NA   8.22    3.00  28.31 28.310090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51940  Correction of bladder defect                      A  29.89   9.88NA   9.88    3.85  43.62 43.620090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51960  Revision of bladder & bowel                       A  24.77   9.08NA   9.08    3.18  37.03 37.030090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51980  Construct bladder opening                         A  12.26   5.54NA   5.54    1.57  19.37 19.370090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51990  Laparo urethral suspension                        A  13.03   5.35NA   5.35    1.71  20.09 20.090090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
51992  Laparo sling operation                            A  14.50   5.47NA   5.47    2.38  22.35 22.350090.08.83.09202101            33.5675 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.00.00.00000111            33.5675 090 99      0.00   0.00   0.00
52000  Cystourethroscopy                                 A   1.49   4.77     0.44    0.20   6.46  2.130000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
52001  Cysto w/irrg&evac mlt clots                       A   5.30   6.58     1.59    0.68  12.56  7.570000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52005  Cysto w/urtrl cathj                               A   2.31   5.80     0.98    0.29   8.40  3.580000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52007  Cysto urtrl cathj brush bx                        A   2.94   9.58     1.09    0.40  12.92  4.430000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52010  Cystoscopy & duct catheter                        A   2.94   7.61     1.09    0.38  10.93  4.410000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52204  Cystoscopy w/biopsy(s)                            A   2.53   7.77     0.93    0.34  10.64  3.800000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52214  Cystoscopy and treatment                          A   3.41  17.94     0.71    0.43  21.78  4.550000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52224  Cystoscopy and treatment                          A   3.95  18.32     0.82    0.49  22.76  5.260000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52234  Cystoscopy and treatment                          A   4.50   1.42NA   1.42    0.57   6.49  6.490000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52235  Cystoscopy and treatment                          A   5.30   1.64NA   1.64    0.68   7.62  7.620000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52240  Cystoscopy and treatment                          A   7.31   2.05NA   2.05    0.95  10.31 10.310000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52250  Cystoscopy and radiotracer                        A   4.38   1.40NA   1.40    0.56   6.34  6.340000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52260  Cystoscopy and treatment                          A   3.81   1.24NA   1.24    0.51   5.56  5.560000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52265  Cystoscopy and treatment                          A   2.87   7.05     1.03    0.42  10.34  4.320000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52270  Cystoscopy & revise urethra                       A   3.28   8.26     1.14    0.43  11.97  4.850000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52275  Cystoscopy & revise urethra                       A   4.57  10.39     1.41    0.58  15.54  6.560000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52276  Cystoscopy and treatment                          A   4.87   1.50NA   1.50    0.62   6.99  6.990000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52277  Cystoscopy and treatment                          A   6.01   1.74NA   1.74    0.79   8.54  8.540000.00.00.00300001      52000 33.5675 090 99      0.00   0.00   0.00
52281  Cystoscopy and treatment                          A   2.68   6.25     1.05    0.36   9.29  4.090000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52282  Cystoscopy implant stent                          A   6.23   1.81NA   1.81    0.85   8.89  8.890000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52283  Cystoscopy and treatment                          A   3.64   5.83     1.24    0.47   9.94  5.350000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52284  Cysto rx balo cath urtl strx                      A   3.02  76.91     0.96    0.39  80.32  4.370000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52285  Cystoscopy and treatment                          A   3.51   5.76     1.19    0.49   9.76  5.190000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52287  Cystoscopy chemodenervation                       A   3.12   7.34     0.91    0.43  10.89  4.460000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52290  Cystoscopy and treatment                          A   4.47   1.41NA   1.41    0.57   6.45  6.450000.00.00.00321001      52000 33.5675 090 99      0.00   0.00   0.00
52300  Cystoscopy and treatment                          A   5.17   1.57NA   1.57    0.66   7.40  7.400000.00.00.00320001      52000 33.5675 090 99      0.00   0.00   0.00
52301  Cystoscopy and treatment                          A   5.36   1.60NA   1.60    0.68   7.64  7.640000.00.00.00320001      52000 33.5675 090 99      0.00   0.00   0.00
52305  Cystoscopy and treatment                          A   5.17   1.50NA   1.50    0.66   7.33  7.330000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52310  Cystoscopy and treatment                          A   2.74   5.84     0.93    0.36   8.94  4.030000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52315  Cystoscopy and treatment                          A   5.07   7.96     1.52    0.67  13.70  7.260000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52317  Remove bladder stone                              A   6.54  18.61     1.72    0.85  26.00  9.110000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52318  Remove bladder stone                              A   8.95   2.29NA   2.29    1.16  12.40 12.400000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52320  Cystoscopy and treatment                          A   4.57   1.33NA   1.33    0.58   6.48  6.480000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52325  Cystoscopy stone removal                          A   6.00   1.65NA   1.65    0.78   8.43  8.430000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52327  Cystoscopy inject material                        A   5.05   1.05NA   1.05    0.64   6.74  6.740000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52330  Cystoscopy and treatment                          A   4.90  12.15     1.40    0.62  17.67  6.920000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52332  Cystoscopy and treatment                          A   2.75   8.05     1.07    0.36  11.16  4.180000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52334  Create passage to kidney                          A   3.29   1.17NA   1.17    0.43   4.89  4.890000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52341  Cysto w/ureter stricture tx                       A   5.22   1.62NA   1.62    0.66   7.50  7.500000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52342  Cysto w/up stricture tx                           A   5.70   1.72NA   1.72    0.73   8.15  8.150000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52343  Cysto w/renal stricture tx                        A   6.39   1.85NA   1.85    0.82   9.06  9.060000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52344  Cysto/uretero stricture tx                        A   6.87   1.96NA   1.96    0.89   9.72  9.720000.00.00.00311001      52000 33.5675 090 99      0.00   0.00   0.00
52345  Cysto/uretero w/up stricture                      A   7.36   2.06NA   2.06    0.95  10.37 10.370000.00.00.00310001      52351 33.5675 090 99      0.00   0.00   0.00
52346  Cystouretero w/renal strict                       A   8.37   2.27NA   2.27    1.08  11.72 11.720000.00.00.00310001      52351 33.5675 090 99      0.00   0.00   0.00
52351  Cystouretero & or pyeloscope                      A   5.61   1.66NA   1.66    0.71   7.98  7.980000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
52352  Cystouretero w/stone remove                       A   6.58   1.90NA   1.90    0.85   9.33  9.330000.00.00.00311001      52351 33.5675 090 99      0.00   0.00   0.00
52353  Cystouretero w/lithotripsy                        A   7.31   2.05NA   2.05    0.93  10.29 10.290000.00.00.00311001      52351 33.5675 090 99      0.00   0.00   0.00
52354  Cystouretero w/biopsy                             A   7.80   2.15NA   2.15    1.02  10.97 10.970000.00.00.00311001      52351 33.5675 090 99      0.00   0.00   0.00
52355  Cystouretero w/excise tumor                       A   8.78   2.36NA   2.36    1.13  12.27 12.270000.00.00.00311001      52351 33.5675 090 99      0.00   0.00   0.00
52356  Cysto/uretero w/lithotripsy                       A   7.80   2.11NA   2.11    1.02  10.93 10.930000.00.00.00311001      52351 33.5675 090 99      0.00   0.00   0.00
52400  Cysto cgen post urtl valves                       A   8.47   3.26NA   3.26    1.09  12.82 12.820090.08.83.09301001      52000 33.5675 090 99      0.00   0.00   0.00
52402  Cysto trurl rescj ejacul dux                      A   5.14   1.12NA   1.12    0.65   6.91  6.910000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52441  Cysto insj trnsprstc 1 implt                      A   3.90  32.90     1.13    0.48  37.28  5.510000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52442  Cysto ins trnsprstc implt ea                      A   0.98  24.77     0.21    0.13  25.88  1.320ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
52443  Cysto 1st trurl prst8 comis                       A   3.62 172.69     1.08    0.46 176.77  5.160000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
52450  Transurethral inc prostate                        A   7.59   4.53NA   4.53    0.99  13.11 13.110090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
52500  Trurl resection bladder neck                      A   5.85   3.94NA   3.94    0.76  10.55 10.550090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
52597  Trurl rbtc wtrjt rescj prst8                      A  10.25   4.85NA   4.85    1.32  16.42 16.420090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
52601  Prostatectomy (turp)                              A   9.75   4.74NA   4.74    1.26  15.75 15.750090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
52630  Remove prostate regrowth                          A   6.39   4.04NA   4.04    0.83  11.26 11.260090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
52640  Relieve bladder contracture                       A   4.67   3.79NA   3.79    0.59   9.05  9.050090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
52648  Laser surgery of prostate                         A   9.80   4.75NA   4.75    1.27  15.82 15.820090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
52649  Prostate laser enucleation                        A  12.68   5.36NA   5.36    1.63  19.67 19.670090.08.83.09200001            33.5675 090 99      0.00   0.00   0.00
52700  Drainage of prostate abscess                      A   7.30   3.91NA   3.91    0.93  12.14 12.140090.08.83.09200001            33.5675 090 99      0.00   0.00   0.00
53000  Incision of urethra                               A   2.27   1.60NA   1.60    0.28   4.15  4.150010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
53010  Incision of urethra                               A   4.34   3.51NA   3.51    0.57   8.42  8.420090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53020  Incision of urethra                               A   1.73   0.64NA   0.64    0.21   2.58  2.580000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53025  Incision of urethra                               A   1.10   0.64NA   0.64    0.14   1.88  1.880000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
53040  Drainage of urethra abscess                       A   6.39   3.64NA   3.64    0.82  10.85 10.850090.08.83.09200001            33.5675 090 99      0.00   0.00   0.00
53060  Drainage of urethra abscess                       A   2.61   2.65     1.40    0.45   5.71  4.460010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
53080  Drainage of urinary leakage                       A   6.75   4.04NA   4.04    0.87  11.66 11.660090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53085  Drainage of urinary leakage                       A  10.90   5.39NA   5.39    1.40  17.69 17.690090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53200  Biopsy of urethra                                 A   2.53   2.06     0.92    0.38   4.97  3.830000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53210  Removal of urethra                                A  13.38   5.73NA   5.73    1.72  20.83 20.830090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53215  Removal of urethra                                A  16.43   6.37NA   6.37    2.13  24.93 24.930090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53220  Treatment of urethra lesion                       A   7.44   4.05NA   4.05    0.96  12.45 12.450090.08.83.09200001            33.5675 090 99      0.00   0.00   0.00
53230  Removal of urethra lesion                         A  10.18   4.94NA   4.94    1.47  16.59 16.590090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53235  Removal of urethra lesion                         A  10.72   5.21NA   5.21    1.36  17.29 17.290090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53240  Surgery for urethra pouch                         A   6.90   3.95NA   3.95    0.89  11.74 11.740090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53250  Removal of urethra gland                          A   6.36   3.82NA   3.82    0.82  11.00 11.000090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53260  Treatment of urethra lesion                       A   2.95   3.02     1.58    0.43   6.40  4.960010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
53265  Treatment of urethra lesion                       A   3.09   3.38     1.55    0.46   6.93  5.100010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
53270  Removal of urethra gland                          A   3.06   3.10     1.61    0.40   6.56  5.070010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
53275  Repair of urethra defect                          A   4.46   2.06NA   2.06    0.62   7.14  7.140010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
53400  Revise urethra stage 1                            A  13.78   6.06NA   6.06    1.83  21.67 21.670090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53405  Revise urethra stage 2                            A  15.27   6.34NA   6.34    1.96  23.57 23.570090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53410  Reconstruction of urethra                         A  17.24   6.87NA   6.87    2.22  26.33 26.330090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53415  Reconstruction of urethra                         A  20.18   7.49NA   7.49    2.61  30.28 30.280090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53420  Reconstruct urethra stage 1                       A  14.79   5.98NA   5.98    1.91  22.68 22.680090.08.83.09201101            33.5675 090 99      0.00   0.00   0.00
53425  Reconstruct urethra stage 2                       A  16.64   6.36NA   6.36    2.14  25.14 25.140090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53430  Reconstruction of urethra                         A  16.99   6.71NA   6.71    2.44  26.14 26.140090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53431  Reconstruct urethra/bladder                       A  20.65   7.55NA   7.55    2.65  30.85 30.850090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53440  Male sling procedure                              A  13.03   5.70NA   5.70    1.67  20.40 20.400090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53442  Remove/revise male sling                          A  13.15   6.61NA   6.61    1.69  21.45 21.450090.08.83.09202001            33.5675 090 99      0.00   0.00   0.00
53444  Insert tandem cuff                                A  13.84   5.85NA   5.85    1.77  21.46 21.460090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53445  Insert uro/ves nck sphincter                      A  12.68   6.33NA   6.33    1.63  20.64 20.640090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53446  Remove uro sphincter                              A  10.74   5.47NA   5.47    1.37  17.58 17.580090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53447  Remove/replace ur sphincter                       A  13.92   6.18NA   6.18    1.78  21.88 21.880090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53448  Remov/replc ur sphinctr comp                      A  22.85   8.43NA   8.43    2.94  34.22 34.220090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53449  Repair uro sphincter                              A  10.30   5.12NA   5.12    1.33  16.75 16.750090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53450  Revision of urethra                               A   6.60   3.89NA   3.89    0.86  11.35 11.350090.08.83.09201001            33.5675 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  0.000010.10.80.10000001            33.5675 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  0.000010.10.80.10000001            33.5675 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  0.000000.00.00.00000001            33.5675 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  0.000000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
53460  Revision of urethra                               A   7.56   4.07NA   4.07    0.99  12.62 12.620090.08.83.09200001            33.5675 090 99      0.00   0.00   0.00
53500  Urethrlys transvag w/ scope                       A  12.68   5.53NA   5.53    1.93  20.14 20.140090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
53502  Repair of urethra injury                          A   8.05   4.28NA   4.28    1.05  13.38 13.380090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53505  Repair of urethra injury                          A   8.05   4.27NA   4.27    1.05  13.37 13.370090.08.83.09202001            33.5675 090 99      0.00   0.00   0.00
53510  Repair of urethra injury                          A  10.69   5.20NA   5.20    1.36  17.25 17.250090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53515  Repair of urethra injury                          A  13.86   5.86NA   5.86    1.77  21.49 21.490090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
53520  Repair of urethra defect                          A   9.24   4.90NA   4.90    1.20  15.34 15.340090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53600  Dilate urethra stricture                          A   1.18   1.40     0.35    0.15   2.73  1.680000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53601  Dilate urethra stricture                          A   0.96   1.60     0.35    0.12   2.68  1.430000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53605  Dilate urethra stricture                          A   1.25   0.26NA   0.26    0.16   1.67  1.670000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53620  Dilate urethra stricture                          A   1.58   3.42     0.53    0.20   5.20  2.310000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53621  Dilate urethra stricture                          A   1.32   3.51     0.42    0.17   5.00  1.910000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53660  Dilation of urethra                               A   0.69   1.59     0.35    0.08   2.36  1.120000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53661  Dilation of urethra                               A   0.70   1.54     0.30    0.08   2.32  1.080000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53665  Dilation of urethra                               A   0.74   0.16NA   0.16    0.09   0.99  0.990000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
53850  Prostatic microwave thermotx                      A   5.28  36.78     3.96    0.67  42.73  9.910090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53852  Prostatic rf thermotx                             A   5.78  35.28     4.06    0.75  41.81 10.590090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53854  Trurl dstrj prst8 tiss rf wv                      A   5.78  95.13     4.07    0.75 101.66 10.600090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
53855  Insert prost urethral stent                       A   1.60  17.77     0.34    0.21  19.58  2.150000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
53860  Transurethral rf treatment                        A   3.87  67.25     1.69    0.48  71.60  6.040090.08.83.09200001            33.5675 090 99      0.00   0.00   0.00
53865  Cysto insj dev ischmc rmdlg                       A   3.02  89.00     0.95    0.39  92.41  4.360000.00.00.00301001      52000 33.5675 090 99      0.00   0.00   0.00
53866  Cathj rmvl dev ischmc rmdlg                       A   1.44   2.73     0.58    0.19   4.36  2.210000.00.00.00201001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
54000  Slitting of prepuce                               A   1.55   3.26     1.39    0.20   5.01  3.140010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
54001  Slitting of prepuce                               A   2.18   3.64     1.43    0.27   6.09  3.880010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54015  I&d penis deep                                    A   5.23   2.41NA   2.41    0.66   8.30  8.300010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
54050  Destruction penis lesion(s)                       A   1.26   2.97     1.50    0.14   4.37  2.900010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54055  Destruction penis lesion(s)                       A   1.22   2.81     1.24    0.14   4.17  2.600010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54056  Cryosurgery penis lesion(s)                       A   1.26   2.92     1.58    0.13   4.31  2.970010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54057  Laser surg penis lesion(s)                        A   1.26   2.89     1.31    0.16   4.31  2.730010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54060  Excision of penis lesion(s)                       A   1.93   3.85     1.50    0.24   6.02  3.670010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54065  Destruction penis lesion(s)                       A   2.41   4.01     1.85    0.25   6.67  4.510010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54100  Biopsy of penis                                   A   1.85   4.03     1.06    0.20   6.08  3.110000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
54105  Biopsy of penis                                   A   3.45   4.67     1.96    0.44   8.56  5.850010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54110  Treatment of penis lesion                         A  10.65   5.01NA   5.01    1.36  17.02 17.020090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
54111  Treat penis lesion graft                          A  14.06   5.71NA   5.71    1.80  21.57 21.570090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54112  Treat penis lesion graft                          A  16.56   6.56NA   6.56    2.13  25.25 25.250090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54115  Treatment of penis lesion                         A   6.78   6.59     4.20    0.88  14.25 11.860090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
54120  Partial removal of penis                          A  10.73   5.14NA   5.14    1.39  17.26 17.260090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54125  Removal of penis                                  A  14.20   6.21NA   6.21    1.96  22.37 22.370090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54130  Remove penis & nodes                              A  21.29   7.96NA   7.96    2.74  31.99 31.990090.10.80.10222101            33.5675 090 99      0.00   0.00   0.00
54135  Remove penis & nodes                              A  27.47   9.24NA   9.24    3.54  40.25 40.250090.10.80.10222001            33.5675 090 99      0.00   0.00   0.00
54150  Circumcision w/regionl block                      A   1.85   2.46     0.43    0.24   4.55  2.520000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
54160  Circumcision neonate                              A   2.47   4.04     1.16    0.33   6.84  3.960010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54161  Circum 28 days or older                           A   3.24   1.76NA   1.76    0.42   5.42  5.420010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54162  Lysis penil circumic lesion                       A   3.24   4.25     1.86    0.42   7.91  5.520010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54163  Repair of circumcision                            A   3.24   2.54NA   2.54    0.42   6.20  6.200010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54164  Frenulotomy of penis                              A   2.75   2.44NA   2.44    0.36   5.55  5.550010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54200  Injection px peyronie ds                          A   1.08   2.41     1.28    0.14   3.63  2.500010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54205  Njx px peyronie ds exps plaq                      A   8.75   4.74NA   4.74    1.13  14.62 14.620090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
54220  Irrg crpra cavrnosa priapism                      A   2.36   4.76     1.09    0.43   7.55  3.880000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
54230  Njx corpora cavernosograpy                        A   1.31   1.83     0.71    0.17   3.31  2.190000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
54231  Dynamic cavernosometry                            A   1.99   2.22     0.90    0.25   4.46  3.140000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
54235  Njx corpora cavernosa rx agt                      A   1.16   1.53     0.73    0.15   2.84  2.040000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
54240  Penile plethysmography                            A   1.28   1.91     1.91NA  0.20   3.39  3.391000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
5424026Penile plethysmography                            A   1.28   0.53     0.53    0.18   1.99  1.991000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
54240TCPenile plethysmography                            A   0.00   1.38     1.38NA  0.02   1.40  1.401000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
54250  Nctrnl pen tmscn&/rgdity tst                      A   2.16   1.33     1.33NA  0.21   3.70  3.701000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
5425026Nctrnl pen tmscn&/rgdity tst                      A   2.16   0.90     0.90    0.20   3.26  3.261000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
54250TCNctrnl pen tmscn&/rgdity tst                      A   0.00   0.43     0.43NA  0.01   0.44  0.441000.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
54300  Revision of penis                                 A  10.92   5.27NA   5.27    1.43  17.62 17.620090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54304  Revision of penis                                 A  12.95   5.63NA   5.63    1.66  20.24 20.240090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
54308  Reconstruction of urethra                         A  12.30   5.55NA   5.55    1.58  19.43 19.430090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54312  Reconstruction of urethra                         A  14.15   6.21NA   6.21    1.82  22.18 22.180090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54316  Reconstruction of urethra                         A  17.60   6.87NA   6.87    2.26  26.73 26.730090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54318  Reconstruction of urethra                         A  12.12   5.70NA   5.70    1.56  19.38 19.380090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54322  Reconstruction of urethra                         A  13.63   5.72NA   5.72    1.75  21.10 21.100090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
54324  Reconstruction of urethra                         A  17.11   6.74NA   6.74    2.19  26.04 26.040090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54326  Reconstruction of urethra                         A  16.59   6.66NA   6.66    2.13  25.38 25.380090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54328  Revise penis/urethra                              A  16.47   6.64NA   6.64    2.12  25.23 25.230090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54332  Revise penis/urethra                              A  17.91   6.93NA   6.93    2.31  27.15 27.150090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54336  Revise penis/urethra                              A  21.08   8.08NA   8.08    2.71  31.87 31.870090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54340  Rpr hypspad comp simple                           A   9.47   4.90NA   4.90    1.22  15.59 15.590090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54344  Rrp hypspad comp moblj&urtp                       A  16.63   6.66NA   6.66    2.14  25.43 25.430090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54348  Rpr hypspad comp dsj & urtp                       A  17.86   7.01NA   7.01    2.31  27.18 27.180090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54352  Revj prior hypspad repair                         A  25.48   8.98NA   8.98    3.27  37.73 37.730090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54360  Penis plastic surgery                             A  12.46   5.48NA   5.48    1.61  19.55 19.550090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54380  Repair penis                                      A  13.83   6.06NA   6.06    1.77  21.66 21.660090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54385  Repair penis                                      A  16.15   6.92NA   6.92    2.08  25.15 25.150090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54390  Repair penis and bladder                          A  22.20   8.18NA   8.18    2.86  33.24 33.240090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54400  Insert semi-rigid prosthesis                      A   8.94   4.43NA   4.43    1.15  14.52 14.520090.10.80.10201101            33.5675 090 99      0.00   0.00   0.00
54401  Insert self-contd prosthesis                      A  10.18   7.00NA   7.00    1.31  18.49 18.490090.10.80.10201101            33.5675 090 99      0.00   0.00   0.00
54405  Insert multi-comp penis pros                      A  14.16   5.84NA   5.84    1.82  21.82 21.820090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54406  Remove muti-comp penis pros                       A  12.57   5.68NA   5.68    1.63  19.88 19.880090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54408  Repair multi-comp penis pros                      A  13.56   6.19NA   6.19    1.75  21.50 21.500090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54410  Remove/replace penis prosth                       A  14.80   6.71NA   6.71    1.91  23.42 23.420090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54411  Remov/replc penis pros comp                       A  17.89   7.60NA   7.60    2.31  27.80 27.800090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54415  Remove self-contd penis pros                      A   8.66   4.87NA   4.87    1.13  14.66 14.660090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54416  Remv/repl penis contain pros                      A  11.78   6.33NA   6.33    1.50  19.61 19.610090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54417  Remv/replc penis pros compl                       A  15.70   6.58NA   6.58    2.02  24.30 24.300090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54420  Revision of penis                                 A  12.08   5.43NA   5.43    1.54  19.05 19.050090.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
54430  Revision of penis                                 A  10.78   5.26NA   5.26    1.37  17.41 17.410090.10.80.10222001            33.5675 090 99      0.00   0.00   0.00
54435  Revision of penis                                 A   6.64   3.99NA   3.99    0.86  11.49 11.490090.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54437  Repair corporeal tear                             A  11.21   5.90NA   5.90    1.44  18.55 18.550090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54440  Repair of penis                                   C   0.00   0.00     0.00    0.00   0.00  0.000090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
54450  Preputial stretching                              A   1.09   0.91     0.27    0.15   2.15  1.510000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
54500  Biopsy of testis                                  A   1.28   0.57NA   0.57    0.16   2.01  2.010000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
54505  Biopsy of testis                                  A   3.41   1.94NA   1.94    0.43   5.78  5.780010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
54512  Excise lesion testis                              A   9.10   4.39NA   4.39    1.19  14.68 14.680090.10.80.10211101            33.5675 090 99      0.00   0.00   0.00
54520  Removal of testis                                 A   5.17   3.25NA   3.25    0.73   9.15  9.150090.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
54522  Orchiectomy partial                               A   9.99   4.74NA   4.74    1.29  16.02 16.020090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
54530  Removal of testis                                 A   8.25   4.69NA   4.69    1.11  14.05 14.050090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
54535  Extensive testis surgery                          A  12.86   5.66NA   5.66    1.65  20.17 20.170090.10.80.10212001            33.5675 090 99      0.00   0.00   0.00
54550  Exploration for testis                            A   8.20   4.25NA   4.25    1.07  13.52 13.520090.10.80.10212001            33.5675 090 99      0.00   0.00   0.00
54560  Exploration for testis                            A  11.80   5.36NA   5.36    1.50  18.66 18.660090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
54600  Reduce testis torsion                             A   7.45   4.08NA   4.08    0.96  12.49 12.490090.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
54620  Suspension of testis                              A   5.08   2.43NA   2.43    0.65   8.16  8.160010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
54640  Orchiopexy ingun/scrot appr                       A   7.54   3.20NA   3.20    1.05  11.79 11.790090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
54650  Orchiopexy (fowler-stephens)                      A  12.08   5.78NA   5.78    1.54  19.40 19.400090.10.80.10212001            33.5675 090 99      0.00   0.00   0.00
54660  Revision of testis                                A   5.60   3.70NA   3.70    0.71  10.01 10.010090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
54670  Repair testis injury                              A   6.48   4.02NA   4.02    0.84  11.34 11.340090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
54680  Relocation of testis(es)                          A  13.69   5.86NA   5.86    1.76  21.31 21.310090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
54690  Laparoscopy orchiectomy                           A  11.41   4.89NA   4.89    1.46  17.76 17.760090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
54692  Laparoscopy orchiopexy                            A  13.40   5.26NA   5.26    1.72  20.38 20.380090.10.80.10211001            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
54700  I&d epdidyms tstis&/scrot sp                      A   3.38   2.13NA   2.13    0.48   5.99  5.990010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
54800  Biopsy of epididymis                              A   2.27   0.78NA   0.78    0.28   3.33  3.330000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
54830  Remove epididymis lesion                          A   5.86   3.77NA   3.77    0.78  10.41 10.410090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
54840  Remove epididymis lesion                          A   5.14   3.14NA   3.14    0.66   8.94  8.940090.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
54860  Removal of epididymis                             A   6.78   3.95NA   3.95    0.88  11.61 11.610090.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
54861  Removal of epididymis                             A   9.46   4.89NA   4.89    1.22  15.57 15.570090.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
54865  Explore epididymis                                A   5.63   3.71NA   3.71    0.72  10.06 10.060090.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
54900  Fusion of spermatic ducts                         A  13.85   6.08NA   6.08    1.77  21.70 21.700090.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
54901  Fusion of spermatic ducts                         A  18.62   7.46NA   7.46    2.40  28.48 28.480090.10.80.10220001            33.5675 090 99      0.00   0.00   0.00
55000  Drainage of hydrocele                             A   1.39   2.21     0.74    0.18   3.78  2.310000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
55040  Removal of hydrocele                              A   5.31   3.41NA   3.41    0.71   9.43  9.430090.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
55041  Removal of hydroceles                             A   8.33   4.67NA   4.67    1.10  14.10 14.100090.10.80.10221001            33.5675 090 99      0.00   0.00   0.00
55060  Repair of hydrocele                               A   6.00   3.81NA   3.81    0.79  10.60 10.600090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
55100  Drainage of scrotum abscess                       A   2.39   4.66     2.14    0.38   7.43  4.910010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
55110  Explore scrotum                                   A   6.17   3.84NA   3.84    0.86  10.87 10.870090.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
55120  Removal of scrotum lesion                         A   5.58   3.63NA   3.63    0.71   9.92  9.920090.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
55150  Removal of scrotum                                A   7.94   4.62NA   4.62    1.08  13.64 13.640090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55175  Revision of scrotum                               A   5.72   3.70NA   3.70    0.75  10.17 10.170090.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
55180  Revision of scrotum                               A  11.49   5.69NA   5.69    1.50  18.68 18.680090.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
55200  Incision of sperm duct                            A   4.44   6.83     2.73    0.56  11.83  7.730090.10.80.10220001            33.5675 090 99      0.00   0.00   0.00
55250  Removal of sperm duct(s)                          A   3.29   6.67     2.82    0.42  10.38  6.530090.10.80.10221001            33.5675 090 99      0.00   0.00   0.00
55300  Prepare sperm duct x-ray                          A   3.41   1.10NA   1.10    0.43   4.94  4.940000.00.00.00220001            33.5675 090 99      0.00   0.00   0.00
55400  Repair of sperm duct                              A   8.39   4.20NA   4.20    1.08  13.67 13.670090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
55500  Removal of hydrocele                              A   6.06   4.02NA   4.02    0.93  11.01 11.010090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
55520  Removal of sperm cord lesion                      A   6.49   5.33NA   5.33    1.64  13.46 13.460090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
55530  Revise spermatic cord veins                       A   5.61   3.44NA   3.44    0.73   9.78  9.780090.10.80.10211101            33.5675 090 99      0.00   0.00   0.00
55535  Revise spermatic cord veins                       A   7.01   3.99NA   3.99    0.91  11.91 11.910090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
55540  Revise hernia & sperm veins                       A   8.09   5.92NA   5.92    2.16  16.17 16.170090.10.80.10211101            33.5675 090 99      0.00   0.00   0.00
55550  Laparo ligate spermatic vein                      A   7.02   3.95NA   3.95    0.91  11.88 11.880090.10.80.10212101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
55600  Vesiculotomy                                      A   6.83   3.96NA   3.96    0.88  11.67 11.670090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
55605  Vesiculotomy complicated                          A   8.54   4.79NA   4.79    1.10  14.43 14.430090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
55650  Remove sperm duct pouch                           A  12.33   5.59NA   5.59    1.59  19.51 19.510090.10.80.10212101            33.5675 090 99      0.00   0.00   0.00
55680  Remove sperm pouch lesion                         A   5.53   3.41NA   3.41    0.70   9.64  9.640090.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
55705  Bx prst8 any approach nonimg                      A   1.88   4.87     0.88    0.23   6.98  2.990000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
55706  Bx prst8 ndl sat sampling                         A   4.16   1.40NA   1.40    0.53   6.09  6.090000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
55707  Bx prst8 trct us guided                           A   2.63   7.26     1.10    0.35  10.24  4.080000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55708  Bx prst8 trct us w/mri fus 1                      A   3.39   8.74     1.26    0.43  12.56  5.080000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55709  Bx prst8 tprnl us guided                          A   3.23  13.77     1.23    0.42  17.42  4.880000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55710  Bx prst8 tprn us w/mri fus 1                      A   3.81  15.24     1.35    0.48  19.53  5.640000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55711  Bx prst8 trct mri-us 1st                          A   2.61   8.04     1.10    0.35  11.00  4.060000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55712  Bx prst8 tprnl mri-us 1st                         A   3.10  14.66     1.22    0.41  18.17  4.730000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55713  Bx prst8 in-bore ct/mri bx 1                      A   4.00  18.38     1.06    0.50  22.88  5.560000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55714  Bx prst8 in-bore ct/mri 1                         A   3.62  18.24     0.98    0.46  22.32  5.060000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
55715  Bx prst8 ea add mri-us/ct/mr                      A   1.05   1.24     0.22    0.14   2.43  1.410ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
55720  Drainage of prostate abscess                      A   7.54   3.91NA   3.91    0.98  12.43 12.430090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55725  Drainage of prostate abscess                      A   9.80   5.30NA   5.30    1.27  16.37 16.370090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55801  Removal of prostate                               A  19.31   7.65NA   7.65    2.48  29.44 29.440090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55810  Extensive prostate surgery                        A  23.68   8.16NA   8.16    3.04  34.88 34.880090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55812  Extensive prostate surgery                        A  29.14   9.94NA   9.94    3.75  42.83 42.830090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55815  Extensive prostate surgery                        A  32.13  10.56NA  10.56    4.13  46.82 46.820090.10.80.10222101            33.5675 090 99      0.00   0.00   0.00
55821  Removal of prostate                               A  14.80   5.90NA   5.90    1.91  22.61 22.610090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55831  Removal of prostate                               A  15.21   5.99NA   5.99    2.00  23.20 23.200090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55840  Extensive prostate surgery                        A  20.83   7.74NA   7.74    2.72  31.29 31.290090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55842  Extensive prostate surgery                        A  20.83   7.71NA   7.71    2.68  31.22 31.220090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55845  Extensive prostate surgery                        A  24.55   8.49NA   8.49    3.17  36.21 36.210090.10.80.10222101            33.5675 090 99      0.00   0.00   0.00
55860  Surgical exposure prostate                        A  15.44   6.11NA   6.11    1.98  23.53 23.530090.10.80.10201101            33.5675 090 99      0.00   0.00   0.00
55862  Extensive prostate surgery                        A  19.54   7.33NA   7.33    2.51  29.38 29.380090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55865  Extensive prostate surgery                        A  23.96   8.64NA   8.64    3.06  35.66 35.660090.10.80.10222101            33.5675 090 99      0.00   0.00   0.00
55866  Laps surg prst8ect rpbic rad                      A  21.90   7.66NA   7.66    2.83  32.39 32.390090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
55867  Laps surg prst8ect smpl stot                      A  19.04   6.82NA   6.82    2.46  28.32 28.320090.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
55868  Lap srg prst8ct lymph nod bx                      A  22.46   7.79NA   7.79    2.91  33.16 33.160090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
55869  Lap srg prst8ct bi pl lmphad                      A  27.41   8.82NA   8.82    3.55  39.78 39.780090.08.83.09202101            33.5675 090 99      0.00   0.00   0.00
55870  Electroejaculation                                A   2.52   2.70     0.97    0.33   5.55  3.820000.00.00.00201101            33.5675 090 99      0.00   0.00   0.00
55873  Cryoablate prostate                               A  13.26 155.45     5.66    1.69 170.40 20.610090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
55874  Tprnl plmt biodegrdabl matrl                      A   2.95 107.63     0.99    0.33 110.91  4.270000.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
55875  Transperi needle place pros                       A  13.12   6.05NA   6.05    1.42  20.59 20.590090.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
55876  Place rt device/marker pros                       A   1.69   2.65     0.84    0.19   4.53  2.720000.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
55877  Abltj ire prst8 1+ tum perq                       A  13.50   4.99NA   4.99    1.61  20.10 20.100090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
55880  Abltj mal prst8 tiss hifu                         A  17.29   6.83NA   6.83    2.21  26.33 26.330090.08.83.09201001            33.5675 090 99      0.00   0.00   0.00
55881  Ablt trurl prst8 tis thrm us                      A   9.56 266.75     2.06    1.24 277.55 12.860000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
55882  Ablt trurl prst8 tis trnsdcr                      A  11.21 275.71     3.01    1.58 288.50 15.800000.00.00.00201001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
55920  Place needles pelvic for rt                       A   8.10   2.71NA   2.71    0.69  11.50 11.500000.00.00.00200001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
56405  I&d vulva/perineal abscess                        A   1.45   2.66     1.79    0.26   4.37  3.500010.10.80.10201201            33.5675 090 99      0.00   0.00   0.00
56420  I&d bartholins gland abscess                      A   1.40   3.81     1.36    0.24   5.45  3.000010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
56440  Mrsplzatn brthlns glnd cst                        A   2.82   1.60NA   1.60    0.48   4.90  4.900010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
56441  Lysis of labial adhesions                         A   1.97   3.15     1.90    0.34   5.46  4.210010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
56442  Hymenotomy                                        A   0.66   0.53NA   0.53    0.12   1.31  1.310000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
56501  Destroy vulva lesions sim                         A   1.54   3.75     1.80    0.25   5.54  3.590010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
56515  Destroy vulva lesion/s compl                      A   3.00   4.67     2.18    0.51   8.18  5.690010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
56605  Biopsy of vulva/perineum                          A   1.07   1.54     0.29    0.19   2.80  1.550000.00.00.00201201            33.5675 090 99      0.00   0.00   0.00
56606  Biopsy of vulva/perineum                          A   0.54   0.54     0.13    0.09   1.17  0.760ZZZ.00.00.00001201            33.5675 090 99      0.00   0.00   0.00
56620  Vulvectomy simple partial                         A   7.34   7.52NA   7.52    1.51  16.37 16.370090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
56625  Vulvectomy simple complete                        A   9.44   7.18NA   7.18    1.98  18.60 18.600090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
56630  Vulvectomy radical partial                        A  14.43   9.27NA   9.27    3.18  26.88 26.880090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
56631  Vlvctmy rad prtl uni lymphad                      A  18.52  10.65NA  10.65    4.05  33.22 33.220090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
56632  Vlvctmy rad prtl bi lymphad                       A  21.31  14.09NA  14.09    4.64  40.04 40.040090.12.74.14222201            33.5675 090 99      0.00   0.00   0.00
56633  Vulvectomy radical complete                       A  19.13  11.13NA  11.13    4.19  34.45 34.450090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
56634  Vlvctmy rad comp uni lymphad                      A  20.14  11.99NA  11.99    4.66  36.79 36.790090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
56637  Vlvctmy rad comp bi lymphad                       A  24.13  13.16NA  13.16    5.59  42.88 42.880090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
56640  Vlvctmy rad comp w/lymphadec                      A  24.16  13.13NA  13.13    5.59  42.88 42.880090.12.74.14212101            33.5675 090 99      0.00   0.00   0.00
56700  Prtl hymnctmy/revj hymnl rng                      A   2.77   2.19NA   2.19    0.48   5.44  5.440010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
56740  Exc bartholins gland/cyst                         A   4.76   2.84NA   2.84    0.87   8.47  8.470010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
56800  Plastic repair introitus                          A   3.83   2.31NA   2.31    0.66   6.80  6.800010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
56805  Clitoroplasty intersex state                      A  19.38   7.89NA   7.89    3.39  30.66 30.660090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
56810  Perineoplasty rpr per nonob                       A   4.18   2.33NA   2.33    0.71   7.22  7.220010.10.80.10202201            33.5675 090 99      0.00   0.00   0.00
56820  Colposcopy vulva                                  A   1.46   2.10     0.53    0.27   3.83  2.260000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
56821  Colposcopy vulva w/biopsy                         A   2.00   2.74     0.65    0.38   5.12  3.030000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57000  Colpotomy w/exploration                           A   2.94   1.90NA   1.90    0.50   5.34  5.340010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
57010  Colpotomy drg pel abscess                         A   6.67   4.39NA   4.39    1.17  12.23 12.230090.12.74.14200001            33.5675 090 99      0.00   0.00   0.00
57020  Colpocentesis sep px                              A   1.46   1.87     0.35    0.25   3.58  2.060000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
57022  I&d vaginal hematoma ob/pp                        A   2.66   1.66NA   1.66    0.46   4.78  4.780010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
57023  I&d vaginal hematoma non-ob                       A   5.05   2.54NA   2.54    0.89   8.48  8.480010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
57061  Destruction vag lesions smpl                      A   1.27   3.39     1.67    0.22   4.88  3.160010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57065  Destruction vag lesion xtnsv                      A   2.59   4.20     1.93    0.45   7.24  4.970010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57100  Biopsy vaginal mucosa simple                      A   1.17   1.76     0.36    0.22   3.15  1.750000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57105  Biopsy vaginal mucosa xtnsv                       A   1.70   3.22     2.03    0.33   5.25  4.060010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57106  Vagnc prtl rmvl vag wall                          A   7.31   6.08NA   6.08    1.35  14.74 14.740090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57107  Vagnc compl rmvl paravag tis                      A  23.95  10.91NA  10.91    4.69  39.55 39.550090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57109  Vagnc bi total pel lymphadec                      A  27.69  14.54NA  14.54    6.42  48.65 48.650090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
57110  Vagnc compl rmvl vag wall                         A  15.09   6.25NA   6.25    2.55  23.89 23.890090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57111  Vagnc compl rmvl paravag tis                      A  27.69  14.54NA  14.54    6.42  48.65 48.650090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
57120  Colpocleisis le fort type                         A   8.07   4.78NA   4.78    1.33  14.18 14.180090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57130  Excision vaginal septum                           A   2.40   3.83     1.79    0.42   6.65  4.610010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
57135  Excision vaginal cyst/tumor                       A   2.63   4.19     1.95    0.46   7.28  5.040010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57150  Treat vagina infection                            A   0.49   1.03     0.11    0.07   1.59  0.670000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57155  Insert uteri tandem/ovoids                        A   5.02   6.42     1.66    0.46  11.90  7.140000.00.00.00201201            33.5675 090 99      0.00   0.00   0.00
57156  Ins vag brachytx device                           A   2.62   3.87     0.97    0.21   6.70  3.800000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
57160  Insert pessary/other device                       A   0.87   1.09     0.19    0.15   2.11  1.210000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57170  Fitting of diaphragm/cap                          A   0.89   1.13     0.19    0.16   2.18  1.240000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
57180  Treat vaginal bleeding                            A   1.59   3.80     1.34    0.27   5.66  3.200010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57200  Repair of vagina                                  A   4.31   4.01NA   4.01    0.80   9.12  9.120090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57210  Repair vagina/perineum                            A   5.57   4.05NA   4.05    1.01  10.63 10.630090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57220  Revision of urethra                               A   4.73   3.79NA   3.79    0.81   9.33  9.330090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57230  Repair of urethral lesion                         A   6.14   3.94NA   3.94    1.08  11.16 11.160090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57240  Anterior colporrhaphy                             A   9.83   4.88NA   4.88    1.61  16.32 16.320090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57250  Repair rectum & vagina                            A   9.83   4.85NA   4.85    1.65  16.33 16.330090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57260  Cmbn ant pst colprhy                              A  12.92   5.49NA   5.49    2.17  20.58 20.580090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57265  Cmbn ap colprhy w/ntrcl rpr                       A  14.63   5.89NA   5.89    2.48  23.00 23.000090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57267  Insert mesh/pelvic flr addon                      A   4.76   1.02NA   1.02    0.78   6.56  6.560ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
57268  Repair of bowel bulge                             A   7.38   5.02NA   5.02    1.27  13.67 13.670090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57270  Repair of bowel pouch                             A  13.33   5.95NA   5.95    2.30  21.58 21.580090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57280  Suspension of vagina                              A  16.30   6.66NA   6.66    2.69  25.65 25.650090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57282  Colpopexy extraperitoneal                         A  11.34   5.21NA   5.21    1.87  18.42 18.420090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57283  Colpopexy intraperitoneal                         A  11.37   5.21NA   5.21    1.95  18.53 18.530090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57284  Repair paravag defect open                        A  13.97   5.67NA   5.67    2.46  22.10 22.100090.08.83.09202201            33.5675 090 99      0.00   0.00   0.00
57285  Repair paravag defect vag                         A  11.31   5.20NA   5.20    1.90  18.41 18.410090.08.83.09202201            33.5675 090 99      0.00   0.00   0.00
57287  Revise/remove sling repair                        A  10.87   7.17NA   7.17    1.72  19.76 19.760090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57288  Repair bladder defect                             A  11.83   6.13NA   6.13    1.91  19.87 19.870090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57289  Repair bladder & vagina                           A  12.48   6.28NA   6.28    2.19  20.95 20.950090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57291  Construction of vagina                            A   8.42   4.73NA   4.73    1.47  14.62 14.620090.12.74.14202001            33.5675 090 99      0.00   0.00   0.00
57292  Construct vagina with graft                       A  13.66   5.85NA   5.85    2.39  21.90 21.900090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57295  Revise vag graft via vagina                       A   7.62   4.57NA   4.57    1.24  13.43 13.430090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57296  Revise vag graft open abd                         A  16.15   6.26NA   6.26    2.83  25.24 25.240090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57300  Repair rectum-vagina fistula                      A   8.49   6.79NA   6.79    1.61  16.89 16.890090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57305  Repair rectum-vagina fistula                      A  14.97   8.98NA   8.98    2.97  26.92 26.920090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57307  Fistula repair & colostomy                        A  16.74  10.74NA  10.74    2.41  29.89 29.890090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57308  Fistula repair transperine                        A  10.33   7.07NA   7.07    1.48  18.88 18.880090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57310  Repair urethrovaginal lesion                      A   7.46   5.02NA   5.02    0.96  13.44 13.440090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57311  Repair urethrovaginal lesion                      A   8.69   5.28NA   5.28    1.12  15.09 15.090090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57320  Repair bladder-vagina lesion                      A   8.66   4.86NA   4.86    1.50  15.02 15.020090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57330  Repair bladder-vagina lesion                      A  12.88   6.09NA   6.09    1.65  20.62 20.620090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57335  Repair vagina                                     A  19.52   8.07NA   8.07    3.43  31.02 31.020090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57400  Dilation of vagina                                A   2.21   0.86NA   0.86    0.39   3.46  3.460000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
57410  Pelvic examination                                A   1.71   0.88NA   0.88    0.30   2.89  2.890000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57415  Remove vaginal foreign body                       A   2.43   1.84NA   1.84    0.41   4.68  4.680010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
57420  Exam of vagina w/scope                            A   1.56   2.26     0.57    0.30   4.12  2.430000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57421  Exam/biopsy of vag w/scope                        A   2.15   2.88     0.70    0.42   5.45  3.270000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57423  Repair paravag defect lap                         A  15.68   6.23NA   6.23    2.67  24.58 24.580090.08.83.09202201            33.5675 090 99      0.00   0.00   0.00
57425  Laparoscopy surg colpopexy                        A  16.60   6.40NA   6.40    2.75  25.75 25.750090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57426  Revise prosth vag graft lap                       A  13.94   6.96NA   6.96    2.33  23.23 23.230090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57452  Exam of cervix w/scope                            A   1.46   2.04     0.75    0.26   3.76  2.470000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57454  Bx/curett of cervix w/scope                       A   2.27   2.30     0.89    0.40   4.97  3.560000.00.00.00301001      57452 33.5675 090 99      0.00   0.00   0.00
57455  Biopsy of cervix w/scope                          A   1.94   2.52     0.59    0.36   4.82  2.890000.00.00.00301001      57452 33.5675 090 99      0.00   0.00   0.00
57456  Endocerv curettage w/scope                        A   1.80   2.38     0.54    0.33   4.51  2.670000.00.00.00301001      57452 33.5675 090 99      0.00   0.00   0.00
57460  Bx of cervix w/scope leep                         A   2.76   6.01     1.00    0.48   9.25  4.240000.00.00.00301001      57452 33.5675 090 99      0.00   0.00   0.00
57461  Conz of cervix w/scope leep                       A   3.34   6.52     0.90    0.60  10.46  4.840000.00.00.00301001      57452 33.5675 090 99      0.00   0.00   0.00
57465  Cam cervix uteri drg colp                         A   0.79   0.72     0.17    0.14   1.65  1.100ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
57500  Biopsy of cervix                                  A   1.17   3.15     0.67    0.21   4.53  2.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
57505  Endocervical curettage                            A   1.16   3.09     1.61    0.21   4.46  2.980010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57510  Cauterization of cervix                           A   1.85   2.71     0.87    0.34   4.90  3.060010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57511  Cryocautery of cervix                             A   1.90   3.45     1.70    0.34   5.69  3.940010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57513  Laser surgery of cervix                           A   1.90   3.64     1.68    0.34   5.88  3.920010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57520  Conization of cervix                              A   4.01   5.99     3.39    0.79  10.79  8.190090.12.74.14201001            33.5675 090 99      0.00   0.00   0.00
57522  Conization of cervix                              A   3.58   4.78     2.71    0.64   9.00  6.930090.12.74.14201001            33.5675 090 99      0.00   0.00   0.00
57530  Removal of cervix                                 A   5.14   4.08NA   4.08    0.95  10.17 10.170090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57531  Removal of cervix radical                         A  29.20  10.33NA  10.33    9.37  48.90 48.900090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
57540  Removal of residual cervix                        A  12.96   5.72NA   5.72    2.27  20.95 20.950090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57545  Remove cervix/repair pelvis                       A  13.75   5.89NA   5.89    2.41  22.05 22.050090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57550  Removal of residual cervix                        A   6.18   4.29NA   4.29    1.09  11.56 11.560090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57555  Remove cervix/repair vagina                       A   9.69   5.07NA   5.07    1.70  16.46 16.460090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57556  Remove cervix repair bowel                        A   9.13   4.91NA   4.91    1.61  15.65 15.650090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
57558  D&c of cervical stump                             A   1.68   2.51     1.44    0.29   4.48  3.410010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
57700  Revision of cervix                                A   4.24   4.55NA   4.55    0.75   9.54  9.540090.12.74.14200001            33.5675 090 99      0.00   0.00   0.00
57720  Revision of cervix                                A   4.49   3.68NA   3.68    0.79   8.96  8.960090.12.74.14202001            33.5675 090 99      0.00   0.00   0.00
57800  Dilation of cervical canal                        A   0.75   1.33     0.41    0.14   2.22  1.300000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
58100  Biopsy of uterus lining                           A   1.18   1.55     0.26    0.21   2.94  1.650000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
58110  Bx done w/colposcopy add-on                       A   0.75   0.64     0.17    0.14   1.53  1.060ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
58120  Dilation and curettage                            A   3.50   4.78     2.13    0.65   8.93  6.280010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
58140  Myomectomy abdom method                           A  15.40   6.24NA   6.24    2.70  24.34 24.340090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58145  Myomectomy vag method                             A   8.69   4.74NA   4.74    1.51  14.94 14.940090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58146  Myomectomy abdom complex                          A  19.83   7.08NA   7.08    3.47  30.38 30.380090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58150  Total hysterectomy                                A  16.88   7.65NA   7.65    3.41  27.94 27.940090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58152  Total hysterectomy                                A  21.31   7.59NA   7.59    3.74  32.64 32.640090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58180  Partial hysterectomy                              A  16.19   6.73NA   6.73    3.03  25.95 25.950090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58200  Extensive hysterectomy                            A  22.52  10.18NA  10.18    4.92  37.62 37.620090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58210  Extensive hysterectomy                            A  30.14  13.56NA  13.56    6.53  50.23 50.230090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58240  Removal of pelvis contents                        A  48.10  22.25NA  22.25    9.82  80.17 80.170090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58260  Vaginal hysterectomy                              A  13.80   6.01NA   6.01    2.40  22.21 22.210090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58262  Vag hyst including t/o                            A  15.54   6.29NA   6.29    2.68  24.51 24.510090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58263  Vag hyst w/t/o & vag repair                       A  16.80   6.55NA   6.55    2.92  26.27 26.270090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58267  Vag hyst w/urinary repair                         A  17.90   7.11NA   7.11    3.13  28.14 28.140090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58270  Vag hyst w/enterocele repair                      A  14.92   6.19NA   6.19    2.65  23.76 23.760090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58275  Hysterectomy/revise vagina                        A  16.60   6.70NA   6.70    2.92  26.22 26.220090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58280  Hysterectomy/revise vagina                        A  17.87   6.92NA   6.92    3.13  27.92 27.920090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58285  Extensive hysterectomy                            A  22.80  11.71NA  11.71    5.27  39.78 39.780090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58290  Vag hyst complex                                  A  19.76   7.06NA   7.06    3.47  30.29 30.290090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58291  Vag hyst incl t/o complex                         A  21.51   7.43NA   7.43    3.77  32.71 32.710090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58292  Vag hyst t/o & repair compl                       A  22.77   7.69NA   7.69    3.99  34.45 34.450090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58294  Vag hyst w/enterocele compl                       A  21.01   7.33NA   7.33    3.68  32.02 32.020090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58301  Remove intrauterine device                        A   1.24   1.89     0.28    0.21   3.34  1.730000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
58321  Artificial insemination                           A   0.90   1.45     0.19    0.16   2.51  1.250000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
58322  Artificial insemination                           A   1.07   1.52     0.23    0.19   2.78  1.490000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
58323  Sperm washing                                     A   0.22   0.18     0.05    0.04   0.44  0.310000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
58340  Catheter for hysterography                        A   0.86   6.09     0.56    0.14   7.09  1.560000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
58345  Reopen fallopian tube                             A   4.58   2.25NA   2.25    0.81   7.64  7.640010.10.80.10212201            33.5675 090 99      0.00   0.00   0.00
58346  Insert heyman uteri capsule                       A   7.37   4.62NA   4.62    0.58  12.57 12.570090.12.74.14201001            33.5675 090 99      0.00   0.00   0.00
58350  Reopen fallopian tube                             A   1.03   3.08     1.30    0.18   4.29  2.510010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
58353  Endometr ablate thermal                           A   3.51  22.55     1.98    0.61  26.67  6.100010.10.80.10201201            33.5675 090 99      0.00   0.00   0.00
58356  Endometrial cryoablation                          A   6.25  41.05     1.80    1.10  48.40  9.150010.10.80.10202201            33.5675 090 99      0.00   0.00   0.00
58400  Suspension of uterus                              A   6.96   4.36NA   4.36    1.13  12.45 12.450090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58410  Suspension of uterus                              A  13.46   5.75NA   5.75    2.36  21.57 21.570090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58520  Repair of ruptured uterus                         A  13.14   5.68NA   5.68    2.31  21.13 21.130090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58540  Revision of uterus                                A  15.32   6.22NA   6.22    2.69  24.23 24.230090.12.74.14202001            33.5675 090 99      0.00   0.00   0.00
58541  Lsh uterus 250 g or less                          A  11.98   5.48NA   5.48    1.96  19.42 19.420090.12.74.14302201      49320 33.5675 090 99      0.00   0.00   0.00
58542  Lsh w/t/o ut 250 g or less                        A  13.81   5.79NA   5.79    2.36  21.96 21.960090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58543  Lsh uterus above 250 g                            A  14.03   5.73NA   5.73    2.47  22.23 22.230090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58544  Lsh w/t/o uterus above 250 g                      A  15.21   6.17NA   6.17    2.63  24.01 24.010090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58545  Laparoscopic myomectomy                           A  15.16   6.17NA   6.17    2.86  24.19 24.190090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58546  Laparo-myomectomy complex                         A  19.44   6.49NA   6.49    3.40  29.33 29.330090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58548  Lap radical hyst                                  A  30.84  14.23NA  14.23    6.66  51.73 51.730090.12.74.14222201            33.5675 090 99      0.00   0.00   0.00
58550  Laparo-asst vag hysterectomy                      A  14.72   6.21NA   6.21    2.62  23.55 23.550090.12.74.14302201      49320 33.5675 090 99      0.00   0.00   0.00
58552  Laparo-vag hyst incl t/o                          A  16.49   6.76NA   6.76    3.02  26.27 26.270090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58553  Laparo-vag hyst complex                           A  19.56   6.52NA   6.52    3.43  29.51 29.510090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58554  Laparo-vag hyst w/t/o compl                       A  22.53   8.13NA   8.13    4.12  34.78 34.780090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58555  Hysteroscopy dx sep proc                          A   2.58   6.79     1.00    0.45   9.82  4.030000.00.00.00200201            33.5675 090 99      0.00   0.00   0.00
58558  Hysteroscopy biopsy                               A   4.07  33.23     1.33    0.72  38.02  6.120000.00.00.00301201      58555 33.5675 090 99      0.00   0.00   0.00
58559  Hysteroscopy lysis                                A   5.07   1.50NA   1.50    0.89   7.46  7.460000.00.00.00301201      58555 33.5675 090 99      0.00   0.00   0.00
58560  Hysteroscopy resect septum                        A   5.61   1.62NA   1.62    1.00   8.23  8.230000.00.00.00302201      58555 33.5675 090 99      0.00   0.00   0.00
58561  Hysteroscopy remove myoma                         A   6.44   1.81NA   1.81    1.15   9.40  9.400000.00.00.00300201      58555 33.5675 090 99      0.00   0.00   0.00
58562  Hysteroscopy remove fb                            A   3.90   7.35     1.26    0.68  11.93  5.840000.00.00.00301201      58555 33.5675 090 99      0.00   0.00   0.00
58563  Hysteroscopy ablation                             A   4.36  55.01     1.36    0.78  60.15  6.500000.00.00.00300201      58555 33.5675 090 99      0.00   0.00   0.00
58565  Hysteroscopy sterilization                        A   6.94  39.22     3.94    1.22  47.38 12.100090.12.74.14321201      58555 33.5675 090 99      0.00   0.00   0.00
58570  Tlh uterus 250 g or less                          A  13.03   6.26NA   6.26    2.48  21.77 21.770090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58571  Tlh w/t/o 250 g or less                           A  14.63   7.21NA   7.21    2.97  24.81 24.810090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58572  Tlh uterus over 250 g                             A  17.27   7.57NA   7.57    3.47  28.31 28.310090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58573  Tlh w/t/o uterus over 250 g                       A  20.27   8.74NA   8.74    4.09  33.10 33.100090.12.74.14202201            33.5675 090 99      0.00   0.00   0.00
58575  Laps tot hyst resj mal                            A  31.79  14.52NA  14.52    6.85  53.16 53.160090.12.74.14222201            33.5675 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.00.00.00212111            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
58580  Transcrv abltj utrn fibrd rf                      A   7.03  70.11     2.53    1.24  78.38 10.800010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
58600  Division of fallopian tube                        A   5.76   3.17NA   3.17    1.02   9.95  9.950090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58605  Division of fallopian tube                        A   5.15   2.99NA   2.99    0.91   9.05  9.050090.12.74.14222001            33.5675 090 99      0.00   0.00   0.00
58611  Ligate oviduct(s) add-on                          A   1.41   0.30NA   0.30    0.24   1.95  1.950ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
58615  Occlude fallopian tube(s)                         A   3.84   2.25NA   2.25    0.67   6.76  6.760010.10.80.10202001            33.5675 090 99      0.00   0.00   0.00
58660  Laparoscopy lysis                                 A  11.30   5.12NA   5.12    2.37  18.79 18.790090.09.84.07302201      49320 33.5675 090 99      0.00   0.00   0.00
58661  Laparoscopy remove adnexa                         A  11.07   4.35NA   4.35    2.13  17.55 17.550010.10.80.10312201      49320 33.5675 090 99      0.00   0.00   0.00
58662  Laparoscopy excise lesions                        A  11.85   5.21NA   5.21    2.30  19.36 19.360090.09.84.07302201      49320 33.5675 090 99      0.00   0.00   0.00
58670  Laparoscopy tubal cautery                         A   5.76   3.19NA   3.19    1.02   9.97  9.970090.10.80.10301201      49320 33.5675 090 99      0.00   0.00   0.00
58671  Laparoscopy tubal block                           A   5.76   3.19NA   3.19    1.02   9.97  9.970090.10.80.10301201      49320 33.5675 090 99      0.00   0.00   0.00
58672  Laparoscopy fimbrioplasty                         A  12.59   4.51NA   4.51    2.20  19.30 19.300090.10.80.10312001      49320 33.5675 090 99      0.00   0.00   0.00
58673  Laparoscopy salpingostomy                         A  13.69   4.86NA   4.86    2.40  20.95 20.950090.10.80.10312001      49320 33.5675 090 99      0.00   0.00   0.00
58674  Laps abltj uterine fibroids                       A  13.73   5.43NA   5.43    2.41  21.57 21.570090.12.74.14202201            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
58700  Removal of fallopian tube                         A  12.63   6.75NA   6.75    2.49  21.87 21.870090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58720  Removal of ovary/tube(s)                          A  11.86   6.62NA   6.62    2.43  20.91 20.910090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58740  Adhesiolysis tube ovary                           A  14.53   7.25NA   7.25    2.92  24.70 24.700090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58750  Repair oviduct                                    A  15.25   6.09NA   6.09    2.67  24.01 24.010090.12.74.14212101            33.5675 090 99      0.00   0.00   0.00
58752  Revise ovarian tube(s)                            A  15.25   6.01NA   6.01    2.67  23.93 23.930090.12.74.14212001            33.5675 090 99      0.00   0.00   0.00
58760  Fimbrioplasty                                     A  13.58   5.73NA   5.73    2.38  21.69 21.690090.12.74.14212101            33.5675 090 99      0.00   0.00   0.00
58770  Create new tubal opening                          A  14.40   5.83NA   5.83    2.53  22.76 22.760090.12.74.14212001            33.5675 090 99      0.00   0.00   0.00
58800  Drainage of ovarian cyst(s)                       A   4.50   5.29     3.14    0.79  10.58  8.430090.12.74.14221001            33.5675 090 99      0.00   0.00   0.00
58805  Drainage of ovarian cyst(s)                       A   6.26   4.05NA   4.05    1.10  11.41 11.410090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58820  Drain ovary abscess open                          A   4.58   3.70NA   3.70    0.81   9.09  9.090090.12.74.14212001            33.5675 090 99      0.00   0.00   0.00
58822  Drain ovary abscess percut                        A  11.51   5.41NA   5.41    2.02  18.94 18.940090.12.74.14212101            33.5675 090 99      0.00   0.00   0.00
58825  Transposition ovary(s)                            A  11.49   5.29NA   5.29    2.01  18.79 18.790090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58900  Biopsy of ovary(s)                                A   6.43   4.09NA   4.09    1.13  11.65 11.650090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58920  Partial removal of ovary(s)                       A  11.65   5.20NA   5.20    2.05  18.90 18.900090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58925  Removal of ovarian cyst(s)                        A  12.12   6.37NA   6.37    2.41  20.90 20.900090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58940  Removal of ovary(s)                               A   8.01   5.75NA   5.75    1.67  15.43 15.430090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58943  Removal of ovary(s)                               A  19.03  10.39NA  10.39    4.40  33.82 33.820090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58950  Resect ovarian malignancy                         A  17.91  10.17NA  10.17    3.91  31.99 31.990090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58951  Resect ovarian malignancy                         A  23.65  11.07NA  11.07    5.12  39.84 39.840090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58952  Resect ovarian malignancy                         A  26.61  13.07NA  13.07    5.82  45.50 45.500090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58953  Tah rad dissect for debulk                        A  33.28  14.73NA  14.73    7.24  55.25 55.250090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58954  Tah rad debulk/lymph remove                       A  36.20  15.68NA  15.68    7.84  59.72 59.720090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58956  Bso omentectomy w/tah                             A  22.23  10.75NA  10.75    4.76  37.74 37.740090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58958  Resc recr ovr tbl pp utr mal                      A  28.49  10.03NA  10.03    4.99  43.51 43.510090.12.74.14222101            33.5675 090 99      0.00   0.00   0.00
58960  Exploration of abdomen                            A  15.40   9.28NA   9.28    3.57  28.25 28.250090.12.74.14202101            33.5675 090 99      0.00   0.00   0.00
58970  Retrieval of oocyte                               A   3.43   3.08     1.15    0.59   7.10  5.170000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
58974  Embryo transfer intrauterine                      C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
58976  Transfer of embryo                                A   3.72   3.27     1.21    0.65   7.64  5.580000.00.00.00202101            33.5675 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.00.00.00201111            33.5675 090 99      0.00   0.00   0.00
59000  Amniocentesis diagnostic                          A   1.27   1.90     0.50    0.41   3.58  2.180000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59001  Amniocentesis therapeutic                         A   2.93   0.92NA   0.92    0.93   4.78  4.780000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59012  Fetal cord puncture prenatal                      A   3.35   0.95NA   0.95    1.08   5.38  5.380000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59015  Chorion biopsy                                    A   2.15   1.98     0.69    0.68   4.81  3.520000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59020  Fetal contract stress test                        A   0.64   1.35     1.35NA  0.19   2.18  2.181000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
5902026Fetal contract stress test                        A   0.64   0.28     0.28    0.18   1.10  1.101000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
59020TCFetal contract stress test                        A   0.00   1.07     1.07NA  0.01   1.08  1.081000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
59025  Fetal non-stress test                             A   0.52   0.85     0.85NA  0.14   1.51  1.511000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
5902526Fetal non-stress test                             A   0.52   0.23     0.23    0.13   0.88  0.881000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
59025TCFetal non-stress test                             A   0.00   0.62     0.62NA  0.01   0.63  0.631000.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
59030  Fetal scalp blood sampling                        A   1.94   0.41NA   0.41    0.61   2.96  2.960000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59050  Fetal monitor w/report                            A   0.87   0.19NA   0.19    0.27   1.33  1.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
59051  Fetal monitor/interpret only                      A   0.72   0.15NA   0.15    0.22   1.09  1.090XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
59070  Transabdom amnioinfus w/us                        A   5.11   5.34     1.51    1.63  12.08  8.250000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
59072  Umbilical cord occlud w/us                        A   8.77   2.28NA   2.28    2.81  13.86 13.860000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59074  Fetal fluid drainage w/us                         A   5.11   4.89     1.51    1.63  11.63  8.250000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
59076  Fetal shunt placement w/us                        A   8.77   2.28NA   2.28    2.81  13.86 13.860000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
59100  Remove uterus lesion                              A  13.04   5.85NA   5.85    4.18  23.07 23.070090.17.60.23202101            33.5675 090 99      0.00   0.00   0.00
59120  Treat ectopic pregnancy                           A  12.35   5.70NA   5.70    3.95  22.00 22.000090.17.60.23202101            33.5675 090 99      0.00   0.00   0.00
59121  Treat ectopic pregnancy                           A  12.42   5.61NA   5.61    3.98  22.01 22.010090.17.60.23202101            33.5675 090 99      0.00   0.00   0.00
59130  Treat ectopic pregnancy                           A  14.70   6.10NA   6.10    4.72  25.52 25.520090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59136  Treat ectopic pregnancy                           A  13.89   5.84NA   5.84    4.46  24.19 24.190090.17.60.23202001            33.5675 090 99      0.00   0.00   0.00
59140  Treat ectopic pregnancy                           A   5.79   3.74NA   3.74    1.85  11.38 11.380090.17.60.23202001            33.5675 090 99      0.00   0.00   0.00
59150  Treat ectopic pregnancy                           A  11.98   5.53NA   5.53    3.84  21.35 21.350090.17.60.23202001            33.5675 090 99      0.00   0.00   0.00
59151  Treat ectopic pregnancy                           A  11.81   5.20NA   5.20    3.78  20.79 20.790090.17.60.23202001            33.5675 090 99      0.00   0.00   0.00
59160  D & c after delivery                              A   2.69   4.33     1.46    0.87   7.89  5.020010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
59200  Insert cervical dilator                           A   1.17   2.37     0.26    0.36   3.90  1.790000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59300  Episiotomy or vaginal repair                      A   2.35   3.64     0.89    0.76   6.75  4.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59320  Revision of cervix                                A   2.42   0.90NA   0.90    0.79   4.11  4.110000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59325  Revision of cervix                                A   3.96   1.22NA   1.22    1.27   6.45  6.450000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59350  Repair of uterus                                  A   4.82   1.02NA   1.02    1.53   7.37  7.370000.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
59400  Obstetrical care                                  A  37.00  18.76NA  18.76   10.54  66.30 66.300MMM.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59409  Obstetrical care                                  A  14.37   3.22NA   3.22    4.02  21.61 21.610MMM.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59410  Obstetrical care                                  A  18.76   5.13NA   5.13    5.34  29.23 29.230MMM.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59412  Antepartum manipulation                           A   1.71   0.57NA   0.57    0.54   2.82  2.820MMM.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
59414  Deliver placenta                                  A   1.61   0.35NA   0.35    0.50   2.46  2.460MMM.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59425  Antepartum care only                              A   7.80   7.18     1.70    2.23  17.21 11.730MMM.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
59426  Antepartum care only                              A  14.30  13.20     3.11    4.10  31.60 21.510MMM.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
59430  Care after delivery                               A   3.22   3.68     0.70    0.92   7.82  4.840MMM.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59510  Cesarean delivery                                 A  41.05  20.00NA  20.00   13.00  74.05 74.050MMM.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59514  Cesarean delivery only                            A  16.13   3.52NA   3.52    5.01  24.66 24.660MMM.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
59515  Cesarean delivery                                 A  22.79   6.62NA   6.62    7.26  36.67 36.670MMM.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
59525  Remove uterus after cesarean                      A   8.32   1.77NA   1.77    2.67  12.76 12.760ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
59610  Vbac delivery                                     A  38.71  18.63NA  18.63   12.44  69.78 69.780MMM.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59612  Vbac delivery only                                A  16.09   3.41NA   3.41    5.15  24.65 24.650MMM.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59614  Vbac care after delivery                          A  20.48   4.88NA   4.88    6.57  31.93 31.930MMM.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59618  Attempted vbac delivery                           A  41.57  19.93NA  19.93   13.36  74.86 74.860MMM.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59620  Attempted vbac delivery only                      A  16.66   3.53NA   3.53    5.33  25.52 25.520MMM.00.00.00202001            33.5675 090 99      0.00   0.00   0.00
59622  Attempted vbac after care                         A  23.32   7.03NA   7.03    7.47  37.82 37.820MMM.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
59812  Treatment of miscarriage                          A   4.33   5.06     2.67    1.37  10.76  8.370090.17.60.23201001            33.5675 090 99      0.00   0.00   0.00
59820  Care of miscarriage                               A   4.72   6.70     4.30    1.50  12.92 10.520090.17.60.23201001            33.5675 090 99      0.00   0.00   0.00
59821  Treatment of miscarriage                          A   4.96   6.25     3.75    1.59  12.80 10.300090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59830  Treat uterus infection                            A   6.43   4.06NA   4.06    2.06  12.55 12.550090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59840  Induced abortion d&c                              R   2.93   3.46     2.17    0.93   7.32  6.030010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
59841  Induced abortion dilat&evac                       R   5.51   5.42     2.80    1.76  12.69 10.070010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
59850  Induced abortion 1+ njx                           R   5.75   3.03NA   3.03    1.84  10.62 10.620090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59851  Induced abortion 1+njx d&c                        R   5.77   3.96NA   3.96    1.85  11.58 11.580090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59852  Induced abortion 1+njx hyst                       R   8.02   5.27NA   5.27    2.57  15.86 15.860090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59855  Induced abortion 1+vag supp                       R   6.27   3.27NA   3.27    2.01  11.55 11.550090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59856  Induced ab 1+vag supp d&c                         R   7.60   3.41NA   3.41    2.43  13.44 13.440090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59857  Induced ab 1+vag supp hyst                        R   9.10   3.61NA   3.61    2.92  15.63 15.630090.17.60.23200001            33.5675 090 99      0.00   0.00   0.00
59866  Abortion (mpr)                                    R   3.89   1.25NA   1.25    1.25   6.39  6.390000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
59870  Evacuate mole of uterus                           A   6.41   5.99NA   5.99    2.05  14.45 14.450090.17.60.23202001            33.5675 090 99      0.00   0.00   0.00
59871  Remove cerclage suture                            A   2.08   0.87NA   0.87    0.66   3.61  3.610000.00.00.00200001            33.5675 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.00.00.00201001            33.5675 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.00.00.00212111            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
60000  I&d thyroglssl dux cst infct                      A   1.76   3.59     2.35    0.25   5.60  4.360010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
60100  Biopsy of thyroid                                 A   1.52   1.56     0.27    0.17   3.25  1.960000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
60200  Remove thyroid lesion                             A   9.77   6.80NA   6.80    2.04  18.61 18.610090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60210  Partial thyroid excision                          A  10.95   6.15NA   6.15    2.28  19.38 19.380090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60212  Partial thyroid excision                          A  16.02   8.83NA   8.83    4.28  29.13 29.130090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60220  Partial removal of thyroid                        A  10.91   6.13NA   6.13    2.13  19.17 19.170090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60225  Partial removal of thyroid                        A  14.42   8.11NA   8.11    2.90  25.43 25.430090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60240  Removal of thyroid                                A  14.66   7.15NA   7.15    3.03  24.84 24.840090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60252  Removal of thyroid                                A  21.46   9.56NA   9.56    4.27  35.29 35.290090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60254  Extensive thyroid surgery                         A  27.71  11.13NA  11.13    5.52  44.36 44.360090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60260  Repeat thyroid surgery                            A  17.80   7.77NA   7.77    3.47  29.04 29.040090.09.82.09212101            33.5675 090 99      0.00   0.00   0.00
60270  Removal of thyroid                                A  22.62   9.48NA   9.48    4.69  36.79 36.790090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60271  Removal of thyroid                                A  17.18   7.69NA   7.69    3.47  28.34 28.340090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60280  Remove thyroid duct lesion                        A   6.01   5.33NA   5.33    0.93  12.27 12.270090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60281  Remove thyroid duct lesion                        A   8.60   5.87NA   5.87    1.26  15.73 15.730090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60300  Aspir/inj thyroid cyst                            A   0.95   2.03     0.19    0.11   3.09  1.250000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
60500  Explore parathyroid glands                        A  15.21   8.09NA   8.09    3.39  26.69 26.690090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60502  Re-explore parathyroids                           A  20.62  10.52NA  10.52    4.87  36.01 36.010090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60505  Explore parathyroid glands                        A  22.48  10.18NA  10.18    3.27  35.93 35.930090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60512  Autotransplant parathyroid                        A   4.33   1.08NA   1.08    0.91   6.32  6.320ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
60520  Removal of thymus gland                           A  16.73   8.63NA   8.63    4.07  29.43 29.430090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60521  Removal of thymus gland                           A  18.70   8.99NA   8.99    4.68  32.37 32.370090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60522  Removal of thymus gland                           A  22.89  10.38NA  10.38    5.66  38.93 38.930090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60540  Explore adrenal gland                             A  17.57   8.72NA   8.72    3.98  30.27 30.270090.09.82.09212101            33.5675 090 99      0.00   0.00   0.00
60545  Explore adrenal gland                             A  20.41   9.87NA   9.87    4.88  35.16 35.160090.09.82.09212101            33.5675 090 99      0.00   0.00   0.00
60600  Remove carotid body lesion                        A  24.46   6.59NA   6.59    5.60  36.65 36.650090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60605  Remove carotid body lesion                        A  31.16   5.78NA   5.78    7.97  44.91 44.910090.09.82.09202101            33.5675 090 99      0.00   0.00   0.00
60650  Laparoscopy adrenalectomy                         A  20.21   8.24NA   8.24    4.60  33.05 33.050090.09.84.07212101            33.5675 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.00.00.00212001            33.5675 090 99      0.00   0.00   0.00
60660  Abltj 1/+thyr ndul 1lobe prq                      A   5.61  70.39     1.78    0.95  76.95  8.340000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
60661  Abltj 1/+thyr ndul addl prq                       A   4.14   7.42     0.87    0.69  12.25  5.700ZZZ.00.00.00001001            33.5675 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.00.00.00202111            33.5675 090 99      0.00   0.00   0.00
61000  Remove cranial cavity fluid                       A   1.54   1.15NA   1.15    0.64   3.33  3.330000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
61001  Remove cranial cavity fluid                       A   1.45   1.12NA   1.12    0.60   3.17  3.170000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
61020  Remove brain cavity fluid                         A   1.47   0.97NA   0.97    0.51   2.95  2.950000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61026  Injection into brain canal                        A   1.65   1.01NA   1.01    0.48   3.14  3.140000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61050  Remove brain canal fluid                          A   1.47   0.46NA   0.46    0.14   2.07  2.070000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
61055  Injection into brain canal                        A   2.05   0.64NA   0.64    0.26   2.95  2.950000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
61070  Brain canal shunt procedure                       A   0.87   0.52NA   0.52    0.15   1.54  1.540000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61105  Tdh sdrl/ventr pnxr                               A   5.31   7.38NA   7.38    2.23  14.92 14.920090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
61107  Tdh pnxr implt ventr cath                         A   4.87   1.70NA   1.70    2.04   8.61  8.610000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
61108  Tdh pnxr evac&/drg sdrl hmta                      A  11.35  11.88NA  11.88    4.58  27.81 27.810090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
61120  Burr hole for ventr puncture                      A   9.36   9.87NA   9.87    3.93  23.16 23.160090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
61140  Burr hole/treph bx brain/les                      A  16.80  14.14NA  14.14    7.02  37.96 37.960090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
61150  Bur hol/trph drg brn abs/cst                      A  18.43  13.82NA  13.82    7.76  40.01 40.010090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
61151  Burr hole/treph sbsq tapping                      A  13.15  11.20NA  11.20    5.54  29.89 29.890090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
61154  Burr hole w/evac&/drg hmtma                       A  16.64  14.89NA  14.89    6.99  38.52 38.520090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61156  Burr hol aspir hmtm/cst icer                      A  17.01  12.52NA  12.52    7.12  36.65 36.650090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61210  Burr hole implt ventr cath                        A   5.68   1.99NA   1.99    2.38  10.05 10.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61215  Ins subq rsvr pmp/nfs sys                         A   5.70   8.59NA   8.59    2.40  16.69 16.690090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
61250  Burr hole/treph sttl expl                         A  11.20  10.51NA  10.51    4.73  26.44 26.440090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61253  Burr hole treph ittl uni/bi                       A  13.15  11.20NA  11.20    5.54  29.89 29.890090.11.76.13222001            33.5675 090 99      0.00   0.00   0.00
61304  Crnec/crnot expl supratntorl                      A  22.82  15.82NA  15.82    9.53  48.17 48.170090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61305  Crnec/crnot expl infratntorl                      A  27.92  18.95NA  18.95   11.81  58.68 58.680090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61312  Crnec/crnot sttl xdrl/sdrl                        A  29.42  18.25NA  18.25   12.36  60.03 60.030090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61313  Crnec/crnot sttl icere                            A  27.39  19.42NA  19.42   11.50  58.31 58.310090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61314  Crnec/crnot ittl xdrl/sdrl                        A  25.25  17.69NA  17.69   10.62  53.56 53.560090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61315  Crnec/crnot ittl ntracereblr                      A  28.91  19.26NA  19.26   12.22  60.39 60.390090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61316  Inc&subq plmt crnl bone grf                       A   1.36   0.47NA   0.47    0.56   2.39  2.390ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
61320  Crnec/crnot drg icr abs sttl                      A  26.73  17.13NA  17.13   11.15  55.01 55.010090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61321  Crnec/crnot drg icr abs ittl                      A  29.77  19.60NA  19.60   12.58  61.95 61.950090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61322  Crnec/crnot dcmprv w/o lobec                      A  33.40  21.53NA  21.53   14.04  68.97 68.970090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61323  Crnec/crnot dcmprv w/lobec                        A  34.18  20.22NA  20.22   14.42  68.82 68.820090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61330  Dcmprn orbit only transcrnl                       A  24.67  17.70NA  17.70   10.43  52.80 52.800090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61333  Expl orbit w/removal lesion                       A  28.54  18.00NA  18.00   12.06  58.60 58.600090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61340  Subtemporal cranial dcmprn                        A  19.61  14.86NA  14.86    8.28  42.75 42.750090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61343  Crnec sopl crv lam dcmprn                         A  31.06  19.43NA  19.43   12.75  63.24 63.240090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61345  Oth cranial dcmprn pst fossa                      A  28.50  19.03NA  19.03   12.04  59.57 59.570090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61450  Crnec stpl sctj cmprn/dcmprn                      A  27.00  17.45NA  17.45   11.41  55.86 55.860090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61458  Crnec sopl xpl/dcmpr crl nrv                      A  28.12  18.84NA  18.84   11.83  58.79 58.790090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61460  Crnec sopl sctj 1+crnl nrv                        A  29.48  19.38NA  19.38   12.46  61.32 61.320090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
61500  Crnec exc tum/bone les skull                      A  18.70  11.62NA  11.62    5.57  35.89 35.890090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61501  Craniectomy f/osteomyelitis                       A  15.94  10.99NA  10.99    4.69  31.62 31.620090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61510  Crnec treph exc brn tum sttl                      A  30.06  22.01NA  22.01   12.64  64.71 64.710090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61512  Crnec treph exc mngioma sttl                      A  36.21  22.34NA  22.34   15.21  73.76 73.760090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61514  Crnec treph exc brn abs sttl                      A  26.55  18.01NA  18.01   11.05  55.61 55.610090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61516  Crnec treph exc cyst sttl                         A  25.92  17.81NA  17.81   10.82  54.55 54.550090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61517  Implt brn intrcv chemotx agt                      A   1.35   0.47NA   0.47    0.56   2.38  2.380ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
61518  Removal of brain lesion                           A  38.89  25.12NA  25.12   16.38  80.39 80.390090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61519  Remove brain lining lesion                        A  42.34  24.43NA  24.43   17.73  84.50 84.500090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61520  Removal of brain lesion                           A  55.66  27.93NA  27.93   21.17 104.76104.760090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
61521  Removal of brain lesion                           A  45.82  25.49NA  25.49   18.83  90.14 90.140090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61522  Removal of brain abscess                          A  30.75  19.82NA  19.82   12.98  63.55 63.550090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61524  Removal of brain lesion                           A  29.14  19.26NA  19.26   12.32  60.72 60.720090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61526  Removal of brain lesion                           A  52.73  22.42NA  22.42   15.53  90.68 90.680090.11.76.13201201            33.5675 090 99      0.00   0.00   0.00
61530  Removal of brain lesion                           A  44.42  24.63NA  24.63   18.76  87.81 87.810090.11.76.13201201            33.5675 090 99      0.00   0.00   0.00
61531  Implant brain electrodes                          A  16.00  14.29NA  14.29    6.74  37.03 37.030090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
61533  Implant brain electrodes                          A  20.92  15.31NA  15.31    8.83  45.06 45.060090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61534  Removal of brain lesion                           A  22.43  16.90NA  16.90    9.47  48.80 48.800090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61535  Remove brain electrodes                           A  12.82  12.47NA  12.47    5.40  30.69 30.690090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61536  Removal of brain lesion                           A  36.78  21.94NA  21.94   15.53  74.25 74.250090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61537  Removal of brain tissue                           A  35.54  19.96NA  19.96   15.01  70.51 70.510090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61538  Removal of brain tissue                           A  38.46  21.47NA  21.47   16.24  76.17 76.170090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61539  Removal of brain tissue                           A  33.42  20.76NA  20.76   14.12  68.30 68.300090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61540  Removal of brain tissue                           A  30.64  19.70NA  19.70   12.95  63.29 63.290090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61541  Incision of brain tissue                          A  30.17  19.62NA  19.62   12.74  62.53 62.530090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61543  Removal of brain tissue                           A  30.53  19.75NA  19.75   12.89  63.17 63.170090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61544  Remove & treat brain lesion                       A  26.68  17.33NA  17.33   11.28  55.29 55.290090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
61545  Excision of brain tumor                           A  45.27  27.50NA  27.50   19.10  91.87 91.870090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61546  Removal of pituitary gland                        A  32.60  20.47NA  20.47   13.77  66.84 66.840090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61548  Removal of pituitary gland                        A  22.79  13.62NA  13.62    8.11  44.52 44.520090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
61550  Release of skull seams                            A  15.20  14.87NA  14.87    6.41  36.48 36.480090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61552  Release of skull seams                            A  19.89  16.01NA  16.01    8.38  44.28 44.280090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61556  Incise skull/sutures                              A  23.49  16.82NA  16.82    9.92  50.23 50.230090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61557  Incise skull/sutures                              A  22.73  17.76NA  17.76    9.60  50.09 50.090090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61558  Excision of skull/sutures                         A  25.84  18.61NA  18.61   10.92  55.37 55.370090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61559  Excision of skull/sutures                         A  33.17  23.00NA  23.00   14.00  70.17 70.170090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61563  Excision of skull tumor                           A  27.73  18.31NA  18.31   11.72  57.76 57.760090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61564  Excision of skull tumor                           A  33.87  21.68NA  21.68   14.30  69.85 69.850090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61566  Removal of brain tissue                           A  31.64  20.04NA  20.04   13.37  65.05 65.050090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61567  Incision of brain tissue                          A  36.08  22.75NA  22.75   15.23  74.06 74.060090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61570  Remove foreign body brain                         A  25.85  18.10NA  18.10   10.93  54.88 54.880090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61571  Incise skull for brain wound                      A  27.71  18.76NA  18.76   11.72  58.19 58.190090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61575  Skull base/brainstem surgery                      A  35.65  21.54NA  21.54   15.05  72.24 72.240090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61576  Skull base/brainstem surgery                      A  53.93  48.90NA  48.90   22.75 125.58125.580090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61580  Craniofacial approach skull                       A  33.65  25.75NA  25.75    7.02  66.42 66.420090.11.76.13211121            33.5675 090 99      0.00   0.00   0.00
61581  Craniofacial approach skull                       A  38.15  26.93NA  26.93    5.57  70.65 70.650090.11.76.13211221            33.5675 090 99      0.00   0.00   0.00
61582  Craniofacial approach skull                       A  34.26  44.35NA  44.35   13.53  92.14 92.140090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61583  Craniofacial approach skull                       A  37.54  34.62NA  34.62   15.37  87.53 87.530090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61584  Orbitocranial approach/skull                      A  36.76  33.67NA  33.67   14.34  84.77 84.770090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61585  Orbitocranial approach/skull                      A  41.51  38.43NA  38.43   17.52  97.46 97.460090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61586  Resect nasopharynx skull                          A  26.79  40.91NA  40.91   11.32  79.02 79.020090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61590  Infratemporal approach/skull                      A  45.86  24.78NA  24.78    9.17  79.81 79.810090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61591  Infratemporal approach/skull                      A  45.84  26.12NA  26.12   11.25  83.21 83.210090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61592  Orbitocranial approach/skull                      A  42.00  32.70NA  32.70   16.12  90.82 90.820090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61595  Transtemporal approach/skull                      A  32.90  24.06NA  24.06    8.49  65.45 65.450090.11.76.13211121            33.5675 090 99      0.00   0.00   0.00
61596  Transcochlear approach/skull                      A  38.44  18.52NA  18.52    5.60  62.56 62.560090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61597  Transcondylar approach/skull                      A  39.80  32.18NA  32.18   16.81  88.79 88.790090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61598  Transpetrosal approach/skull                      A  35.62  34.60NA  34.60   15.04  85.26 85.260090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61600  Resect/excise cranial lesion                      A  29.26  21.58NA  21.58    6.49  57.33 57.330090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61601  Resect/excise cranial lesion                      A  30.36  29.56NA  29.56   11.95  71.87 71.870090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61605  Resect/excise cranial lesion                      A  31.76  19.93NA  19.93    5.57  57.26 57.260090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61606  Resect/excise cranial lesion                      A  41.00  26.61NA  26.61   14.07  81.68 81.680090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61607  Resect/excise cranial lesion                      A  39.91  23.47NA  23.47   11.26  74.64 74.640090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61608  Resect/excise cranial lesion                      A  44.40  32.16NA  32.16   18.09  94.65 94.650090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61611  Transect artery sinus                             A   7.22   2.53NA   2.53    3.04  12.79 12.790ZZZ.00.00.00002121            33.5675 090 99      0.00   0.00   0.00
61613  Remove aneurysm sinus                             A  43.90  33.63NA  33.63   18.54  96.07 96.070090.11.76.13212121            33.5675 090 99      0.00   0.00   0.00
61615  Resect/excise lesion skull                        A  34.88  34.76NA  34.76   14.74  84.38 84.380090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61616  Resect/excise lesion skull                        A  45.57  32.19NA  32.19   16.71  94.47 94.470090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61618  Repair dura                                       A  18.22  12.18NA  12.18    6.08  36.48 36.480090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61619  Repair dura                                       A  21.55  16.21NA  16.21    9.11  46.87 46.870090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
61623  Evasc temp balo artl occ h/n                      A   9.70   2.87NA   2.87    2.95  15.52 15.520000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61624  Tcat perm occls/embolj cns                        A  19.50   5.41NA   5.41    6.37  31.28 31.280000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61626  Tcat perm occls/embol noncns                      A  14.93 272.48     3.60    4.05 291.46 22.580000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61630  Balo angioplasty icr perq                         R  21.52   9.22NA   9.22    6.82  37.56 37.560XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
61635  Intracran angioplsty w/stent                      R  23.67   9.66NA   9.66    7.28  40.61 40.610XXX.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
61645  Perq art m-thrombect &/nfs                        A  14.63   3.69NA   3.69    4.31  22.63 22.630000.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
61650  Evasc prlng admn rx agnt 1st                      A   9.75   2.73NA   2.73    3.19  15.67 15.670000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
61651  Evasc prlng admn rx agnt add                      A   4.14   1.19NA   1.19    1.37   6.70  6.700ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
61680  Intracranial vessel surgery                       A  31.74  20.93NA  20.93   13.42  66.09 66.090090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61682  Intracranial vessel surgery                       A  61.82  28.89NA  28.89   25.54 116.25116.250090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61684  Intracranial vessel surgery                       A  40.60  24.04NA  24.04   17.13  81.77 81.770090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61686  Intracranial vessel surgery                       A  65.81  33.61NA  33.61   27.78 127.20127.200090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61690  Intracranial vessel surgery                       A  30.56  20.12NA  20.12   12.90  63.58 63.580090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61692  Intracranial vessel surgery                       A  53.23  28.09NA  28.09   22.47 103.79103.790090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61697  Brain aneurysm repr complx                        A  61.82  32.05NA  32.05   26.02 119.89119.890090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61698  Brain aneurysm repr complx                        A  67.89  34.34NA  34.34   28.66 130.89130.890090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61700  Brain aneurysm repr simple                        A  49.35  26.72NA  26.72   20.06  96.13 96.130090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61702  Inner skull vessel surgery                        A  58.54  31.06NA  31.06   24.72 114.32114.320090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61703  Clamp neck artery                                 A  18.33  14.40NA  14.40    7.72  40.45 40.450090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61705  Revise circulation to head                        A  37.15  22.07NA  22.07   15.67  74.89 74.890090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61708  Revise circulation to head                        A  36.27  21.77NA  21.77   15.32  73.36 73.360090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
61710  Revise circulation to head                        A  30.51  18.68NA  18.68   12.88  62.07 62.070090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
61711  Fusion of skull arteries                          A  37.27  21.94NA  21.94   15.48  74.69 74.690090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
61715  Mrgfus strtctc ablt trgt icr                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
6171526Mrgfus strtctc ablt trgt icr                      A  18.48  12.98    12.98    7.10  38.56 38.561000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
61715TCMrgfus strtctc ablt trgt icr                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 030 99      0.00   0.00   0.00
61720  Incise skull/brain surgery                        A  17.18  13.38NA  13.38    7.25  37.81 37.810090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
61735  Incise skull/brain surgery                        A  21.79  16.06NA  16.06    9.19  47.04 47.040090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
61736  Litt icr 1 traj 1 smpl les                        A  18.58   7.75NA   7.75    7.85  34.18 34.180000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
61737  Litt icr mlt trj mlt/cplx ls                      A  22.10   8.99NA   8.99    9.33  40.42 40.420000.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
61750  Incise skull/brain biopsy                         A  19.33  14.03NA  14.03    8.12  41.48 41.480090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
61751  Brain biopsy w/ct/mr guide                        A  18.32  15.49NA  15.49    7.70  41.51 41.510090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
61760  Implant brain electrodes                          A  21.83  15.49NA  15.49    9.21  46.53 46.530090.11.76.13201201            33.5675 090 99      0.00   0.00   0.00
61770  Incise skull for treatment                        A  22.61  15.29NA  15.29    9.55  47.45 47.450090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
61781  Scan proc cranial intra                           A   3.66   1.27NA   1.27    1.51   6.44  6.440ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
61782  Scan proc cranial extra                           A   3.10   0.76NA   0.76    0.46   4.32  4.320ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
61783  Scan proc spinal                                  A   3.66   1.24NA   1.24    1.31   6.21  6.210ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
61790  Treat trigeminal nerve                            A  11.31  10.89NA  10.89    4.68  26.88 26.880090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
61791  Treat trigeminal tract                            A  15.02  12.38NA  12.38    6.33  33.73 33.730090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
61796  Srs cranial lesion simple                         A  13.58  11.06NA  11.06    5.68  30.32 30.320090.11.76.13002001            33.5675 090 99      0.00   0.00   0.00
61797  Srs cran les simple addl                          A   3.39   1.18NA   1.18    1.42   5.99  5.990ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
61798  Srs cranial lesion complex                        A  19.35  12.76NA  12.76    7.96  40.07 40.070090.11.76.13002001            33.5675 090 99      0.00   0.00   0.00
61799  Srs cran les complex addl                         A   4.69   1.63NA   1.63    1.93   8.25  8.250ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
61800  Apply srs headframe add-on                        A   2.19   1.25NA   1.25    0.92   4.36  4.360ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
61850  Implant neuroelectrodes                           A  13.01  11.15NA  11.15    5.48  29.64 29.640090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
61860  Implant neuroelectrodes                           A  21.70  14.97NA  14.97    9.17  45.84 45.840090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
61863  Implant neuroelectrode                            A  20.19  16.07NA  16.07    8.53  44.79 44.790090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61864  Implant neuroelectrde addl                        A   4.38   1.54NA   1.54    1.84   7.76  7.760ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
61867  Implant neuroelectrode                            A  32.20  20.26NA  20.26   13.60  66.06 66.060090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61868  Implant neuroelectrde addl                        A   7.71   2.70NA   2.70    3.24  13.65 13.650ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
61880  Revise/remove neuroelectrode                      A   6.78   8.93NA   8.93    2.84  18.55 18.550090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
61885  Insrt/redo neurostim 1 array                      A   5.90   8.42NA   8.42    2.37  16.69 16.690090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
61886  Implant neurostim arrays                          A   9.68  14.17NA  14.17    4.03  27.88 27.880090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
61888  Revise/remove neuroreceiver                       A   5.10   4.93NA   4.93    2.04  12.07 12.070010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
61889  Ins sk-mnt crnl nstm pg/rcvr                      A  25.11  16.68NA  16.68   10.61  52.40 52.400090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
61891  Rev/rplcmt sk-mnt crnl nstm                       A  10.97   9.84NA   9.84    4.26  25.07 25.070090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
61892  Rmv sk-mnt crnl nstm pg/rcvr                      A  14.63  12.03NA  12.03    6.16  32.82 32.820090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
62000  Treat skull fracture                              A  13.58  11.86NA  11.86    5.72  31.16 31.160090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
62005  Treat skull fracture                              A  17.19  13.38NA  13.38    7.26  37.83 37.830090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62010  Treatment of head injury                          A  20.89  15.74NA  15.74    8.81  45.44 45.440090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62100  Repair brain fluid leakage                        A  22.94  13.23NA  13.23    7.43  43.60 43.600090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62115  Reduction of skull defect                         A  22.34  18.57NA  18.57    9.42  50.33 50.330090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62117  Reduction of skull defect                         A  27.64  17.73NA  17.73   11.70  57.07 57.070090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62120  Repair skull cavity lesion                        A  23.98  30.10NA  30.10   10.13  64.21 64.210090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62121  Incise skull repair                               A  22.45  14.52NA  14.52    5.94  42.91 42.910090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62140  Crnop skull defect<5 cm diam                      A  14.19  10.22NA  10.22    4.90  29.31 29.310090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62141  Crnop skull defect>5 cm diam                      A  15.67  11.76NA  11.76    5.97  33.40 33.400090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62142  Rmvl b1 flp/prostc plate skl                      A  11.53  10.81NA  10.81    4.64  26.98 26.980090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
62143  Rpl b1 flp/prostc plate skl                       A  13.80  11.79NA  11.79    5.63  31.22 31.220090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62145  Repair of skull & brain                           A  19.59  13.57NA  13.57    7.74  40.90 40.900090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62146  Crnop w/autograft<5 cm diam                       A  16.85  13.27NA  13.27    7.10  37.22 37.220090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62147  Crnop w/autograft>5 cm diam                       A  20.15  12.79NA  12.79    7.85  40.79 40.790090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62148  Retr bone flap to fix skull                       A   1.95   0.68NA   0.68    0.82   3.45  3.450ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
62160  Neuroendoscopy add-on                             A   2.93   1.02NA   1.02    1.21   5.16  5.160ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
62161  Dissect brain w/scope                             A  20.70  15.65NA  15.65    8.64  44.99 44.990090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62162  Remove colloid cyst w/scope                       A  26.13  18.31NA  18.31   11.05  55.49 55.490090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62164  Remove brain tumor w/scope                        A  28.69  20.85NA  20.85   12.13  61.67 61.670090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62165  Remove pituit tumor w/scope                       A  22.65  12.66NA  12.66    6.62  41.93 41.930090.11.76.13200101            33.5675 090 99      0.00   0.00   0.00
62180  Establish brain cavity shunt                      A  22.02  15.79NA  15.79    9.28  47.09 47.090090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
62190  Establish brain cavity shunt                      A  11.87  11.51NA  11.51    4.99  28.37 28.370090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
62192  Establish brain cavity shunt                      A  13.02  11.91NA  11.91    5.48  30.41 30.410090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62194  Replace/irrigate catheter                         A   5.64   7.78NA   7.78    2.35  15.77 15.770010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
62200  Establish brain cavity shunt                      A  18.81  13.96NA  13.96    7.93  40.70 40.700090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62201  Brain cavity shunt w/scope                        A  15.64  14.53NA  14.53    6.55  36.72 36.720090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
62220  Establish brain cavity shunt                      A  13.75   9.96NA   9.96    5.32  29.03 29.030090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62223  Establish brain cavity shunt                      A  13.70  11.87NA  11.87    5.07  30.64 30.640090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62225  Replace/irrigate catheter                         A   6.04   8.58NA   8.58    2.51  17.13 17.130090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
62230  Replace/revise brain shunt                        A  11.14   9.63NA   9.63    4.36  25.13 25.130090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62252  Csf shunt reprogram                               A   0.72   2.11     2.11NA  0.28   3.11  3.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
6225226Csf shunt reprogram                               A   0.72   0.49     0.49    0.27   1.48  1.481XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
62252TCCsf shunt reprogram                               A   0.00   1.62     1.62NA  0.01   1.63  1.631XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
62256  Remove brain cavity shunt                         A   7.20   8.98NA   8.98    2.98  19.16 19.160090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
62258  Replace brain cavity shunt                        A  15.25  11.77NA  11.77    6.07  33.09 33.090090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
62263  Epidural lysis mult sessions                      A   4.88  14.56     3.59    0.46  19.90  8.930010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
62264  Epidural lysis on single day                      A   4.31   8.64     1.68    0.42  13.37  6.410010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
62267  Interdiscal perq aspir dx                         A   2.93   4.49     0.78    0.33   7.75  4.040000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
62268  Drain spinal cord cyst                            A   4.61   2.98NA   2.98    1.94   9.53  9.530000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62269  Needle biopsy spinal cord                         A   4.88   1.31NA   1.31    0.46   6.65  6.650000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
62270  Dx lmbr spi pnxr                                  A   1.19   3.46     0.28    0.29   4.94  1.760000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62272  Ther spi pnxr drg csf                             A   1.54   4.48     0.53    0.47   6.49  2.540000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62273  Inject epidural patch                             A   2.10   2.84     0.75    0.21   5.15  3.060000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62280  Treat spinal cord lesion                          A   2.56   6.90     1.26    0.26   9.72  4.080010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
62281  Treat spinal cord lesion                          A   2.59   4.63     1.29    0.20   7.42  4.080010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
62282  Treat spinal canal lesion                         A   2.27   7.77     1.40    0.21  10.25  3.880010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
62284  Injection for myelogram                           A   1.50   3.73     0.49    0.16   5.39  2.150000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62287  Dcmprn pq nuc pul 1/mlt lmbr                      A   9.03   6.02NA   6.02    0.93  15.98 15.980090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
62290  Njx px discography lumbar                         A   2.93   7.89     1.08    0.26  11.08  4.270000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62291  Njx px discography crv/thrc                       A   2.84   7.02     0.92    0.24  10.10  4.000000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62292  Njx chemonucleolysis lmbr                         A   9.24   5.07NA   5.07    0.96  15.27 15.270090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
62294  Injection into spinal artery                      A  12.55  10.76NA  10.76    5.29  28.60 28.600090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
62302  Myelography lumbar injection                      A   2.23   4.88     0.61    0.22   7.33  3.060000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62303  Myelography lumbar injection                      A   2.23   5.01     0.61    0.21   7.45  3.050000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62304  Myelography lumbar injection                      A   2.19   4.85     0.61    0.22   7.26  3.020000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62305  Myelography lumbar injection                      A   2.29   5.41     0.63    0.22   7.92  3.140000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62320  Njx interlaminar crv/thrc                         A   1.76   2.93     0.66    0.21   4.90  2.630000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62321  Njx interlaminar crv/thrc                         A   1.90   6.20     0.78    0.18   8.28  2.860000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62322  Njx interlaminar lmbr/sac                         A   1.51   2.70     0.56    0.15   4.36  2.220000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62323  Njx interlaminar lmbr/sac                         A   1.76   6.25     0.74    0.17   8.18  2.670000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62324  Njx interlaminar crv/thrc                         A   1.84   2.60     0.58    0.16   4.60  2.580000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62325  Njx interlaminar crv/thrc                         A   2.15   5.60     0.68    0.19   7.94  3.020000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62326  Njx interlaminar lmbr/sac                         A   1.74   2.70     0.57    0.15   4.59  2.460000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62327  Njx interlaminar lmbr/sac                         A   1.85   6.18     0.75    0.19   8.22  2.790000.00.00.00291001            33.5675 090 99      0.00   0.00   0.00
62328  Dx lmbr spi pnxr w/fluor/ct                       A   1.69   4.58     0.33    0.18   6.45  2.200000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62329  Ther spi pnxr csf fluor/ct                        A   1.98   5.86     0.45    0.35   8.19  2.780000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
62330  Dcmprn prq rmv lig flv 1lmbr                      A   8.00   5.64NA   5.64    0.71  14.35 14.350090.11.76.13222101            33.5675 090 99      0.00   0.00   0.00
62331  Dcmprn prq rmv lig flv addl                       A   4.25   1.03NA   1.03    0.38   5.66  5.660ZZZ.00.00.00022101            33.5675 090 99      0.00   0.00   0.00
62350  Implant spinal canal cath                         A   5.90   4.24NA   4.24    1.17  11.31 11.310010.10.80.10201101            33.5675 090 99      0.00   0.00   0.00
62351  Implant spinal canal cath                         A  11.37  11.85NA  11.85    4.15  27.37 27.370090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
62355  Remove spinal canal catheter                      A   3.46   4.09NA   4.09    0.86   8.41  8.410010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
62360  Insert spine infusion device                      A   4.22   4.09NA   4.09    0.99   9.30  9.300010.10.80.10200101            33.5675 090 99      0.00   0.00   0.00
62361  Implant spine infusion pump                       A   4.88   6.99NA   6.99    2.05  13.92 13.920010.10.80.10200101            33.5675 090 99      0.00   0.00   0.00
62362  Implant spine infusion pump                       A   5.46   4.41NA   4.41    1.26  11.13 11.130010.10.80.10200101            33.5675 090 99      0.00   0.00   0.00
62365  Remove spine infusion device                      A   3.83   4.05NA   4.05    0.98   8.86  8.860010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
62367  Analyze spine infus pump                          A   0.47   0.48     0.12    0.05   1.00  0.640XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
62368  Analyze sp inf pump w/reprog                      A   0.65   0.67     0.16    0.07   1.39  0.880XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
62369  Anal sp inf pmp w/reprg&fill                      A   0.65   2.19     0.17    0.07   2.91  0.890XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
62370  Anl sp inf pmp w/mdreprg&fil                      A   0.88   1.95     0.22    0.08   2.91  1.180XXX.00.00.00001001            33.5675 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  0.000090.11.76.13212201            33.5675 090 99      0.00   0.00   0.00
63001  Remove spine lamina 1/2 crvl                      A  17.17  12.12NA  12.12    6.45  35.74 35.740090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63003  Remove spine lamina 1/2 thrc                      A  17.30  12.11NA  12.11    6.46  35.87 35.870090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63005  Remove spine lamina 1/2 lmbr                      A  16.02  13.56NA  13.56    6.12  35.70 35.700090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63011  Remove spine lamina 1/2 scrl                      A  15.51  10.72NA  10.72    4.03  30.26 30.260090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63012  Remove lamina/facets lumbar                       A  16.43  12.37NA  12.37    5.62  34.42 34.420090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63015  Remove spine lamina >2 crvcl                      A  20.33  15.08NA  15.08    7.84  43.25 43.250090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63016  Remove spine lamina >2 thrc                       A  21.48  14.39NA  14.39    7.94  43.81 43.810090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63017  Remove spine lamina >2 lmbr                       A  16.90  13.89NA  13.89    6.49  37.28 37.280090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63020  Lamot dcmprn nrv rt 1 cerv                        A  14.54  12.56NA  12.56    4.76  31.86 31.860090.11.76.13212201            33.5675 090 99      0.00   0.00   0.00
63030  Lamot dcmprn nrv rt 1 lmbr                        A  11.70  11.35NA  11.35    3.84  26.89 26.890090.11.76.13212201            33.5675 090 99      0.00   0.00   0.00
63032  Lamot rpr anulr dfct 1 lmbr                       A   2.50   0.79NA   0.79    0.79   4.08  4.080ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
63035  Lamot dcmprn nrv rt ea addl                       A   3.76   1.25NA   1.25    1.17   6.18  6.180ZZZ.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
63040  Laminotomy single cervical                        A  19.80  12.61NA  12.61    6.15  38.56 38.560090.11.76.13212201            33.5675 090 99      0.00   0.00   0.00
63042  Laminotomy single lumbar                          A  18.29  12.73NA  12.73    5.50  36.52 36.520090.11.76.13212201            33.5675 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.00.00.00012201            33.5675 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.00.00.00012201            33.5675 090 99      0.00   0.00   0.00
63045  Lam facetec & foramot crv                         A  17.50  13.58NA  13.58    6.33  37.41 37.410090.11.76.13222201            33.5675 090 99      0.00   0.00   0.00
63046  Lam facetec & foramot thrc                        A  16.82  12.90NA  12.90    5.74  35.46 35.460090.11.76.13222201            33.5675 090 99      0.00   0.00   0.00
63047  Lam facetec & foramot lumbar                      A  14.99  12.03NA  12.03    4.88  31.90 31.900090.11.76.13222201            33.5675 090 99      0.00   0.00   0.00
63048  Lam facetec &foramot ea addl                      A   3.38   1.13NA   1.13    1.10   5.61  5.610ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
63050  Cervical laminoplsty 2/> seg                      A  21.46  13.64NA  13.64    6.85  41.95 41.950090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63051  C-laminoplasty w/graft/plate                      A  24.87  14.73NA  14.73    7.55  47.15 47.150090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63052  Lam facetc/frmt arthrd lum 1                      A   4.14   1.39NA   1.39    1.35   6.88  6.880ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
63053  Lam factc/frmt arthrd lum ea                      A   3.69   1.23NA   1.23    1.21   6.13  6.130ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
63055  Decompress spinal cord thrc                       A  22.96  14.98NA  14.98    8.56  46.50 46.500090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63056  Decompress spinal cord lmbr                       A  21.31  13.59NA  13.59    7.16  42.06 42.060090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63057  Decompress spine cord add-on                      A   5.12   1.73NA   1.73    1.76   8.61  8.610ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
63064  Decompress spinal cord thrc                       A  25.56  15.66NA  15.66    9.25  50.47 50.470090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63066  Decompress spine cord add-on                      A   3.18   1.11NA   1.11    1.33   5.62  5.620ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
63075  Neck spine disk surgery                           A  19.11  13.12NA  13.12    6.34  38.57 38.570090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63076  Neck spine disk surgery                           A   3.94   1.30NA   1.30    1.26   6.50  6.500ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
63077  Spine disk surgery thorax                         A  22.31  12.21NA  12.21    4.75  39.27 39.270090.11.76.13202201            33.5675 090 99      0.00   0.00   0.00
63078  Spine disk surgery thorax                         A   3.20   1.12NA   1.12    1.33   5.65  5.650ZZZ.00.00.00002201            33.5675 090 99      0.00   0.00   0.00
63081  Remove vert body dcmprn crvl                      A  25.45  15.61NA  15.61    8.64  49.70 49.700090.11.76.13202121            33.5675 090 99      0.00   0.00   0.00
63082  Remove vertebral body add-on                      A   4.25   1.43NA   1.43    1.43   7.11  7.110ZZZ.00.00.00002121            33.5675 090 99      0.00   0.00   0.00
63085  Remove vert body dcmprn thrc                      A  28.73  16.13NA  16.13    9.63  54.49 54.490090.11.76.13202221            33.5675 090 99      0.00   0.00   0.00
63086  Remove vertebral body add-on                      A   3.11   0.98NA   0.98    1.03   5.12  5.120ZZZ.00.00.00002221            33.5675 090 99      0.00   0.00   0.00
63087  Remov vertbr dcmprn thrclmbr                      A  36.59  19.06NA  19.06   12.14  67.79 67.790090.11.76.13202221            33.5675 090 99      0.00   0.00   0.00
63088  Remove vertebral body add-on                      A   4.21   1.37NA   1.37    1.44   7.02  7.020ZZZ.00.00.00002221            33.5675 090 99      0.00   0.00   0.00
63090  Remove vert body dcmprn lmbr                      A  30.16  15.66NA  15.66    8.73  54.55 54.550090.11.76.13202221            33.5675 090 99      0.00   0.00   0.00
63091  Remove vertebral body add-on                      A   2.95   0.93NA   0.93    0.85   4.73  4.730ZZZ.00.00.00002221            33.5675 090 99      0.00   0.00   0.00
63101  Remove vert body dcmprn thrc                      A  33.25  20.92NA  20.92   12.22  66.39 66.390090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63102  Remove vert body dcmprn lmbr                      A  33.25  20.28NA  20.28   11.56  65.09 65.090090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63103  Remove vertebral body add-on                      A   4.70   1.58NA   1.58    1.59   7.87  7.870ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
63170  Incise spinal cord tract(s)                       A  21.65  16.38NA  16.38    9.16  47.19 47.190090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63172  Drainage of spinal cyst                           A  19.27  14.48NA  14.48    8.13  41.88 41.880090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63173  Drainage of spinal cyst                           A  23.70  17.09NA  17.09   10.02  50.81 50.810090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63185  Incise spine nrv half segmnt                      A  16.08  14.17NA  14.17    6.77  37.02 37.020090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63190  Incise spine nrv >2 segmnts                       A  18.42  11.34NA  11.34    3.92  33.68 33.680090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63191  Incise spine accessory nerve                      A  18.45  15.00NA  15.00    7.77  41.22 41.220090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
63197  Lam w/cordotomy 1stg thrc                         A  23.48  17.01NA  17.01    9.92  50.41 50.410090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63200  Release spinal cord lumbar                        A  20.90  16.33NA  16.33    8.73  45.96 45.960090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
63250  Revise spinal cord vsls crvl                      A  42.76  24.05NA  24.05   18.05  84.86 84.860090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63251  Revise spinal cord vsls thrc                      A  43.52  25.07NA  25.07   18.37  86.96 86.960090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63252  Revise spine cord vsl thrlmb                      A  43.51  25.06NA  25.06   18.37  86.94 86.940090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63265  Excise intraspinl lesion crv                      A  23.22  16.09NA  16.09    9.00  48.31 48.310090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63266  Excise intrspinl lesion thrc                      A  24.06  16.33NA  16.33    9.25  49.64 49.640090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63267  Excise intrspinl lesion lmbr                      A  18.96  13.93NA  13.93    6.71  39.60 39.600090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63268  Excise intrspinl lesion scrl                      A  19.52  15.88NA  15.88    8.24  43.64 43.640090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63270  Excise intrspinl lesion crvl                      A  29.06  19.23NA  19.23   12.28  60.57 60.570090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63271  Excise intrspinl lesion thrc                      A  29.17  19.03NA  19.03   12.05  60.25 60.250090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63272  Excise intrspinl lesion lmbr                      A  26.81  17.42NA  17.42   10.54  54.77 54.770090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63273  Excise intrspinl lesion scrl                      A  25.81  18.09NA  18.09   10.90  54.80 54.800090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
63275  Bx/exc xdrl spine lesn crvl                       A  25.21  16.86NA  16.86    9.78  51.85 51.850090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63276  Bx/exc xdrl spine lesn thrc                       A  25.05  16.84NA  16.84    9.82  51.71 51.710090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63277  Bx/exc xdrl spine lesn lmbr                       A  21.83  15.06NA  15.06    8.09  44.98 44.980090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63278  Bx/exc xdrl spine lesn scrl                       A  21.57  16.60NA  16.60    9.12  47.29 47.290090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63280  Bx/exc idrl spine lesn crvl                       A  29.53  19.94NA  19.94   12.28  61.75 61.750090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63281  Bx/exc idrl spine lesn thrc                       A  29.24  19.83NA  19.83   12.20  61.27 61.270090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63282  Bx/exc idrl spine lesn lmbr                       A  27.45  19.16NA  19.16   11.41  58.02 58.020090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63283  Bx/exc idrl spine lesn scrl                       A  26.09  18.95NA  18.95   11.02  56.06 56.060090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63285  Bx/exc idrl imed lesn cervl                       A  37.10  22.81NA  22.81   15.66  75.57 75.570090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63286  Bx/exc idrl imed lesn thrc                        A  36.68  22.61NA  22.61   15.39  74.68 74.680090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63287  Bx/exc idrl imed lesn thrlmb                      A  39.08  23.50NA  23.50   16.49  79.07 79.070090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63290  Bx/exc xdrl/idrl lsn any lvl                      A  39.80  23.76NA  23.76   16.81  80.37 80.370090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63295  Repair laminectomy defect                         A   5.12   1.79NA   1.79    2.15   9.06  9.060ZZZ.00.00.00022201            33.5675 090 99      0.00   0.00   0.00
63300  Remove vert xdrl body crvcl                       A  26.13  16.47NA  16.47    9.53  52.13 52.130090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63301  Remove vert xdrl body thrc                        A  30.78  20.59NA  20.59   12.99  64.36 64.360090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63302  Remove vert xdrl body thrlmb                      A  30.37  20.45NA  20.45   12.83  63.65 63.650090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63303  Remov vert xdrl bdy lmbr/sac                      A  32.71  20.51NA  20.51   13.82  67.04 67.040090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63304  Remove vert idrl body crvcl                       A  33.00  21.37NA  21.37   13.93  68.30 68.300090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63305  Remove vert idrl body thrc                        A  35.33  22.19NA  22.19   14.93  72.45 72.450090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63306  Remov vert idrl bdy thrclmbr                      A  34.66  21.95NA  21.95   14.64  71.25 71.250090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63307  Remov vert idrl bdy lmbr/sac                      A  34.09  21.14NA  21.14   14.39  69.62 69.620090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63308  Remove vertebral body add-on                      A   5.11   1.71NA   1.71    1.83   8.65  8.650ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
63600  Remove spinal cord lesion                         A  14.74  11.53NA  11.53    6.21  32.48 32.480090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
63610  Stimulation of spinal cord                        A   8.50   4.35NA   4.35    3.58  16.43 16.430000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
63620  Srs spinal lesion                                 A  15.21  11.72NA  11.72    6.40  33.33 33.330090.11.76.13002001            33.5675 090 99      0.00   0.00   0.00
63621  Srs spinal lesion addl                            A   3.90   1.37NA   1.37    1.64   6.91  6.910ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
63650  Implant neuroelectrodes                           A   6.97  63.75     3.48    0.79  71.51 11.240010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
63655  Implant neuroelectrodes                           A  10.65  10.63NA  10.63    3.83  25.11 25.110090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63661  Remove spine eltrd perq aray                      A   4.95  16.33     3.32    0.98  22.26  9.250010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
63662  Remove spine eltrd plate                          A  10.73  10.84NA  10.84    3.87  25.44 25.440090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63663  Revise spine eltrd perq aray                      A   7.56  19.90     3.62    1.08  28.54 12.260010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
63664  Revise spine eltrd plate                          A  11.23  11.20NA  11.20    4.11  26.54 26.540090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63685  Ins/rplc spi npg/rcvr pocket                      A   5.06   3.43NA   3.43    1.05   9.54  9.540010.10.80.10202101            33.5675 090 99      0.00   0.00   0.00
63688  Rev/rmv imp sp npg/r dtch cn                      A   4.24   3.85NA   3.85    1.06   9.15  9.150010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
63700  Repair of spinal herniation                       A  17.03  15.40NA  15.40    7.19  39.62 39.620090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63702  Repair of spinal herniation                       A  18.92  16.06NA  16.06    7.98  42.96 42.960090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63704  Repair of spinal herniation                       A  21.87  18.91NA  18.91    9.23  50.01 50.010090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63706  Repair of spinal herniation                       A  24.72  19.91NA  19.91   10.44  55.07 55.070090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63707  Repair spinal fluid leakage                       A  12.33  11.11NA  11.11    4.34  27.78 27.780090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63709  Repair spinal fluid leakage                       A  15.26  11.99NA  11.99    5.23  32.48 32.480090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63710  Graft repair of spine defect                      A  15.02  11.63NA  11.63    4.66  31.31 31.310090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63740  Install spinal shunt                              A  12.31  12.73NA  12.73    5.17  30.21 30.210090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63741  Install spinal shunt                              A   8.89   9.11NA   9.11    3.35  21.35 21.350090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63744  Revision of spinal shunt                          A   8.72   9.65NA   9.65    3.67  22.04 22.040090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
63746  Removal of spinal shunt                           A   7.15   9.10NA   9.10    3.01  19.26 19.260090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
64400  Njx aa&/strd trigeminal nrv                       A   0.73   2.71     0.48    0.21   3.65  1.420000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64405  Njx aa&/strd gr ocpl nrv                          A   0.92   1.23     0.25    0.21   2.36  1.380000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64408  Njx aa&/strd vagus nrv                            A   0.73   1.55     0.32    0.11   2.39  1.160000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
64415  Njx aa&/strd brch plxs img                        A   1.46   3.06     0.41    0.12   4.64  1.990000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64416  Njx aa&/strd brch pl nfs img                      A   1.76   0.26NA   0.26    0.15   2.17  2.170000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64417  Njx aa&/strd ax nerve img                         A   1.28   4.16     0.43    0.13   5.57  1.840000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64418  Njx aa&/strd sprscap nrv                          A   1.07   1.51     0.26    0.11   2.69  1.440000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64420  Njx aa&/strd ntrcost nrv 1                        A   1.05   2.03     0.43    0.09   3.17  1.570000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64421  Njx aa&/strd ntrcost nrv ea                       A   0.49   0.51     0.11    0.05   1.05  0.650ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
64425  Njx aa&/strd ii ih nerves                         A   0.98   2.55     0.42    0.09   3.62  1.490000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64430  Njx aa&/strd pudendal nerve                       A   0.98   1.78     0.37    0.11   2.87  1.460000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64435  Njx aa&/strd paracrv nrv                          A   0.73   1.39     0.30    0.13   2.25  1.160000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64445  Njx aa&/strd sciatic nrv img                      A   1.36   3.68     0.47    0.15   5.19  1.980000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64446  Njx aa&/strd sc nrv nfs img                       A   1.71   0.26NA   0.26    0.15   2.12  2.120000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64447  Njx aa&/strd femoral nrv img                      A   1.31   2.59     0.39    0.12   4.02  1.820000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64448  Njx aa&/strd fem nrv nfs img                      A   1.64   0.25NA   0.25    0.14   2.03  2.030000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64449  Njx aa&/strd lmbr plex nfs                        A   1.24   0.43NA   0.43    0.14   1.81  1.810000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64450  Njx aa&/strd other pn/branch                      A   0.73   1.62     0.35    0.07   2.42  1.150000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64451  Njx aa&/strd nrv nrvtg si jt                      A   1.48   5.61     0.55    0.14   7.23  2.170000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64454  Njx aa&/strd gnclr nrv brnch                      A   1.48   5.42     0.58    0.13   7.03  2.190000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64455  Njx aa&/strd pltr com dg nrv                      A   0.73   0.70     0.10    0.07   1.50  0.900000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
64461  Pvb thoracic single inj site                      A   1.71   2.61     0.28    0.16   4.48  2.150000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64462  Pvb thoracic 2nd+ inj site                        A   1.07   1.19     0.18    0.08   2.34  1.330ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
64463  Pvb thoracic cont infusion                        A   1.85   5.90     0.28    0.16   7.91  2.290000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64466  Thrc fascial pln blk uni njx                      A   1.46   2.65     0.24    0.14   4.25  1.840000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64467  Thrc fascial pln blk uni nfs                      A   1.70   6.22     0.27    0.16   8.08  2.130000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64468  Thrc fascial pln blk bi njx                       A   1.63   3.14     0.26    0.15   4.92  2.040000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
64469  Thrc fascial pln blk bi nfs                       A   1.78  10.54     0.29    0.17  12.49  2.240000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
64473  Lwr xtr fscl pln blk uni njx                      A   1.31   2.60     0.21    0.12   4.03  1.640000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64474  Lwr xtr fscl pln blk uni nfs                      A   1.63   6.19     0.26    0.15   7.97  2.040000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64479  Njx aa&/strd tfrm epi c/t 1                       A   2.23   6.11     1.06    0.20   8.54  3.490000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64480  Njx aa&/strd tfrm epi c/t ea                      A   1.17   3.00     0.31    0.11   4.28  1.590ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
64483  Njx aa&/strd tfrm epi l/s 1                       A   1.85   5.91     0.96    0.17   7.93  2.980000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64484  Njx aa&/strd tfrm epi l/s ea                      A   0.98   2.46     0.25    0.08   3.52  1.310ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
64486  Tap block unil by injection                       A   1.17   2.50     0.19    0.09   3.76  1.450000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64487  Tap block uni by infusion                         A   1.36   5.88     0.21    0.11   7.35  1.680000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64488  Tap block bi injection                            A   1.37   2.93     0.21    0.12   4.42  1.700000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
64489  Tap block bi by infusion                          A   1.71  10.21     0.26    0.15  12.07  2.120000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
64490  Inj paravert f jnt c/t 1 lev                      A   1.77   4.20     0.88    0.17   6.14  2.820000.00.00.00212001            33.5675 090 99      0.00   0.00   0.00
64491  Inj paravert f jnt c/t 2 lev                      A   1.13   1.81     0.28    0.11   3.05  1.520ZZZ.00.00.00012001            33.5675 090 99      0.00   0.00   0.00
64492  Inj paravert f jnt c/t 3 lev                      A   1.13   1.84     0.31    0.09   3.06  1.530ZZZ.00.00.00012001            33.5675 090 99      0.00   0.00   0.00
64493  Inj paravert f jnt l/s 1 lev                      A   1.48   4.08     0.82    0.14   5.70  2.440000.00.00.00212001            33.5675 090 99      0.00   0.00   0.00
64494  Inj paravert f jnt l/s 2 lev                      A   0.98   1.81     0.25    0.08   2.87  1.310ZZZ.00.00.00012001            33.5675 090 99      0.00   0.00   0.00
64495  Inj paravert f jnt l/s 3 lev                      A   0.98   1.90     0.29    0.08   2.96  1.350ZZZ.00.00.00012001            33.5675 090 99      0.00   0.00   0.00
64505  N block spenopalatine gangl                       A   1.33   2.79     1.21    0.38   4.50  2.920000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64510  N block stellate ganglion                         A   1.19   3.31     0.79    0.11   4.61  2.090000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64517  N block inj hypogas plxs                          A   2.15   3.72     1.06    0.20   6.07  3.410000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
64520  N block lumbar/thoracic                           A   1.32   5.81     0.86    0.12   7.25  2.300000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
64530  N block inj celiac pelus                          A   1.54   5.37     0.87    0.15   7.06  2.560000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
64553  Implant neuroelectrodes                           A   5.98 136.45     5.00    2.52 144.95 13.500010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
64555  Implant neuroelectrodes                           A   5.62  60.37     2.60    0.58  66.57  8.800010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
64561  Implant neuroelectrodes                           A   5.30  16.19     2.07    0.75  22.24  8.120010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64566  Neuroeltrd stim post tibial                       A   0.59   2.85     0.12    0.07   3.51  0.780000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
64567  Perq elec nrv field stimj cn                      A   1.50  35.45     0.33    0.16  37.11  1.990XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
64568  Opn impltj crnl nrv nea&pg                        A   8.78   7.88NA   7.88    3.10  19.76 19.760090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
64569  Revise/repl vagus n eltrd                         A  10.73   7.89NA   7.89    3.72  22.34 22.340090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64570  Remove vagus n eltrd                              A   8.87  10.33NA  10.33    3.74  22.94 22.940090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64575  Opn impltj nea perph nerve                        A   4.31   3.79NA   3.79    0.69   8.79  8.790090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
64580  Opn impltj nea neuromuscular                      A   4.09   4.24NA   4.24    1.10   9.43  9.430090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
64581  Opn impltj nea sacral nerve                       A  11.90   3.97NA   3.97    1.73  17.60 17.600090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
64582  Opn mpltj hpglsl nstm ary pg                      A  13.65   6.00NA   6.00    1.99  21.64 21.640090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
64583  Rev/rplct hpglsl nstm ary pg                      A  14.14   6.11NA   6.11    2.06  22.31 22.310090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64584  Rmvl hpglsl nstim ary pg                          A  11.70   5.51NA   5.51    1.70  18.91 18.910090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64585  Rev/rmv perph nstim eltrd ra                      A   2.06   5.19     1.72    0.29   7.54  4.070010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
64590  Ins/rpl prph sac/gstr npg/r                       A   4.97   7.12     2.29    0.73  12.82  7.990010.10.80.10201101            33.5675 090 99      0.00   0.00   0.00
64595  Rev/rmv prph sac/gstr npg/r                       A   3.70   6.17     2.03    0.55  10.42  6.280010.10.80.10201001            33.5675 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  0.000010.10.80.10201001            33.5675 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.00.00.00001001            33.5675 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  0.000010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
64600  Injection treatment of nerve                      A   3.40  11.57     2.48    0.92  15.89  6.800010.10.80.10221001            33.5675 090 99      0.00   0.00   0.00
64605  Injection treatment of nerve                      A   5.51  25.12     4.85    2.33  32.96 12.690010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
64610  Injection treatment of nerve                      A   7.02  16.52     4.23    2.20  25.74 13.450010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64611  Chemodenerv saliv glands                          A   1.00   2.76     1.85    0.39   4.15  3.240010.10.80.10220001            33.5675 090 99      0.00   0.00   0.00
64612  Destroy nerve face muscle                         A   1.37   2.58     1.58    0.29   4.24  3.240010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64615  Chemodenerv musc migraine                         A   1.80   2.28     0.85    0.62   4.70  3.270010.10.80.10221001            33.5675 090 99      0.00   0.00   0.00
64616  Chemodenerv musc neck dyston                      A   1.49   2.31     0.99    0.50   4.30  2.980010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64617  Chemodener muscle larynx emg                      A   1.85   2.65     0.64    0.26   4.76  2.750010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64620  Injection treatment of nerve                      A   2.82   3.58     1.83    0.36   6.76  5.010010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
64624  Dstrj nulyt agt gnclr nrv                         A   2.44   9.65     1.33    0.22  12.31  3.990010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
64625  Rf abltj nrv nrvtg si jt                          A   3.31  11.20     1.65    0.33  14.84  5.290010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64628  Trml dstrj ios bvn 1st 2 l/s                      A   6.97   3.23NA   3.23    0.72  10.92 10.920010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
64629  Trml dstrj ios bvn ea addl                        A   3.68   0.94NA   0.94    0.39   5.01  5.010ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
64630  Injection treatment of nerve                      A   2.97   4.69     1.98    0.55   8.21  5.500010.10.80.10200001            33.5675 090 99      0.00   0.00   0.00
64632  N block inj common digit                          A   1.20   1.41     0.56    0.09   2.70  1.850010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
64633  Destroy cerv/thor facet jnt                       A   3.24  10.20     1.63    0.30  13.74  5.170010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64634  Destroy c/th facet jnt addl                       A   1.29   6.57     0.32    0.12   7.98  1.730ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
64635  Destroy lumb/sac facet jnt                        A   3.24  10.39     1.65    0.29  13.92  5.180010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64636  Destroy l/s facet jnt addl                        A   1.13   6.29     0.28    0.11   7.53  1.520ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
64640  Injection treatment of nerve                      A   1.93   5.86     1.19    0.22   8.01  3.340010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
64642  Chemodenerv 1 extremity 1-4                       A   1.61   2.89     0.88    0.39   4.89  2.880000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
64643  Chemodenerv 1 extrem 1-4 ea                       A   1.19   1.57     0.37    0.23   2.99  1.790ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
64644  Chemodenerv 1 extrem 5/> mus                      A   1.77   3.54     0.93    0.40   5.71  3.100000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
64645  Chemodenerv 1 extrem 5/> ea                       A   1.36   2.18     0.41    0.34   3.88  2.110ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
64646  Chemodenerv trunk musc 1-5                        A   1.76   2.86     0.87    0.48   5.10  3.110000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
64647  Chemodenerv trunk musc 6/>                        A   2.06   3.11     0.92    0.50   5.67  3.480000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
64650  Chemodenerv eccrine glands                        A   0.68   1.80     0.21    0.11   2.59  1.000000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
64653  Chemodenerv eccrine glands                        A   0.86   2.03     0.26    0.17   3.06  1.290000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
64654  1st opn implt bat modulj sys                      A  11.00   2.96NA   2.96    2.79  16.75 16.750090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
64655  Revj/rplcmt bat mod sys lead                      A  11.30   5.40NA   5.40    2.59  19.29 19.290090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64656  Revj/rplcmt bat mod sys pg                        A   8.01   2.80NA   2.80    1.98  12.79 12.790090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64657  Rmvl bat modulj sys tot sys                       A  12.13   3.76NA   3.76    3.04  18.93 18.930090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64658  Rmvl bat modul sys lead only                      A   8.95   3.03NA   3.03    2.27  14.25 14.250090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64659  Rmvl bat modulj sys pg only                       A   8.23   2.90NA   2.90    2.09  13.22 13.220090.11.76.13210111            33.5675 090 99      0.00   0.00   0.00
64680  Injection treatment of nerve                      A   2.60   7.52     1.53    0.26  10.38  4.390010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
64681  Injection treatment of nerve                      A   3.69   9.85     1.79    0.30  13.84  5.780010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
64702  Revise finger/toe nerve                           A   6.10   7.44NA   7.44    1.09  14.63 14.630090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
64704  Revise hand/foot nerve                            A   4.57   4.10NA   4.10    0.56   9.23  9.230090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64708  Revise arm/leg nerve                              A   6.20   6.85NA   6.85    0.85  13.90 13.900090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64712  Revision of sciatic nerve                         A   7.87   7.14NA   7.14    1.68  16.69 16.690090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64713  Revision of arm nerve(s)                          A  11.12   8.61NA   8.61    2.58  22.31 22.310090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64714  Revise low back nerve(s)                          A  10.29   8.73NA   8.73    2.41  21.43 21.430090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64716  Revision of cranial nerve                         A   6.82   6.10NA   6.10    1.15  14.07 14.070090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64718  Revise ulnar nerve at elbow                       A   7.08   8.71NA   8.71    1.43  17.22 17.220090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
64719  Revise ulnar nerve at wrist                       A   4.85   5.80NA   5.80    0.96  11.61 11.610090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
64721  Carpal tunnel surgery                             A   4.85   8.61     6.83    0.99  14.45 12.670090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
64722  Decompression unspec nerve                        A   4.70   5.36NA   5.36    1.11  11.17 11.170090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64726  Dcmprn plantar digital nerve                      A   4.16   3.14NA   3.14    0.43   7.73  7.730090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
64727  Internal neurolysis                               A   3.02   1.06NA   1.06    0.26   4.34  4.340ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
64728  Dcmprn median nrv carpl tunl                      A   2.70  37.27     0.73    0.24  40.21  3.670000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
64732  Incision of brow nerve                            A   4.77   8.02NA   8.02    2.01  14.80 14.800090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64734  Incision of cheek nerve                           A   5.41   8.99NA   8.99    2.28  16.68 16.680090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
64736  Incision of chin nerve                            A   5.10   3.47NA   3.47    0.57   9.14  9.140090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64738  Incision of jaw nerve                             A   6.20   5.36NA   5.36    0.90  12.46 12.460090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64740  Incision of tongue nerve                          A   6.06   5.95NA   5.95    0.88  12.89 12.890090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64742  Incision of facial nerve                          A   6.68   5.55NA   5.55    0.51  12.74 12.740090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64744  Incise nerve back of head                         A   5.58   8.30NA   8.30    2.35  16.23 16.230090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
64746  Incise diaphragm nerve                            A   6.40   4.97NA   4.97    1.62  12.99 12.990090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64755  Incision of stomach nerves                        A  14.67   7.46NA   7.46    3.92  26.05 26.050090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64760  Incision of vagus nerve                           A   7.40   5.91NA   5.91    1.98  15.29 15.290090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64763  Incise hip/thigh nerve                            A   7.37   5.76NA   5.76    1.97  15.10 15.100090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64766  Incise hip/thigh nerve                            A   9.23   6.81NA   6.81    2.48  18.52 18.520090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64771  Sever cranial nerve                               A   7.95   7.31NA   7.31    1.47  16.73 16.730090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
64772  Incision of spinal nerve                          A   7.64   6.39NA   6.39    1.43  15.46 15.460090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64774  Remove skin nerve lesion                          A   5.66   5.48NA   5.48    1.19  12.33 12.330090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
64776  Remove digit nerve lesion                         A   5.46   4.84NA   4.84    0.91  11.21 11.210090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
64778  Digit nerve surgery add-on                        A   3.03   0.97NA   0.97    0.64   4.64  4.640ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
64782  Remove limb nerve lesion                          A   6.69   5.31NA   5.31    1.06  13.06 13.060090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
64783  Limb nerve surgery add-on                         A   3.62   1.15NA   1.15    0.78   5.55  5.550ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
64784  Remove nerve lesion                               A  10.35   7.72NA   7.72    2.08  20.15 20.150090.11.76.13200001            33.5675 090 99      0.00   0.00   0.00
64786  Remove sciatic nerve lesion                       A  15.84   8.41NA   8.41    4.23  28.48 28.480090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64787  Implant nerve end                                 A   4.18   1.17NA   1.17    0.75   6.10  6.100ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
64788  Remove skin nerve lesion                          A   5.11   5.53NA   5.53    1.07  11.71 11.710090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
64790  Removal of nerve lesion                           A  11.80   9.16NA   9.16    3.11  24.07 24.070090.11.76.13200101            33.5675 090 99      0.00   0.00   0.00
64792  Removal of nerve lesion                           A  15.46  14.34NA  14.34    6.52  36.32 36.320090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64795  Biopsy of nerve                                   A   2.93   1.77NA   1.77    0.88   5.58  5.580000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
64802  Sympathectomy cervical                            A  10.11  11.95NA  11.95    4.26  26.32 26.320090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64804  Sympathectomy cervicothorac                       A  15.51  13.86NA  13.86    6.55  35.92 35.920090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64809  Sympathectomy thoracolumbar                       A  14.34  12.38NA  12.38    6.04  32.76 32.760090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64818  Sympathectomy lumbar                              A  11.06   8.11NA   8.11    2.36  21.53 21.530090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64820  Sympathectomy digital artery                      A  10.47   8.43NA   8.43    2.04  20.94 20.940090.11.76.13201001            33.5675 090 99      0.00   0.00   0.00
64821  Sympathectomy radial artery                       A   9.10   8.73NA   8.73    1.94  19.77 19.770090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
64822  Sympathectomy ulnar artery                        A   9.10   8.73NA   8.73    1.94  19.77 19.770090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
64823  Sympathectomy supfc palmar                        A  10.67   9.22NA   9.22    2.27  22.16 22.160090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
64831  Repair of digit nerve                             A   8.93   8.64NA   8.64    1.70  19.27 19.270090.11.76.13211001            33.5675 090 99      0.00   0.00   0.00
64832  Repair nerve add-on                               A   5.51   1.85NA   1.85    1.07   8.43  8.430ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
64834  Repair of hand or foot nerve                      A  10.54   7.45NA   7.45    1.79  19.78 19.780090.11.76.13210001            33.5675 090 99      0.00   0.00   0.00
64835  Repair of hand or foot nerve                      A  11.44   8.73NA   8.73    2.44  22.61 22.610090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64836  Repair of hand or foot nerve                      A  11.44   8.73NA   8.73    2.44  22.61 22.610090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64837  Repair nerve add-on                               A   6.09   1.94NA   1.94    1.30   9.33  9.330ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
64840  Repair of leg nerve                               A  13.67   9.91NA   9.91    2.91  26.49 26.490090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64856  Repair/transpose nerve                            A  14.69   9.37NA   9.37    3.47  27.53 27.530090.11.76.13201101            33.5675 090 99      0.00   0.00   0.00
64857  Repair arm/leg nerve                              A  15.42   9.62NA   9.62    3.25  28.29 28.290090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64858  Repair sciatic nerve                              A  17.37  10.78NA  10.78    3.70  31.85 31.850090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64859  Nerve surgery                                     A   4.14   1.32NA   1.32    0.89   6.35  6.350ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
64861  Repair of arm nerves                              A  20.37  16.31NA  16.31    8.59  45.27 45.270090.11.76.13212101            33.5675 090 99      0.00   0.00   0.00
64862  Repair of low back nerves                         A  20.56  12.11NA  12.11    4.38  37.05 37.050090.11.76.13212001            33.5675 090 99      0.00   0.00   0.00
64864  Repair of facial nerve                            A  13.07   7.35NA   7.35    2.19  22.61 22.610090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64865  Repair of facial nerve                            A  15.69  10.39NA  10.39    2.30  28.38 28.380090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64866  Fusion of facial/other nerve                      A  16.41  14.29NA  14.29    3.04  33.74 33.740090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64868  Fusion of facial/other nerve                      A  14.53   9.34NA   9.34    2.12  25.99 25.990090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64872  Subsequent repair of nerve                        A   1.94   0.62NA   0.62    0.42   2.98  2.980ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
64874  Repair & revise nerve add-on                      A   2.91   0.93NA   0.93    0.61   4.45  4.450ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
64876  Repair nerve/shorten bone                         A   3.29   1.05NA   1.05    0.69   5.03  5.030ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
64885  Nerve graft head/neck <4 cm                       A  17.16   8.15NA   8.15    2.50  27.81 27.810090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64886  Nerve graft head/neck >4 cm                       A  20.30   9.95NA   9.95    3.22  33.47 33.470090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64890  Nrv grf 1strnd hnd/foot <4cm                      A  15.83  10.13NA  10.13    3.37  29.33 29.330090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
64891  Nrv grf 1strnd hnd/foot >4cm                      A  16.92  10.63NA  10.63    3.61  31.16 31.160090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
64892  Nrv grf 1strnd arm/leg <4cm                       A  15.35   9.98NA   9.98    3.26  28.59 28.590090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64893  Nrv grf 1strnd arm/leg >4 cm                      A  16.45  10.48NA  10.48    3.50  30.43 30.430090.11.76.13202001            33.5675 090 99      0.00   0.00   0.00
64895  Nrv grf mltst hnd/foot <4 cm                      A  19.88  11.58NA  11.58    4.23  35.69 35.690090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64896  Nrv grf mltst hnd/foot >4 cm                      A  21.41  12.54NA  12.54    4.56  38.51 38.510090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64897  Nrv grf mltst arm/leg <4 cm                       A  18.90  11.26NA  11.26    4.02  34.18 34.180090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64898  Nrv grf mltst arm/leg >4 cm                       A  20.45  12.23NA  12.23    4.34  37.02 37.020090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64901  Nerve graft add-on                                A   9.95   3.17NA   3.17    2.12  15.24 15.240ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
64902  Nerve graft add-on                                A  11.51   3.67NA   3.67    2.46  17.64 17.640ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
64905  Nerve pedicle transfer                            A  14.73   8.91NA   8.91    3.05  26.69 26.690090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64907  Nerve pedicle transfer                            A  19.53  11.31NA  11.31    4.17  35.01 35.010090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64910  Nerve repair w/allograft                          A  10.26   8.85NA   8.85    1.76  20.87 20.870090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64911  Neurorraphy w/vein autograft                      A  13.65  11.89NA  11.89    2.91  28.45 28.450090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64912  Nrv rpr w/nrv algrft 1st                          A  11.70  10.56NA  10.56    2.26  24.52 24.520090.11.76.13202101            33.5675 090 99      0.00   0.00   0.00
64913  Nrv rpr w/nrv algrft ea addl                      A   2.93   0.92NA   0.92    0.54   4.39  4.390ZZZ.00.00.00002101            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
65091  Revise eye                                        A   7.08  12.20NA  12.20    0.56  19.84 19.840090.10.70.20210101            33.5675 090 99      0.00   0.00   0.00
65093  Revise eye with implant                           A   6.86  12.34NA  12.34    0.55  19.75 19.750090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65101  Removal of eye                                    A   8.09  14.01NA  14.01    0.64  22.74 22.740090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65103  Remove eye/insert implant                         A   8.62  14.07NA  14.07    0.68  23.37 23.370090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65105  Remove eye/attach implant                         A   9.68  14.91NA  14.91    0.79  25.38 25.380090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65110  Removal of eye                                    A  15.31  17.77NA  17.77    1.23  34.31 34.310090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65112  Remove eye/revise socket                          A  18.05  19.63NA  19.63    1.44  39.12 39.120090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65114  Remove eye/revise socket                          A  19.16  20.02NA  20.02    1.51  40.69 40.690090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65125  Revise ocular implant                             A   3.19  10.20     4.37    0.25  13.64  7.810090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65130  Insert ocular implant                             A   8.21  13.94NA  13.94    0.65  22.80 22.800090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65135  Insert ocular implant                             A   8.39  14.01NA  14.01    0.66  23.06 23.060090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65140  Attach ocular implant                             A   9.22  14.74NA  14.74    0.73  24.69 24.690090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65150  Revise ocular implant                             A   6.27  12.11NA  12.11    0.48  18.86 18.860090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
65155  Reinsert ocular implant                           A   9.85  14.96NA  14.96    0.79  25.60 25.600090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65175  Removal of ocular implant                         A   7.22  13.15NA  13.15    0.57  20.94 20.940090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65205  Remove foreign body from eye                      A   0.48   0.34     0.23    0.02   0.84  0.730000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
65210  Remove foreign body from eye                      A   0.59   0.52     0.28    0.03   1.14  0.900000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
65220  Remove foreign body from eye                      A   0.69   1.14     0.35    0.09   1.92  1.130000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
65222  Remove foreign body from eye                      A   0.82   1.14     0.39    0.04   2.00  1.250000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
65235  Remove foreign body from eye                      A   8.78   9.54NA   9.54    0.71  19.03 19.030090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
65260  Remove foreign body from eye                      A  12.23  11.93NA  11.93    0.99  25.15 25.150090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
65265  Remove foreign body from eye                      A  13.98  13.10NA  13.10    1.12  28.20 28.200090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65270  Repair of eye wound                               A   1.90   6.39     1.50    0.15   8.44  3.550010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
65272  Repair of eye wound                               A   4.50  10.90     4.11    0.36  15.76  8.970090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65273  Repair of eye wound                               A   5.03   4.18NA   4.18    0.40   9.61  9.610090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65275  Repair of eye wound                               A   6.13  11.08     5.03    0.48  17.69 11.640090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
65280  Repair of eye wound                               A   8.87   7.37NA   7.37    0.70  16.94 16.940090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
65285  Repair of eye wound                               A  14.98  11.63NA  11.63    1.21  27.82 27.820090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65286  Repair of eye wound                               A   6.46  13.96     5.61    0.50  20.92 12.570090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65290  Repair of eye socket wound                        A   6.37   5.57NA   5.57    0.49  12.43 12.430090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65400  Removal of eye lesion                             A   7.31  13.00     7.76    0.60  20.91 15.670090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65410  Biopsy of cornea                                  A   1.43   2.77     1.05    0.11   4.31  2.590000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
65420  Removal of eye lesion                             A   4.25  11.58     5.42    0.35  16.18 10.020090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65426  Removal of eye lesion                             A   5.90  13.72     6.01    0.46  20.08 12.370090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65430  Corneal smear                                     A   1.43   1.92     1.02    0.11   3.46  2.560000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
65435  Curette/treat cornea                              A   0.90   1.53     0.84    0.07   2.50  1.810000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
65436  Curette/treat cornea                              A   4.70   6.66     4.44    0.38  11.74  9.520090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65450  Treatment of corneal lesion                       A   3.38   6.38     5.01    0.26  10.02  8.650090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65600  Revision of cornea                                A   4.10   8.81     4.55    0.33  13.24  8.980090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65710  Corneal transplant                                A  14.09  14.21NA  14.21    1.13  29.43 29.430090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65730  Corneal transplant                                A  15.94  14.75NA  14.75    1.28  31.97 31.970090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65750  Corneal transplant                                A  16.48  14.24NA  14.24    1.31  32.03 32.030090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65755  Corneal transplant                                A  16.37  14.20NA  14.20    1.31  31.88 31.880090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65756  Corneal trnspl endothelial                        A  16.42  11.96NA  11.96    1.31  29.69 29.690090.10.70.20212101            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
65770  Keratoprosthesis                                  A  19.25  14.62NA  14.62    1.53  35.40 35.400090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
65772  Correction of astigmatism                         A   4.96   8.42     5.15    0.40  13.78 10.510090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65775  Correction of astigmatism                         A   6.74   7.67NA   7.67    0.53  14.94 14.940090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65778  Cover eye w/membrane                              A   0.82  37.29     0.21    0.04  38.15  1.070000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
65779  Cover eye w/membrane suture                       A   1.71  32.28     0.69    0.14  34.13  2.540000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
65780  Ocular reconst transplant                         A   6.85   8.06NA   8.06    0.54  15.45 15.450090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65781  Ocular reconst transplant                         A  17.69  14.52NA  14.52    1.41  33.62 33.620090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
65782  Ocular reconst transplant                         A  15.04  12.90NA  12.90    1.21  29.15 29.150090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65785  Impltj ntrstrml crnl rng seg                      A   5.26  57.15     5.88    0.42  62.83 11.560090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65800  Drainage of eye                                   A   1.49   2.00     0.52    0.12   3.61  2.130000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
65810  Drainage of eye                                   A   5.67   5.89NA   5.89    0.44  12.00 12.000090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65815  Drainage of eye                                   A   5.85  12.92     6.01    0.46  19.23 12.320090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65820  Goniotomy                                         A   8.69  12.29NA  12.29    0.68  21.66 21.660090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
65850  Trabeculotomy ab externo                          A  11.11   9.39NA   9.39    0.88  21.38 21.380090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65855  Trabeculoplasty laser surg                        A   2.93   4.20     1.98    0.22   7.35  5.130010.10.80.10211111            33.5675 090 99      0.00   0.00   0.00
65860  Severing ads ant sgm laser                        A   3.50   5.51     2.49    0.27   9.28  6.260090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
65865  Incise inner eye adhesions                        A   5.63   6.32NA   6.32    0.44  12.39 12.390090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65870  Incise inner eye adhesions                        A   7.21   7.58NA   7.58    0.57  15.36 15.360090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65875  Incise inner eye adhesions                        A   7.61   8.20NA   8.20    0.60  16.41 16.410090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65880  Incise inner eye adhesions                        A   8.15   8.38NA   8.38    0.64  17.17 17.170090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
65900  Remove eye lesion                                 A  12.20  12.25NA  12.25    0.99  25.44 25.440090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
65920  Remove implant of eye                             A   9.74   9.86NA   9.86    0.79  20.39 20.390090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
65930  Remove blood clot from eye                        A   8.18   7.58NA   7.58    0.64  16.40 16.400090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
66020  Injection treatment of eye                        A   1.60   4.16     1.68    0.13   5.89  3.410010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
66030  Injection treatment of eye                        A   1.27   3.93     1.56    0.09   5.29  2.920010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
66130  Remove eye lesion                                 A   7.63  12.90     6.02    0.62  21.15 14.270090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
66150  Glaucoma surgery                                  A  10.27  11.70NA  11.70    0.82  22.79 22.790090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
66155  Glaucoma surgery                                  A  10.26  11.70NA  11.70    0.82  22.78 22.780090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66160  Glaucoma surgery                                  A  12.08  12.34NA  12.34    0.98  25.40 25.400090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
66170  Glaucoma surgery                                  A  13.59  13.41NA  13.41    1.09  28.09 28.090090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
66172  Incision of eye                                   A  14.47  15.18NA  15.18    1.16  30.81 30.810090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
66174  Trluml dil aq o/f can w/o st                      A   7.43   8.17NA   8.17    0.58  16.18 16.180090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
66175  Trluml dil aq o/f can w/st                        A   9.11   8.74NA   8.74    0.72  18.57 18.570090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
66179  Aqueous shunt eye w/o graft                       A  13.65  12.91NA  12.91    1.09  27.65 27.650090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
66180  Aqueous shunt eye w/graft                         A  14.63  13.26NA  13.26    1.17  29.06 29.060090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
66183  Insert ant drainage device                        A  12.87  12.48NA  12.48    1.04  26.39 26.390090.10.80.10212001            33.5675 090 99      0.00   0.00   0.00
66184  Revision of aqueous shunt                         A   9.34  10.47NA  10.47    0.75  20.56 20.560090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
66185  Revise aqueous shunt eye                          A  10.32  10.81NA  10.81    0.83  21.96 21.960090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
66225  Repair/graft eye lesion                           A  12.31  10.44NA  10.44    1.00  23.75 23.750090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
66250  Follow-up surgery of eye                          A   6.92  15.03     6.84    0.55  22.50 14.310090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66500  Incision of iris                                  A   3.73   6.53NA   6.53    0.29  10.55 10.550090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
66505  Incision of iris                                  A   4.11   7.01NA   7.01    0.34  11.46 11.460090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66600  Remove iris and lesion                            A   9.87  13.03NA  13.03    0.79  23.69 23.690090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66605  Removal of iris                                   A  13.86  12.77NA  12.77    1.11  27.74 27.740090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66625  Removal of iris                                   A   5.17   5.52NA   5.52    0.41  11.10 11.100090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66630  Removal of iris                                   A   7.10   6.90NA   6.90    0.56  14.56 14.560090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66635  Removal of iris                                   A   7.19   6.93NA   6.93    0.57  14.69 14.690090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66680  Repair iris & ciliary body                        A   7.77   6.81NA   6.81    0.61  15.19 15.190090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
66682  Repair iris & ciliary body                        A   8.52   7.77NA   7.77    0.67  16.96 16.960090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66683  Implantation iris prosthesis                      A  10.40   8.56NA   8.56    0.83  19.79 19.790090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66700  Destruction ciliary body                          A   5.01   8.26     4.63    0.40  13.67 10.040090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
66710  Ciliary transsleral therapy                       A   5.01   7.92     4.63    0.40  13.33 10.040090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66711  Ecp ciliary body destruction                      A   5.48   7.45NA   7.45    0.43  13.36 13.360090.10.70.20311001      66710 33.5675 090 99      0.00   0.00   0.00
66720  Destruction ciliary body                          A   4.63   9.18     5.83    0.37  14.18 10.830090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66740  Destruction ciliary body                          A   5.01   7.87     4.63    0.40  13.28 10.040090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66761  Revision of iris                                  A   2.93   5.81     2.90    0.22   8.96  6.050010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
66762  Revision of iris                                  A   5.25   8.75     5.32    0.42  14.42 10.990090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66770  Removal of inner eye lesion                       A   5.98   9.54     5.99    0.47  15.99 12.440090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66820  Incision secondary cataract                       A   3.91   8.41NA   8.41    0.29  12.61 12.610090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66821  After cataract laser surgery                      A   3.33   6.46     4.66    0.25  10.04  8.240090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66825  Reposition intraocular lens                       A   8.78  12.39NA  12.39    0.69  21.86 21.860090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
66830  Removal of lens lesion                            A   9.23   8.11NA   8.11    0.72  18.06 18.060090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66840  Removal of lens material                          A   8.95   8.02NA   8.02    0.71  17.68 17.680090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66850  Removal of lens material                          A  10.29   8.95NA   8.95    0.82  20.06 20.060090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66852  Removal of lens material                          A  11.12   9.25NA   9.25    0.89  21.26 21.260090.10.70.20210101            33.5675 090 99      0.00   0.00   0.00
66920  Extraction of lens                                A   9.88   8.34NA   8.34    0.79  19.01 19.010090.10.70.20210101            33.5675 090 99      0.00   0.00   0.00
66930  Extraction of lens                                A  11.32   9.51NA   9.51    0.91  21.74 21.740090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
66940  Extraction of lens                                A  10.11   9.08NA   9.08    0.81  20.00 20.000090.10.70.20210101            33.5675 090 99      0.00   0.00   0.00
66982  Xcapsl ctrc rmvl cplx wo ecp                      A   9.99   8.10NA   8.10    0.79  18.88 18.880090.10.70.20211001            33.5675 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  0.000090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66984  Xcapsl ctrc rmvl w/o ecp                          A   7.17   6.14NA   6.14    0.54  13.85 13.850090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66985  Insert lens prosthesis                            A   9.73   9.20NA   9.20    0.79  19.72 19.720090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
66986  Exchange lens prosthesis                          A  11.95   9.98NA   9.98    0.95  22.88 22.880090.10.70.20211101            33.5675 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  0.000090.10.70.20210111            33.5675 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  0.000090.10.70.20210111            33.5675 090 99      0.00   0.00   0.00
66989  Xcpsl ctrc rmvl cplx insj 1+                      A  11.83   8.77NA   8.77    0.92  21.52 21.520090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
66990  Ophthalmic endoscope add-on                       A   1.47   0.52NA   0.52    0.12   2.11  2.110ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
66991  Xcapsl ctrc rmvl insj 1+                          A   9.00   7.74NA   7.74    0.69  17.43 17.430090.10.70.20211001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
67005  Partial removal of eye fluid                      A   5.74   6.19NA   6.19    0.45  12.38 12.380090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67010  Partial removal of eye fluid                      A   6.88   6.60NA   6.60    0.54  14.02 14.020090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67015  Release of eye fluid                              A   6.96   8.19NA   8.19    0.55  15.70 15.700090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67025  Replace eye fluid                                 A   7.91  13.70     7.64    0.62  22.23 16.170090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67027  Implant eye drug system                           A  11.33   9.17NA   9.17    0.91  21.41 21.410090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67028  Injection eye drug                                A   1.40   1.91     0.75    0.11   3.42  2.260000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67030  Incise inner eye strands                          A   5.96   8.27NA   8.27    0.47  14.70 14.700090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67031  Laser surgery eye strands                         A   4.36   6.96     4.44    0.35  11.67  9.150090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67036  Removal of inner eye fluid                        A  11.83   9.95NA   9.95    0.95  22.73 22.730090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67039  Laser treatment of retina                         A  12.87  10.32NA  10.32    1.04  24.23 24.230090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67040  Laser treatment of retina                         A  14.14  10.77NA  10.77    1.13  26.04 26.040090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67041  Vit for macular pucker                            A  15.92  11.40NA  11.40    1.27  28.59 28.590090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67042  Vit for macular hole                              A  15.92  11.39NA  11.39    1.27  28.58 28.580090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67043  Vit for membrane dissect                          A  16.97  11.77NA  11.77    1.34  30.08 30.080090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67101  Repair detached retina crtx                       A   3.41   6.37     3.69    0.26  10.04  7.360010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67105  Repair detached retina pc                         A   3.31   5.38     3.54    0.25   8.94  7.100010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67107  Repair detached retina                            A  15.60  11.28NA  11.28    1.25  28.13 28.130090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67108  Repair detached retina                            A  16.70  11.67NA  11.67    1.33  29.70 29.700090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67110  Repair detached retina                            A   9.99  15.90    10.12    0.80  26.69 20.910090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67113  Repair retinal detach cplx                        A  18.53  13.24NA  13.24    1.47  33.24 33.240090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67115  Release encircling material                       A   5.96   6.51NA   6.51    0.47  12.94 12.940090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67120  Remove eye implant material                       A   6.92  12.60     6.79    0.54  20.06 14.250090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67121  Remove eye implant material                       A  11.94   9.99NA   9.99    0.96  22.89 22.890090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67141  Proph rta dtchmnt crtx dthrm                      A   2.47   5.42     2.98    0.20   8.09  5.650010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67145  Proph rta dtchmnt pc                              A   2.47   4.68     2.98    0.20   7.35  5.650010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67208  Treatment of retinal lesion                       A   7.46  10.06     6.67    0.59  18.11 14.720090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67210  Treatment of retinal lesion                       A   6.20   8.80     6.13    0.49  15.49 12.820090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67218  Treatment of retinal lesion                       A  19.85  13.15NA  13.15    1.58  34.58 34.580090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67220  Treatment of choroid lesion                       A   6.20   9.25     6.13    0.48  15.93 12.810090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67221  Ocular photodynamic ther                          R   3.36   4.89     1.42    0.26   8.51  5.040000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
67225  Eye photodynamic ther add-on                      A   0.46   0.37     0.16    0.04   0.87  0.660ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
67227  Dstrj extensive retinopathy                       A   3.41   5.21     2.77    0.26   8.88  6.440010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67228  Treatment x10sv retinopathy                       A   4.28   5.58     2.97    0.35  10.21  7.600010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67229  Tr retinal les preterm inf                        A  15.89  11.88NA  11.88    1.27  29.04 29.040090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67250  Reinforce eye wall                                A   9.37  13.70NA  13.70    0.75  23.82 23.820090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67255  Reinforce/graft eye wall                          A   8.17   9.04NA   9.04    0.65  17.86 17.860090.10.70.20212101            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
67311  Revise eye muscle                                 A   5.78   5.48NA   5.48    0.45  11.71 11.710090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67312  Revise two eye muscles                            A   9.26   6.72NA   6.72    0.73  16.71 16.710090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67314  Revise eye muscle                                 A   5.78   5.48NA   5.48    0.45  11.71 11.710090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67316  Revise two eye muscles                            A  10.05   6.99NA   6.99    0.81  17.85 17.850090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
67318  Revise eye muscle(s)                              A   9.56   7.01NA   7.01    0.76  17.33 17.330090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67320  Revise eye muscle(s) add-on                       A   2.93   1.03NA   1.03    0.22   4.18  4.180ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
67331  Eye surgery follow-up add-on                      A   1.95   0.91NA   0.91    0.16   3.02  3.020ZZZ.00.00.00011101            33.5675 090 99      0.00   0.00   0.00
67332  Rerevise eye muscles add-on                       A   3.41   1.19NA   1.19    0.26   4.86  4.860ZZZ.00.00.00011101            33.5675 090 99      0.00   0.00   0.00
67334  Revise eye muscle w/suture                        A   2.01   0.81NA   0.81    0.16   2.98  2.980ZZZ.00.00.00011101            33.5675 090 99      0.00   0.00   0.00
67335  Eye suture during surgery                         A   3.15   1.09NA   1.09    0.24   4.48  4.480ZZZ.00.00.00011101            33.5675 090 99      0.00   0.00   0.00
67340  Revise eye muscle add-on                          A   4.88   1.72NA   1.72    0.39   6.99  6.990ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
67343  Release eye tissue                                A   8.26   8.52NA   8.52    0.67  17.45 17.450090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67345  Destroy nerve of eye muscle                       A   2.93   4.06     2.25    0.53   7.52  5.710010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67346  Biopsy eye muscle                                 A   2.80   1.81NA   1.81    0.21   4.82  4.820000.00.00.00210001            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
67400  Explore/biopsy eye socket                         A  10.92  15.47NA  15.47    0.89  27.28 27.280090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67405  Explore/drain eye socket                          A   8.97  14.32NA  14.32    0.71  24.00 24.000090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67412  Explore/treat eye socket                          A  10.04  15.28NA  15.28    0.84  26.16 26.160090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67413  Explore/treat eye socket                          A   9.98  14.58NA  14.58    0.80  25.36 25.360090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
67414  Explr/decompress eye socket                       A  17.49  18.35NA  18.35    1.56  37.40 37.400090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67415  Aspiration orbital contents                       A   1.72   0.60NA   0.60    0.14   2.46  2.460000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
67420  Explore/treat eye socket                          A  21.32  21.66NA  21.66    2.05  45.03 45.030090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67430  Explore/treat eye socket                          A  14.91  20.20NA  20.20    1.20  36.31 36.310090.10.70.20212001            33.5675 090 99      0.00   0.00   0.00
67440  Explore/drain eye socket                          A  14.47  19.58NA  19.58    1.16  35.21 35.210090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67445  Explr/decompress eye socket                       A  18.64  19.05NA  19.05    1.58  39.27 39.270090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67450  Explore/biopsy eye socket                         A  15.02  20.24NA  20.24    1.21  36.47 36.470090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67500  Inject/treat eye socket                           A   1.15   1.13     0.42    0.08   2.36  1.650000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67505  Inject/treat eye socket                           A   1.15   1.31     0.51    0.08   2.54  1.740000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67515  Inject/treat eye socket                           A   0.73   0.76     0.36    0.06   1.55  1.150000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67516  Sprchoroidal spc njx rx agt                       A   1.49   2.02     0.78    0.12   3.63  2.390000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67550  Insert eye socket implant                         A  11.48  16.16NA  16.16    0.98  28.62 28.620090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67560  Revise eye socket implant                         A  11.88  16.27NA  16.27    1.06  29.21 29.210090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
67570  Decompress optic nerve                            A  14.04  18.02NA  18.02    1.12  33.18 33.180090.10.70.20212101            33.5675 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.00.00.00212111            33.5675 090 99      0.00   0.00   0.00
67700  Blepharotomy drg absc eyelid                      A   1.37   6.92     1.59    0.11   8.40  3.070010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67710  Severing tarsorrhaphy                             A   1.04   6.05     1.48    0.08   7.17  2.600010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67715  Canthotomy                                        A   1.24   6.80     1.64    0.18   8.22  3.060010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67800  Remove eyelid lesion                              A   1.37   2.43     1.12    0.11   3.91  2.600010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
67801  Remove eyelid lesions                             A   1.86   2.93     1.29    0.15   4.94  3.300010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
67805  Remove eyelid lesions                             A   2.21   3.79     1.76    0.18   6.18  4.150010.10.80.10201001            33.5675 090 99      0.00   0.00   0.00
67808  Remove eyelid lesion(s)                           A   4.49   4.70NA   4.70    0.37   9.56  9.560090.10.70.20201001            33.5675 090 99      0.00   0.00   0.00
67810  Incal bx eyelid skn lid mrgn                      A   1.15   4.16     0.39    0.11   5.42  1.650000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67820  Revise eyelashes                                  A   0.31   0.23     0.24    0.02   0.56  0.570000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67825  Revise eyelashes                                  A   1.39   2.55     1.72    0.11   4.05  3.220010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67830  Revise eyelashes                                  A   1.71   6.19     1.72    0.14   8.04  3.570010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67835  Revise eyelashes                                  A   5.56   5.37NA   5.37    0.43  11.36 11.360090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
67840  Remove eyelid lesion                              A   2.04   6.11     1.81    0.17   8.32  4.020010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67850  Dstrj lesion lid margin <1cm                      A   1.70   4.43     1.52    0.15   6.28  3.370010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67875  Closure of eyelid by suture                       A   1.32   3.98     1.00    0.11   5.41  2.430000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
67880  Revision of eyelid                                A   4.49   9.23     4.70    0.38  14.10  9.570090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67882  Revision of eyelid                                A   5.87  10.87     5.82    0.46  17.20 12.150090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67900  Repair brow defect                                A   6.65  12.44     5.71    0.60  19.69 12.960090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67901  Repair eyelid defect                              A   7.40  15.74     7.02    0.62  23.76 15.040090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67902  Repair eyelid defect                              A   9.57   8.07NA   8.07    0.78  18.42 18.420090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67903  Repair eyelid defect                              A   6.35  11.30     5.38    0.50  18.15 12.230090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67904  Repair eyelid defect                              A   7.77  13.88     6.79    0.65  22.30 15.210090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67906  Repair eyelid defect                              A   6.76   5.51NA   5.51    0.53  12.80 12.800090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67908  Repair eyelid defect                              A   5.17  10.77     5.64    0.42  16.36 11.230090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67909  Revise eyelid defect                              A   5.43  10.65     5.43    0.48  16.56 11.340090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67911  Revise eyelid defect                              A   7.31   6.38NA   6.38    0.60  14.29 14.290090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67912  Correction eyelid w/implant                       A   6.20  19.90     5.81    0.68  26.78 12.690090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67914  Repair eyelid defect                              A   3.66  10.67     4.73    0.34  14.67  8.730090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67915  Repair eyelid defect                              A   1.98   7.31     3.25    0.16   9.45  5.390090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67916  Repair eyelid defect                              A   5.34  12.52     5.34    0.45  18.31 11.130090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67917  Repair eyelid defect                              A   5.78  12.47     5.48    0.48  18.73 11.740090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67921  Repair eyelid defect                              A   3.38  10.65     4.64    0.26  14.29  8.280090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67922  Repair eyelid defect                              A   1.98   7.10     3.25    0.16   9.24  5.390090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67923  Repair eyelid defect                              A   5.34  12.51     5.34    0.43  18.28 11.110090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67924  Repair eyelid defect                              A   5.78  13.24     5.49    0.47  19.49 11.740090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67930  Repair eyelid wound                               A   3.56   7.30     2.00    0.33  11.19  5.890010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67935  Repair eyelid wound                               A   6.20  11.38     4.26    0.57  18.15 11.030090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67938  Remove eyelid foreign body                        A   1.35   6.14     1.59    0.06   7.55  3.000010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
67950  Revision of eyelid                                A   5.84  11.29     5.56    0.50  17.63 11.900090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67961  Revision of eyelid                                A   5.71  11.55     5.51    0.47  17.73 11.690090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
67966  Revision of eyelid                                A   8.75  13.95     7.13    0.73  23.43 16.610090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
67971  Reconstruction of eyelid                          A   9.76   7.62NA   7.62    0.81  18.19 18.190090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
67973  Reconstruction of eyelid                          A  12.80   9.39NA   9.39    1.07  23.26 23.260090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67974  Reconstruction of eyelid                          A  12.77   9.38NA   9.38    1.06  23.21 23.210090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
67975  Reconstruction of eyelid                          A   9.12   7.41NA   7.41    0.79  17.32 17.320090.10.70.20211001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
68020  Incise/drain eyelid lining                        A   1.38   2.16     1.37    0.09   3.63  2.840010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68040  Treatment of eyelid lesions                       A   0.83   0.98     0.32    0.04   1.85  1.190000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
68100  Biopsy conjunctiva                                A   1.32   3.95     1.00    0.11   5.38  2.430000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
68110  Exc les conjunctiva <1 cm                         A   1.77   5.20     1.95    0.14   7.11  3.860010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68115  Exc les conjunctiva >1 cm                         A   2.35   7.37     2.16    0.19   9.91  4.700010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68130  Exc les conjunctiva adj scl                       A   4.97  11.23     5.34    0.40  16.60 10.710090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
68135  Destruction les conjunctiva                       A   1.84   2.79     1.90    0.15   4.78  3.890010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68200  Treat eyelid by injection                         A   0.48   0.72     0.35    0.04   1.24  0.870000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
68320  Revise/graft eyelid lining                        A   6.47  15.39     7.04    0.51  22.37 14.020090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
68325  Revise/graft eyelid lining                        A   8.41   7.71NA   7.71    0.66  16.78 16.780090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
68326  Revise/graft eyelid lining                        A   8.21   7.65NA   7.65    0.67  16.53 16.530090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
68328  Revise/graft eyelid lining                        A   9.21   7.99NA   7.99    0.73  17.93 17.930090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
68330  Revise eyelid lining                              A   5.64  12.60     5.82    0.44  18.68 11.900090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
68335  Revise/graft eyelid lining                        A   8.25   7.65NA   7.65    0.67  16.57 16.570090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
68340  Separate eyelid adhesions                         A   4.85  13.12     5.16    0.66  18.63 10.670090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
68360  Revise eyelid lining                              A   5.04  10.92     5.19    0.40  16.36 10.630090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
68362  Revise eyelid lining                              A   8.39   7.70NA   7.70    0.66  16.75 16.750090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
68371  Harvest eye tissue alograft                       A   4.96   5.38NA   5.38    0.40  10.74 10.740010.10.80.10211001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
68400  I&d lacrimal gland                                A   1.70   7.02     1.54    0.14   8.86  3.380010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68420  I&d lacrimal sac                                  A   2.29   7.43     1.75    0.18   9.90  4.220010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68440  Snip inc lacrimal punctum                         A   0.97   2.14     1.68    0.07   3.18  2.720010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68500  Removal of tear gland                             A  12.45  14.12NA  14.12    1.01  27.58 27.580090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
68505  Partial removal tear gland                        A  12.37  14.10NA  14.10    1.00  27.47 27.470090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
68510  Biopsy of tear gland                              A   4.49   8.65     2.18    0.36  13.50  7.030000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
68520  Removal of tear sac                               A   8.56  10.00NA  10.00    0.71  19.27 19.270090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
68525  Biopsy of tear sac                                A   4.31   1.51NA   1.51    0.36   6.18  6.180000.00.00.00211101            33.5675 090 99      0.00   0.00   0.00
68530  Clearance of tear duct                            A   3.61   9.09     2.48    0.28  12.98  6.370010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68540  Remove tear gland lesion                          A  11.88  12.54NA  12.54    0.95  25.37 25.370090.10.70.20211101            33.5675 090 99      0.00   0.00   0.00
68550  Remove tear gland lesion                          A  14.78  15.57NA  15.57    1.19  31.54 31.540090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
68700  Repair tear ducts                                 A   7.67   7.17NA   7.17    0.62  15.46 15.460090.10.70.20211001            33.5675 090 99      0.00   0.00   0.00
68705  Revise tear duct opening                          A   2.06   5.55     2.06    0.17   7.78  4.290010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68720  Create tear sac drain                             A   9.71  10.51NA  10.51    0.82  21.04 21.040090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
68745  Create tear duct drain                            A   9.65  10.71NA  10.71    0.78  21.14 21.140090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
68750  Create tear duct drain                            A   9.85  11.75NA  11.75    0.82  22.42 22.420090.10.70.20212101            33.5675 090 99      0.00   0.00   0.00
68760  Close tear duct opening                           A   1.74   4.69     1.94    0.14   6.57  3.820010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68761  Close tear duct opening                           A   1.37   2.85     1.66    0.07   4.29  3.100010.10.80.10210001            33.5675 090 99      0.00   0.00   0.00
68770  Close tear system fistula                         A   8.08   7.31NA   7.31    0.64  16.03 16.030090.10.70.20210001            33.5675 090 99      0.00   0.00   0.00
68801  Dilate tear duct opening                          A   0.80   1.98     1.30    0.05   2.83  2.150010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68810  Probe nasolacrimal duct                           A   1.50   3.19     1.74    0.12   4.81  3.360010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68811  Probe nasolacrimal duct                           A   1.70   1.67NA   1.67    0.15   3.52  3.520010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68815  Probe nasolacrimal duct                           A   2.63   8.33     2.94    0.21  11.17  5.780010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68816  Probe nl duct w/balloon                           A   2.05  22.69     1.80    0.16  24.90  4.010010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68840  Explore/irrigate tear ducts                       A   1.27   2.66     1.77    0.09   4.02  3.130010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
68841  Insj rx elut implt lac canal                      A   0.48   0.64     0.30    0.04   1.16  0.820000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
68850  Injection for tear sac x-ray                      A   0.78   0.84     0.52    0.07   1.69  1.370000.00.00.00211001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
69000  Drg xtrnl ear absc/hem smpl                       A   1.46   4.05     1.83    0.23   5.74  3.520010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69005  Drg xtrnl ear absc/hem comp                       A   2.11   4.22     1.94    0.33   6.66  4.380010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69020  Drg xtrnl aud canal abscess                       A   1.49   5.27     2.28    0.21   6.97  3.980010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69100  Biopsy of external ear                            A   0.79   1.91     0.26    0.07   2.77  1.120000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
69105  Biopsy of external ear canal                      A   0.83   3.37     0.78    0.11   4.31  1.720000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
69110  Remove external ear partial                       A   3.44  10.11     5.06    0.50  14.05  9.000090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69120  Removal of external ear                           A   4.04   6.19NA   6.19    0.57  10.80 10.800090.07.79.14201001            33.5675 090 99      0.00   0.00   0.00
69140  Remove ear canal lesion(s)                        A   7.94  16.13NA  16.13    1.16  25.23 25.230090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69145  Remove ear canal lesion(s)                        A   2.63   9.10     4.08    0.39  12.12  7.100090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69150  Extensive ear canal surgery                       A  13.27  11.62NA  11.62    2.06  26.95 26.950090.07.79.14201101            33.5675 090 99      0.00   0.00   0.00
69155  Extensive ear/neck surgery                        A  22.77  16.76NA  16.76    3.32  42.85 42.850090.07.79.14202101            33.5675 090 99      0.00   0.00   0.00
69200  Clear outer ear canal                             A   0.75   1.59     0.39    0.11   2.45  1.250000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
69205  Clear outer ear canal                             A   1.18   1.27NA   1.27    0.17   2.62  2.620010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69209  Remove impacted ear wax uni                       A   0.00   0.50     0.50NA  0.01   0.51  0.515000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
69210  Remove impacted ear wax uni                       A   0.59   0.77     0.15    0.07   1.43  0.810000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
69220  Clean out mastoid cavity                          A   0.81   1.42     0.40    0.12   2.35  1.330000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
69222  Clean out mastoid cavity                          A   1.41   4.87     2.15    0.21   6.49  3.770010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69300  Revise external ear                               R   6.44  12.18     5.42    0.93  19.55 12.790YYY.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
69310  Rebuild outer ear canal                           A  10.70  18.72NA  18.72    1.63  31.05 31.050090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69320  Rebuild outer ear canal                           A  16.75  23.52NA  23.52    2.44  42.71 42.710090.07.79.14212001            33.5675 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.00.00.00200111            33.5675 090 99      0.00   0.00   0.00
69420  Incision of eardrum                               A   1.35   4.19     1.76    0.20   5.74  3.310010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69421  Incision of eardrum                               A   1.74   2.14NA   2.14    0.25   4.13  4.130010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69424  Remove ventilating tube                           A   0.83   2.98     0.74    0.09   3.90  1.660000.00.00.00211001            33.5675 090 99      0.00   0.00   0.00
69433  Create eardrum opening                            A   1.53   4.32     1.84    0.21   6.06  3.580010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69436  Create eardrum opening                            A   1.96   2.09NA   2.09    0.28   4.33  4.330010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69440  Exploration of middle ear                         A   7.52  10.06NA  10.06    1.11  18.69 18.690090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69450  Eardrum revision                                  A   5.55   8.52NA   8.52    0.81  14.88 14.880090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69501  Mastoidectomy                                     A   8.98   8.74NA   8.74    1.31  19.03 19.030090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69502  Mastoidectomy                                     A  12.25  11.11NA  11.11    1.80  25.16 25.160090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69505  Remove mastoid structures                         A  12.84  19.07NA  19.07    1.87  33.78 33.780090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69511  Extensive mastoid surgery                         A  13.36  19.20NA  19.20    1.95  34.51 34.510090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69530  Extensive mastoid surgery                         A  19.87  22.67NA  22.67    3.04  45.58 45.580090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69535  Remove part of temporal bone                      A  36.48  28.98NA  28.98    5.31  70.77 70.770090.07.79.14211101            33.5675 090 99      0.00   0.00   0.00
69540  Excision aural polyp                              A   1.22   4.89     2.20    0.18   6.29  3.600010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69550  Exc aurl glomus tum trnscanl                      A  10.87  16.86NA  16.86    1.58  29.31 29.310090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69552  Exc aurl glomus tum trnsmstd                      A  19.31  20.65NA  20.65    2.82  42.78 42.780090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69554  Exc aurl glomus tum extended                      A  35.07  26.74NA  26.74    5.11  66.92 66.920090.07.79.14212101            33.5675 090 99      0.00   0.00   0.00
69601  Revj mstdc rsltg compl mstdc                      A  13.11  12.08NA  12.08    1.91  27.10 27.100090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69602  Rev mstdc rslt mod rad mstdc                      A  13.42  13.55NA  13.55    1.96  28.93 28.930090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69603  Revj mstdc rsltg rad mstdc                        A  13.85  19.32NA  19.32    2.02  35.19 35.190090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69604  Revj mstdc rsltg tympanplsty                      A  13.85  13.66NA  13.66    2.02  29.53 29.530090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69610  Tympanic membrane repair                          A   4.36   6.46     2.49    0.62  11.44  7.470010.10.80.10211001            33.5675 090 99      0.00   0.00   0.00
69620  Myringoplasty                                     A   5.88  15.44     6.78    0.87  22.19 13.530090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69631  Repair eardrum structures                         A   9.80  12.69NA  12.69    1.44  23.93 23.930090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69632  Rebuild eardrum structures                        A  12.64  14.47NA  14.47    1.91  29.02 29.020090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69633  Rebuild eardrum structures                        A  12.00  14.38NA  14.38    1.86  28.24 28.240090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69635  Repair eardrum structures                         A  13.17  19.71NA  19.71    2.33  35.21 35.210090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69636  Rebuild eardrum structures                        A  15.04  21.37NA  21.37    2.19  38.60 38.600090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69637  Rebuild eardrum structures                        A  14.94  21.34NA  21.34    2.18  38.46 38.460090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69641  Revise middle ear & mastoid                       A  12.57  13.37NA  13.37    1.85  27.79 27.790090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69642  Revise middle ear & mastoid                       A  16.63  16.41NA  16.41    2.43  35.47 35.470090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69643  Revise middle ear & mastoid                       A  15.20  15.09NA  15.09    2.27  32.56 32.560090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69644  Revise middle ear & mastoid                       A  16.80  21.80NA  21.80    2.46  41.06 41.060090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69645  Revise middle ear & mastoid                       A  16.29  21.73NA  21.73    2.42  40.44 40.440090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69646  Revise middle ear & mastoid                       A  17.91  22.21NA  22.21    2.73  42.85 42.850090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69650  Stapes mobilization                               A   9.56  10.53NA  10.53    1.39  21.48 21.480090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69660  Revise middle ear bone                            A  11.73  11.07NA  11.07    1.72  24.52 24.520090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69661  Revise middle ear bone                            A  15.52  14.09NA  14.09    2.26  31.87 31.870090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69662  Revise middle ear bone                            A  15.21  13.02NA  13.02    2.32  30.55 30.550090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69666  Repair middle ear structures                      A   9.64  10.55NA  10.55    1.40  21.59 21.590090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69667  Repair middle ear structures                      A   9.65  10.58NA  10.58    1.44  21.67 21.670090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69670  Remove mastoid air cells                          A  11.44  12.04NA  12.04    1.67  25.15 25.150090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69676  Remove middle ear nerve                           A   9.45  11.55NA  11.55    1.36  22.36 22.360090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69700  Close mastoid fistula                             A   8.16   8.54NA   8.54    1.21  17.91 17.910090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69705  Nps surg dilat eust tube uni                      A   2.93  73.58     1.08    0.43  76.94  4.440000.00.00.00300001      31231 33.5675 090 99      0.00   0.00   0.00
69706  Nps surg dilat eust tube bi                       A   4.16  74.90     1.39    0.60  79.66  6.150000.00.00.00320001      31231 33.5675 090 99      0.00   0.00   0.00
69711  Remove/repair hearing aid                         A  10.35  10.60NA  10.60    1.50  22.45 22.450090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69714  Impl oi implt skull perq esp                      A   6.51   5.63NA   5.63    0.96  13.10 13.100090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69716  Impl oi implt sk tc esp<100                       A   8.80   6.19NA   6.19    1.31  16.30 16.300090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69717  Rplcmt oi implt skl prq esp                       A   7.71   5.91NA   5.91    1.13  14.75 14.750090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69719  Rplcm oi implt sk tc esp<100                      A   9.22   6.28NA   6.28    1.33  16.83 16.830090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69720  Release facial nerve                              A  14.34  15.11NA  15.11    2.28  31.73 31.730090.07.79.14210101            33.5675 090 99      0.00   0.00   0.00
69725  Release facial nerve                              A  26.95  17.80NA  17.80    3.93  48.68 48.680090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69726  Rmv ntr oi implt skl prq esp                      A   6.20   5.54NA   5.54    0.91  12.65 12.650090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69727  Rmv ntr oi imp sk tc esp<100                      A   7.20   5.79NA   5.79    1.06  14.05 14.050090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69728  Rmv ntr oi imp sk tc>=100                         A   8.29   6.06NA   6.06    1.21  15.56 15.560090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69729  Impl oi implt sk tc esp>=100                      A   9.72   6.43NA   6.43    1.47  17.62 17.620090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69730  Rplc oi implt sk tc esp>=100                      A   9.99   6.47NA   6.47    1.45  17.91 17.910090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69740  Repair facial nerve                               A  15.86  12.33NA  12.33    2.32  30.51 30.510090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69745  Repair facial nerve                               A  16.59  13.55NA  13.55    2.42  32.56 32.560090.07.79.14212001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
69801  Incise inner ear                                  A   2.01   4.38     0.92    0.29   6.68  3.220000.00.00.00210001            33.5675 090 99      0.00   0.00   0.00
69805  Explore inner ear                                 A  14.34  10.72NA  10.72    2.09  27.15 27.150090.07.79.14212001            33.5675 090 99      0.00   0.00   0.00
69806  Explore inner ear                                 A  12.31  10.33NA  10.33    1.78  24.42 24.420090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69905  Remove inner ear                                  A  10.98  11.92NA  11.92    1.61  24.51 24.510090.07.79.14211001            33.5675 090 99      0.00   0.00   0.00
69910  Remove inner ear & mastoid                        A  13.56  10.63NA  10.63    1.98  26.17 26.170090.07.79.14210001            33.5675 090 99      0.00   0.00   0.00
69915  Incise inner ear nerve                            A  22.20  13.75NA  13.75    3.23  39.18 39.180090.07.79.14212101            33.5675 090 99      0.00   0.00   0.00
69930  Implant cochlear device                           A  17.29  11.90NA  11.90    2.54  31.73 31.730090.07.79.14210001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
69950  Incise inner ear nerve                            A  26.94  14.37NA  14.37    3.93  45.24 45.240090.07.79.14212101            33.5675 090 99      0.00   0.00   0.00
69955  Release facial nerve                              A  28.68  18.26NA  18.26    4.18  51.12 51.120090.07.79.14212101            33.5675 090 99      0.00   0.00   0.00
69960  Release inner ear canal                           A  28.68  16.02NA  16.02    4.18  48.88 48.880090.07.79.14212101            33.5675 090 99      0.00   0.00   0.00
69970  Remove inner ear lesion                           A  31.60  18.95NA  18.95    4.61  55.16 55.160090.07.79.14212101            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
69990  Microsurgery add-on                               R   3.37   1.17NA   1.17    1.39   5.93  5.930ZZZ.00.00.00002001            33.5675 090 99      0.00   0.00   0.00
70010  Contrast x-ray of brain                           A   1.16   0.21NA   0.21    0.11   1.48  1.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70015  Contrast x-ray of brain                           A   1.16   3.56     3.56NA  0.08   4.80  4.801XXX.00.00.00000001            33.5675 090 99     24.19  24.19   0.15
7001526Contrast x-ray of brain                           A   1.16   0.41     0.41    0.07   1.64  1.641XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70015TCContrast x-ray of brain                           A   0.00   3.15     3.15NA  0.01   3.16  3.161XXX.00.00.00000001            33.5675 030 99     23.78  23.78   0.08
70030  X-ray eye for foreign body                        A   0.18   0.78     0.78NA  0.02   0.98  0.981XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.05
7003026X-ray eye for foreign body                        A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
70030TCX-ray eye for foreign body                        A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
70100  X-ray exam of jaw <4views                         A   0.18   1.01     1.01NA  0.02   1.21  1.211XXX.00.00.00000001            33.5675 090 99      2.70   2.70   0.04
7010026X-ray exam of jaw <4views                         A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70100TCX-ray exam of jaw <4views                         A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
70110  X-ray exam of jaw 4/> views                       A   0.24   1.03     1.03NA  0.02   1.29  1.291XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.04
7011026X-ray exam of jaw 4/> views                       A   0.24   0.10     0.10    0.01   0.35  0.351XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70110TCX-ray exam of jaw 4/> views                       A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
70120  X-ray exam of mastoids                            A   0.18   0.96     0.96NA  0.02   1.16  1.161XXX.00.00.00030001            33.5675 090 99      3.22   3.22   0.05
7012026X-ray exam of mastoids                            A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
70120TCX-ray exam of mastoids                            A   0.00   0.89     0.89NA  0.01   0.90  0.901XXX.00.00.00030001            33.5675 010 99      3.15   3.15   0.04
70130  X-ray exam of mastoids                            A   0.33   1.47     1.47NA  0.03   1.83  1.831XXX.00.00.00030001            33.5675 090 99      3.29   3.29   0.04
7013026X-ray exam of mastoids                            A   0.33   0.13     0.13    0.02   0.48  0.481XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
70130TCX-ray exam of mastoids                            A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.00030001            33.5675 010 99      3.16   3.16   0.02
70134  X-ray exam of middle ear                          A   0.33   1.48     1.48NA  0.02   1.83  1.831XXX.00.00.00000001            33.5675 090 99     16.66  16.66   0.14
7013426X-ray exam of middle ear                          A   0.33   0.16     0.16    0.01   0.50  0.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70134TCX-ray exam of middle ear                          A   0.00   1.32     1.32NA  0.01   1.33  1.331XXX.00.00.00000001            33.5675 010 99     16.50  16.50   0.13
70140  X-ray exam of facial bones                        A   0.19   0.74     0.74NA  0.02   0.95  0.951XXX.00.00.00000001            33.5675 090 99      2.70   2.70   0.05
7014026X-ray exam of facial bones                        A   0.19   0.09     0.09    0.01   0.29  0.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70140TCX-ray exam of facial bones                        A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
70150  X-ray exam of facial bones                        A   0.25   1.13     1.13NA  0.02   1.40  1.401XXX.00.00.00000001            33.5675 090 99      3.26   3.26   0.04
7015026X-ray exam of facial bones                        A   0.25   0.11     0.11    0.01   0.37  0.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70150TCX-ray exam of facial bones                        A   0.00   1.02     1.02NA  0.01   1.03  1.031XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
70160  X-ray exam of nasal bones                         A   0.17   0.93     0.93NA  0.02   1.12  1.121XXX.00.00.00000001            33.5675 090 99      2.69   2.69   0.04
7016026X-ray exam of nasal bones                         A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70160TCX-ray exam of nasal bones                         A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
70170  X-ray exam of tear duct                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      7.36   7.36   0.03
7017026X-ray exam of tear duct                           A   0.29   0.11     0.11    0.02   0.42  0.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70170TCX-ray exam of tear duct                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      7.25   7.25   0.01
70190  X-ray exam of eye sockets                         A   0.20   0.88     0.88NA  0.02   1.10  1.101XXX.00.00.00030001            33.5675 090 99      2.71   2.71   0.04
7019026X-ray exam of eye sockets                         A   0.20   0.10     0.10    0.01   0.31  0.311XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
70190TCX-ray exam of eye sockets                         A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.03
70200  X-ray exam of eye sockets                         A   0.27   1.11     1.11NA  0.02   1.40  1.401XXX.00.00.00000001            33.5675 090 99      3.26   3.26   0.04
7020026X-ray exam of eye sockets                         A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70200TCX-ray exam of eye sockets                         A   0.00   1.00     1.00NA  0.01   1.01  1.011XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
70210  X-ray exam of sinuses                             A   0.17   0.78     0.78NA  0.02   0.97  0.971XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7021026X-ray exam of sinuses                             A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70210TCX-ray exam of sinuses                             A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
70220  X-ray exam of sinuses                             A   0.21   0.90     0.90NA  0.02   1.13  1.131XXX.00.00.00000001            33.5675 090 99      2.71   2.71   0.04
7022026X-ray exam of sinuses                             A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70220TCX-ray exam of sinuses                             A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
70240  X-ray exam pituitary saddle                       A   0.19   0.75     0.75NA  0.02   0.96  0.961XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7024026X-ray exam pituitary saddle                       A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70240TCX-ray exam pituitary saddle                       A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
70250  X-ray exam of skull                               A   0.18   0.87     0.87NA  0.02   1.07  1.071XXX.00.00.00000001            33.5675 090 99      3.21   3.21   0.05
7025026X-ray exam of skull                               A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70250TCX-ray exam of skull                               A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.04
70260  X-ray exam of skull                               A   0.27   1.02     1.02NA  0.02   1.31  1.311XXX.00.00.00000001            33.5675 090 99      3.26   3.26   0.04
7026026X-ray exam of skull                               A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70260TCX-ray exam of skull                               A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
70300  X-ray exam of teeth                               A   0.10   0.31     0.31NA  0.02   0.43  0.431XXX.00.00.00000001            33.5675 090 99      2.60   2.60   0.11
7030026X-ray exam of teeth                               A   0.10   0.05     0.05    0.01   0.16  0.161XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70300TCX-ray exam of teeth                               A   0.00   0.26     0.26NA  0.01   0.27  0.271XXX.00.00.00000001            33.5675 010 99      2.55   2.55   0.10
70310  X-ray exam of teeth                               A   0.16   1.10     1.10NA  0.02   1.28  1.281XXX.00.00.00000001            33.5675 090 99      7.26   7.26   0.08
7031026X-ray exam of teeth                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70310TCX-ray exam of teeth                               A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.00000001            33.5675 010 99      7.19   7.19   0.07
70320  Full mouth x-ray of teeth                         A   0.21   1.46     1.46NA  0.03   1.70  1.701XXX.00.00.00000001            33.5675 090 99      7.32   7.32   0.07
7032026Full mouth x-ray of teeth                         A   0.21   0.11     0.11    0.02   0.34  0.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70320TCFull mouth x-ray of teeth                         A   0.00   1.35     1.35NA  0.01   1.36  1.361XXX.00.00.00000001            33.5675 010 99      7.21   7.21   0.05
70328  X-ray exam of jaw joint                           A   0.18   0.82     0.82NA  0.02   1.02  1.021XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7032826X-ray exam of jaw joint                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70328TCX-ray exam of jaw joint                           A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
70330  X-ray exam of jaw joints                          A   0.23   1.35     1.35NA  0.02   1.60  1.601XXX.00.00.00020001            33.5675 090 99      2.73   2.73   0.03
7033026X-ray exam of jaw joints                          A   0.23   0.10     0.10    0.01   0.34  0.341XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
70330TCX-ray exam of jaw joints                          A   0.00   1.25     1.25NA  0.01   1.26  1.261XXX.00.00.00020001            33.5675 010 99      2.63   2.63   0.02
70332  X-ray exam of jaw joint                           A   0.53   1.82     1.82NA  0.04   2.39  2.391XXX.00.00.00030001            33.5675 090 99      7.41   7.41   0.07
7033226X-ray exam of jaw joint                           A   0.53   0.19     0.19    0.03   0.75  0.751XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
70332TCX-ray exam of jaw joint                           A   0.00   1.63     1.63NA  0.01   1.64  1.641XXX.00.00.00030001            33.5675 030 99      7.22   7.22   0.04
70336  Magnetic image jaw joint                          A   1.44   6.23     6.23NA  0.09   7.76  7.761XXX.00.00.00420001            33.5675 090 88      7.73   7.73   0.10
7033626Magnetic image jaw joint                          A   1.44   0.49     0.49    0.07   2.00  2.001XXX.00.00.00420001            33.5675 090 88      0.00   0.00   0.00
70336TCMagnetic image jaw joint                          A   0.00   5.74     5.74NA  0.02   5.76  5.761XXX.00.00.00420001            33.5675 010 88      7.24   7.24   0.03
70350  X-ray head for orthodontia                        A   0.17   0.36     0.36NA  0.02   0.55  0.551XXX.00.00.00000001            33.5675 090 99      2.64   2.64   0.10
7035026X-ray head for orthodontia                        A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70350TCX-ray head for orthodontia                        A   0.00   0.28     0.28NA  0.01   0.29  0.291XXX.00.00.00000001            33.5675 010 99      2.56   2.56   0.09
70355  Panoramic x-ray of jaws                           A   0.20   0.36     0.36NA  0.02   0.58  0.581XXX.00.00.00000001            33.5675 090 99      2.64   2.64   0.11
7035526Panoramic x-ray of jaws                           A   0.20   0.09     0.09    0.01   0.30  0.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70355TCPanoramic x-ray of jaws                           A   0.00   0.27     0.27NA  0.01   0.28  0.281XXX.00.00.00000001            33.5675 010 99      2.55   2.55   0.10
70360  X-ray exam of neck                                A   0.18   0.73     0.73NA  0.02   0.93  0.931XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7036026X-ray exam of neck                                A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70360TCX-ray exam of neck                                A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
70370  Throat x-ray & fluoroscopy                        A   0.31   2.66     2.66NA  0.03   3.00  3.001XXX.00.00.00000001            33.5675 090 99      2.77   2.77   0.03
7037026Throat x-ray & fluoroscopy                        A   0.31   0.13     0.13    0.02   0.46  0.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70370TCThroat x-ray & fluoroscopy                        A   0.00   2.53     2.53NA  0.01   2.54  2.541XXX.00.00.00000001            33.5675 030 99      2.64   2.64   0.01
70371  Speech evaluation complex                         A   0.82   2.46     2.46NA  0.05   3.33  3.331XXX.00.00.00000001            33.5675 090 99      7.60   7.60   0.07
7037126Speech evaluation complex                         A   0.82   0.37     0.37    0.04   1.23  1.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70371TCSpeech evaluation complex                         A   0.00   2.09     2.09NA  0.01   2.10  2.101XXX.00.00.00000001            33.5675 030 99      7.23   7.23   0.03
70380  X-ray exam of salivary gland                      A   0.17   0.91     0.91NA  0.02   1.10  1.101XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.04
7038026X-ray exam of salivary gland                      A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70380TCX-ray exam of salivary gland                      A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
70390  X-ray exam of salivary duct                       A   0.37   2.91     2.91NA  0.03   3.31  3.311XXX.00.00.00000001            33.5675 090 99      7.37   7.37   0.05
7039026X-ray exam of salivary duct                       A   0.37   0.13     0.13    0.02   0.52  0.521XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70390TCX-ray exam of salivary duct                       A   0.00   2.78     2.78NA  0.01   2.79  2.791XXX.00.00.00000001            33.5675 030 99      7.24   7.24   0.03
70450  Ct head/brain w/o dye                             A   0.83   2.30     2.30NA  0.06   3.19  3.191XXX.00.00.00400001            33.5675 090 88      3.47   3.47   0.07
7045026Ct head/brain w/o dye                             A   0.83   0.30     0.30    0.05   1.18  1.181XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70450TCCt head/brain w/o dye                             A   0.00   2.00     2.00NA  0.01   2.01  2.011XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.02
70460  Ct head/brain w/dye                               A   1.10   3.25     3.25NA  0.09   4.44  4.441XXX.00.00.00400001            33.5675 090 88      5.69   5.69   0.11
7046026Ct head/brain w/dye                               A   1.10   0.39     0.39    0.07   1.56  1.561XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70460TCCt head/brain w/dye                               A   0.00   2.86     2.86NA  0.02   2.88  2.881XXX.00.00.00400001            33.5675 020 88      5.30   5.30   0.04
70470  Ct head/brain w/o & w/dye                         A   1.24   3.85     3.85NA  0.09   5.18  5.181XXX.00.00.00400001            33.5675 090 88      5.75   5.75   0.10
7047026Ct head/brain w/o & w/dye                         A   1.24   0.44     0.44    0.07   1.75  1.751XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70470TCCt head/brain w/o & w/dye                         A   0.00   3.41     3.41NA  0.02   3.43  3.431XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
70471  Cta h&n c+ w/noncontrast img                      A   2.50   8.60     8.60NA  0.18  11.28 11.281XXX.00.00.00400001            33.5675 090 88     11.47  11.47   0.19
7047126Cta h&n c+ w/noncontrast img                      A   2.50   0.89     0.89    0.15   3.54  3.541XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70471TCCta h&n c+ w/noncontrast img                      A   0.00   7.71     7.71NA  0.03   7.74  7.741XXX.00.00.00400001            33.5675 020 88     10.58  10.58   0.04
70472  Ct cere prfu alys c+w/ct/cta                      A   0.77   3.85     3.85NA  0.06   4.68  4.681ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7047226Ct cere prfu alys c+w/ct/cta                      A   0.77   0.27     0.27    0.05   1.09  1.091ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70472TCCt cere prfu alys c+w/ct/cta                      A   0.00   3.58     3.58NA  0.01   3.59  3.591ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
70473  Ct cere prfu aly c+wo ct/cta                      A   1.00   6.13     6.13NA  0.09   7.22  7.221XXX.00.00.00400001            33.5675 090 88      5.67   5.67   0.09
7047326Ct cere prfu aly c+wo ct/cta                      A   1.00   0.36     0.36    0.06   1.42  1.421XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70473TCCt cere prfu aly c+wo ct/cta                      A   0.00   5.77     5.77NA  0.03   5.80  5.801XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
70480  Ct orbit/ear/fossa w/o dye                        A   1.25   3.40     3.40NA  0.09   4.74  4.741XXX.00.00.00400001            33.5675 090 88      3.61   3.61   0.09
7048026Ct orbit/ear/fossa w/o dye                        A   1.25   0.45     0.45    0.07   1.77  1.771XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70480TCCt orbit/ear/fossa w/o dye                        A   0.00   2.95     2.95NA  0.02   2.97  2.971XXX.00.00.00400001            33.5675 010 88      3.16   3.16   0.02
70481  Ct orbit/ear/fossa w/dye                          A   1.10   4.19     4.19NA  0.09   5.38  5.381XXX.00.00.00400001            33.5675 090 88      5.70   5.70   0.10
7048126Ct orbit/ear/fossa w/dye                          A   1.10   0.39     0.39    0.07   1.56  1.561XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70481TCCt orbit/ear/fossa w/dye                          A   0.00   3.80     3.80NA  0.02   3.82  3.821XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
70482  Ct orbit/ear/fossa w/o&w/dye                      A   1.24   4.93     4.93NA  0.09   6.26  6.261XXX.00.00.00400001            33.5675 090 88      5.74   5.74   0.09
7048226Ct orbit/ear/fossa w/o&w/dye                      A   1.24   0.43     0.43    0.07   1.74  1.741XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70482TCCt orbit/ear/fossa w/o&w/dye                      A   0.00   4.50     4.50NA  0.02   4.52  4.521XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.02
70486  Ct maxillofacial w/o dye                          A   0.83   2.95     2.95NA  0.06   3.84  3.841XXX.00.00.00400001            33.5675 090 88      3.48   3.48   0.06
7048626Ct maxillofacial w/o dye                          A   0.83   0.31     0.31    0.05   1.19  1.191XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70486TCCt maxillofacial w/o dye                          A   0.00   2.64     2.64NA  0.01   2.65  2.651XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
70487  Ct maxillofacial w/dye                            A   1.10   3.35     3.35NA  0.09   4.54  4.541XXX.00.00.00400001            33.5675 090 88      5.69   5.69   0.11
7048726Ct maxillofacial w/dye                            A   1.10   0.39     0.39    0.07   1.56  1.561XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70487TCCt maxillofacial w/dye                            A   0.00   2.96     2.96NA  0.02   2.98  2.981XXX.00.00.00400001            33.5675 020 88      5.30   5.30   0.04
70488  Ct maxillofacial w/o & w/dye                      A   1.24   4.18     4.18NA  0.09   5.51  5.511XXX.00.00.00400001            33.5675 090 88      5.75   5.75   0.10
7048826Ct maxillofacial w/o & w/dye                      A   1.24   0.44     0.44    0.07   1.75  1.751XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70488TCCt maxillofacial w/o & w/dye                      A   0.00   3.74     3.74NA  0.02   3.76  3.761XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
70490  Ct soft tissue neck w/o dye                       A   1.25   3.15     3.15NA  0.08   4.48  4.481XXX.00.00.00400001            33.5675 090 88      3.62   3.62   0.08
7049026Ct soft tissue neck w/o dye                       A   1.25   0.45     0.45    0.07   1.77  1.771XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70490TCCt soft tissue neck w/o dye                       A   0.00   2.70     2.70NA  0.01   2.71  2.711XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
70491  Ct soft tissue neck w/dye                         A   1.35   4.05     4.05NA  0.09   5.49  5.491XXX.00.00.00400001            33.5675 090 88      5.79   5.79   0.10
7049126Ct soft tissue neck w/dye                         A   1.35   0.48     0.48    0.07   1.90  1.901XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70491TCCt soft tissue neck w/dye                         A   0.00   3.57     3.57NA  0.02   3.59  3.591XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
70492  Ct sft tsue nck w/o & w/dye                       A   1.58   4.90     4.90NA  0.10   6.58  6.581XXX.00.00.00400001            33.5675 090 88      5.86   5.86   0.10
7049226Ct sft tsue nck w/o & w/dye                       A   1.58   0.55     0.55    0.08   2.21  2.211XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70492TCCt sft tsue nck w/o & w/dye                       A   0.00   4.35     4.35NA  0.02   4.37  4.371XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.02
70496  Ct angiography head                               A   1.71   6.37     6.37NA  0.12   8.20  8.201XXX.00.00.00400001            33.5675 090 88      5.91   5.91   0.12
7049626Ct angiography head                               A   1.71   0.60     0.60    0.09   2.40  2.401XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70496TCCt angiography head                               A   0.00   5.77     5.77NA  0.03   5.80  5.801XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
70498  Ct angiography neck                               A   1.71   6.37     6.37NA  0.12   8.20  8.201XXX.00.00.00400001            33.5675 090 88      5.91   5.91   0.12
7049826Ct angiography neck                               A   1.71   0.60     0.60    0.09   2.40  2.401XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70498TCCt angiography neck                               A   0.00   5.77     5.77NA  0.03   5.80  5.801XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
70540  Mri orbit/face/neck w/o dye                       A   1.32   5.31     5.31NA  0.09   6.72  6.721XXX.00.00.00400001            33.5675 090 88      7.69   7.69   0.10
7054026Mri orbit/face/neck w/o dye                       A   1.32   0.46     0.46    0.07   1.85  1.851XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70540TCMri orbit/face/neck w/o dye                       A   0.00   4.85     4.85NA  0.02   4.87  4.871XXX.00.00.00400001            33.5675 010 88      7.23   7.23   0.03
70542  Mri orbit/face/neck w/dye                         A   1.58   6.29     6.29NA  0.11   7.98  7.981XXX.00.00.00400001            33.5675 090 88     11.13  11.13   0.14
7054226Mri orbit/face/neck w/dye                         A   1.58   0.57     0.57    0.08   2.23  2.231XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70542TCMri orbit/face/neck w/dye                         A   0.00   5.72     5.72NA  0.03   5.75  5.751XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
70543  Mri orbt/fac/nck w/o &w/dye                       A   2.10   7.84     7.84NA  0.15  10.09 10.091XXX.00.00.00400001            33.5675 090 88     11.31  11.31   0.17
7054326Mri orbt/fac/nck w/o &w/dye                       A   2.10   0.74     0.74    0.12   2.96  2.961XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70543TCMri orbt/fac/nck w/o &w/dye                       A   0.00   7.10     7.10NA  0.03   7.13  7.131XXX.00.00.00400001            33.5675 020 88     10.57  10.57   0.05
70544  Mr angiography head w/o dye                       A   1.17   5.16     5.16NA  0.10   6.43  6.431XXX.00.00.00400001            33.5675 090 88      7.63   7.63   0.12
7054426Mr angiography head w/o dye                       A   1.17   0.41     0.41    0.07   1.65  1.651XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70544TCMr angiography head w/o dye                       A   0.00   4.75     4.75NA  0.03   4.78  4.781XXX.00.00.00400001            33.5675 010 88      7.22   7.22   0.05
70545  Mr angiography head w/dye                         A   1.17   5.51     5.51NA  0.10   6.78  6.781XXX.00.00.00400001            33.5675 090 88     10.97  10.97   0.13
7054526Mr angiography head w/dye                         A   1.17   0.41     0.41    0.07   1.65  1.651XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70545TCMr angiography head w/dye                         A   0.00   5.10     5.10NA  0.03   5.13  5.131XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
70546  Mr angiograph head w/o&w/dye                      A   1.44   8.25     8.25NA  0.12   9.81  9.811XXX.00.00.00400001            33.5675 090 88     11.07  11.07   0.14
7054626Mr angiograph head w/o&w/dye                      A   1.44   0.51     0.51    0.08   2.03  2.031XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70546TCMr angiograph head w/o&w/dye                      A   0.00   7.74     7.74NA  0.04   7.78  7.781XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
70547  Mr angiography neck w/o dye                       A   1.17   5.16     5.16NA  0.10   6.43  6.431XXX.00.00.00400001            33.5675 090 88      7.63   7.63   0.12
7054726Mr angiography neck w/o dye                       A   1.17   0.41     0.41    0.07   1.65  1.651XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70547TCMr angiography neck w/o dye                       A   0.00   4.75     4.75NA  0.03   4.78  4.781XXX.00.00.00400001            33.5675 010 88      7.22   7.22   0.05
70548  Mr angiography neck w/dye                         A   1.46   5.78     5.78NA  0.11   7.35  7.351XXX.00.00.00400001            33.5675 090 88     11.08  11.08   0.14
7054826Mr angiography neck w/dye                         A   1.46   0.52     0.52    0.08   2.06  2.061XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70548TCMr angiography neck w/dye                         A   0.00   5.26     5.26NA  0.03   5.29  5.291XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
70549  Mr angiograph neck w/o&w/dye                      A   1.76   8.39     8.39NA  0.13  10.28 10.281XXX.00.00.00400001            33.5675 090 88     11.18  11.18   0.14
7054926Mr angiograph neck w/o&w/dye                      A   1.76   0.62     0.62    0.09   2.47  2.471XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70549TCMr angiograph neck w/o&w/dye                      A   0.00   7.77     7.77NA  0.04   7.81  7.811XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.05
70551  Mri brain stem w/o dye                            A   1.44   4.31     4.31NA  0.10   5.85  5.851XXX.00.00.00400001            33.5675 090 88      7.73   7.73   0.12
7055126Mri brain stem w/o dye                            A   1.44   0.51     0.51    0.08   2.03  2.031XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70551TCMri brain stem w/o dye                            A   0.00   3.80     3.80NA  0.02   3.82  3.821XXX.00.00.00400001            33.5675 090 88      7.22   7.22   0.04
70552  Mri brain stem w/dye                              A   1.74   6.19     6.19NA  0.12   8.05  8.051XXX.00.00.00400001            33.5675 090 88     11.18  11.18   0.15
7055226Mri brain stem w/dye                              A   1.74   0.62     0.62    0.09   2.45  2.451XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70552TCMri brain stem w/dye                              A   0.00   5.57     5.57NA  0.03   5.60  5.601XXX.00.00.00400001            33.5675 090 88     10.56  10.56   0.06
70553  Mri brain stem w/o & w/dye                        A   2.23   7.10     7.10NA  0.16   9.49  9.491XXX.00.00.00400001            33.5675 090 88     11.36  11.36   0.18
7055326Mri brain stem w/o & w/dye                        A   2.23   0.79     0.79    0.13   3.15  3.151XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
70553TCMri brain stem w/o & w/dye                        A   0.00   6.31     6.31NA  0.03   6.34  6.341XXX.00.00.00400001            33.5675 090 88     10.57  10.57   0.05
70554  Fmri brain by tech                                A   2.06   9.08     9.08NA  0.17  11.31 11.311XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
7055426Fmri brain by tech                                A   2.06   0.74     0.74    0.13   2.93  2.931XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
70554TCFmri brain by tech                                A   0.00   8.34     8.34NA  0.04   8.38  8.381XXX.00.00.00430001            33.5675 020 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.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
7055526Fmri brain by phys/psych                          A   2.48   0.82     0.82    0.12   3.42  3.421XXX.00.00.00030001            33.5675 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.00.00.00030001            33.5675 020 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.00.00.00000001            33.5675 090 99     18.27  18.27   0.14
7055726Mri brain w/o dye                                 A   2.83   1.65     1.65    0.13   4.61  4.611XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70557TCMri brain w/o dye                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     16.62  16.62   0.01
70558  Mri brain w/dye                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      7.14   7.14   0.16
7055826Mri brain w/dye                                   A   3.12   1.81     1.81    0.15   5.08  5.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70558TCMri brain w/dye                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 020 99      5.33   5.33   0.01
70559  Mri brain w/o & w/dye                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      6.62   6.62   0.29
7055926Mri brain w/o & w/dye                             A   3.12   1.29     1.29    0.28   4.69  4.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
70559TCMri brain w/o & w/dye                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 020 99      5.33   5.33   0.01
71045  X-ray exam chest 1 view                           A   0.18   0.56     0.56NA  0.02   0.76  0.761XXX.00.00.00000001            33.5675 090 99      2.66   2.66   0.06
7104526X-ray exam chest 1 view                           A   0.18   0.06     0.06    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71045TCX-ray exam chest 1 view                           A   0.00   0.50     0.50NA  0.01   0.51  0.511XXX.00.00.00000001            33.5675 010 99      2.60   2.60   0.05
71046  X-ray exam chest 2 views                          A   0.21   0.76     0.76NA  0.02   0.99  0.991XXX.00.00.00000001            33.5675 090 99      2.69   2.69   0.05
7104626X-ray exam chest 2 views                          A   0.21   0.08     0.08    0.01   0.30  0.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71046TCX-ray exam chest 2 views                          A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
71047  X-ray exam chest 3 views                          A   0.26   0.95     0.95NA  0.02   1.23  1.231XXX.00.00.00000001            33.5675 090 99      2.73   2.73   0.04
7104726X-ray exam chest 3 views                          A   0.26   0.11     0.11    0.01   0.38  0.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71047TCX-ray exam chest 3 views                          A   0.00   0.84     0.84NA  0.01   0.85  0.851XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
71048  X-ray exam chest 4+ views                         A   0.30   1.02     1.02NA  0.03   1.35  1.351XXX.00.00.00000001            33.5675 090 99      3.27   3.27   0.06
7104826X-ray exam chest 4+ views                         A   0.30   0.12     0.12    0.02   0.44  0.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71048TCX-ray exam chest 4+ views                         A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.04
71100  X-ray exam ribs uni 2 views                       A   0.21   0.85     0.85NA  0.02   1.08  1.081XXX.00.00.00000001            33.5675 090 99      2.70   2.70   0.04
7110026X-ray exam ribs uni 2 views                       A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71100TCX-ray exam ribs uni 2 views                       A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.03
71101  X-ray exam unilat ribs/chest                      A   0.26   0.96     0.96NA  0.03   1.25  1.251XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.06
7110126X-ray exam unilat ribs/chest                      A   0.26   0.10     0.10    0.02   0.38  0.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71101TCX-ray exam unilat ribs/chest                      A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.04
71110  X-ray exam ribs bil 3 views                       A   0.28   0.98     0.98NA  0.02   1.28  1.281XXX.00.00.00020001            33.5675 090 99      3.26   3.26   0.05
7111026X-ray exam ribs bil 3 views                       A   0.28   0.11     0.11    0.01   0.40  0.401XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
71110TCX-ray exam ribs bil 3 views                       A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.00020001            33.5675 010 99      3.15   3.15   0.04
71111  X-ray exam ribs/chest4/> vws                      A   0.31   1.20     1.20NA  0.03   1.54  1.541XXX.00.00.00020001            33.5675 090 99      3.27   3.27   0.05
7111126X-ray exam ribs/chest4/> vws                      A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
71111TCX-ray exam ribs/chest4/> vws                      A   0.00   1.08     1.08NA  0.01   1.09  1.091XXX.00.00.00020001            33.5675 010 99      3.15   3.15   0.03
71120  X-ray exam breastbone 2/>vws                      A   0.20   0.77     0.77NA  0.02   0.99  0.991XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7112026X-ray exam breastbone 2/>vws                      A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71120TCX-ray exam breastbone 2/>vws                      A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
71130  X-ray strenoclavic jt 3/>vws                      A   0.21   1.01     1.01NA  0.02   1.24  1.241XXX.00.00.00000001            33.5675 090 99      2.71   2.71   0.04
7113026X-ray strenoclavic jt 3/>vws                      A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
71130TCX-ray strenoclavic jt 3/>vws                      A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
71250  Ct thorax dx c-                                   A   1.05   2.85     2.85NA  0.07   3.97  3.971XXX.00.00.00400001            33.5675 090 88      3.54   3.54   0.07
7125026Ct thorax dx c-                                   A   1.05   0.37     0.37    0.06   1.48  1.481XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71250TCCt thorax dx c-                                   A   0.00   2.48     2.48NA  0.01   2.49  2.491XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
71260  Ct thorax dx c+                                   A   1.13   3.77     3.77NA  0.09   4.99  4.991XXX.00.00.00400001            33.5675 090 88      5.72   5.72   0.10
7126026Ct thorax dx c+                                   A   1.13   0.41     0.41    0.07   1.61  1.611XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71260TCCt thorax dx c+                                   A   0.00   3.36     3.36NA  0.02   3.38  3.381XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
71270  Ct thorax dx c-/c+                                A   1.22   4.55     4.55NA  0.09   5.86  5.861XXX.00.00.00400001            33.5675 090 88      5.74   5.74   0.10
7127026Ct thorax dx c-/c+                                A   1.22   0.43     0.43    0.07   1.72  1.721XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71270TCCt thorax dx c-/c+                                A   0.00   4.12     4.12NA  0.02   4.14  4.141XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
71271  Ct thorax lung cancer scr c-                      A   1.05   2.95     2.95NA  0.08   4.08  4.081XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7127126Ct thorax lung cancer scr c-                      A   1.05   0.37     0.37    0.06   1.48  1.481XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71271TCCt thorax lung cancer scr c-                      A   0.00   2.58     2.58NA  0.02   2.60  2.601XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71275  Ct angiography chest                              A   1.77   6.49     6.49NA  0.14   8.40  8.401XXX.00.00.00400001            33.5675 090 88      5.93   5.93   0.14
7127526Ct angiography chest                              A   1.77   0.62     0.62    0.11   2.50  2.501XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71275TCCt angiography chest                              A   0.00   5.87     5.87NA  0.03   5.90  5.901XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
71550  Mri chest w/o dye                                 A   1.42   8.45     8.45NA  0.10   9.97  9.971XXX.00.00.00400001            33.5675 090 88      7.73   7.73   0.10
7155026Mri chest w/o dye                                 A   1.42   0.50     0.50    0.07   1.99  1.991XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71550TCMri chest w/o dye                                 A   0.00   7.95     7.95NA  0.03   7.98  7.981XXX.00.00.00400001            33.5675 010 88      7.23   7.23   0.03
71551  Mri chest w/dye                                   A   1.69   9.31     9.31NA  0.12  11.12 11.121XXX.00.00.00400001            33.5675 090 88     24.38  24.38   0.17
7155126Mri chest w/dye                                   A   1.69   0.60     0.60    0.09   2.38  2.381XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71551TCMri chest w/dye                                   A   0.00   8.71     8.71NA  0.03   8.74  8.741XXX.00.00.00400001            33.5675 020 88     23.78  23.78   0.08
71552  Mri chest w/o & w/dye                             A   2.20  11.58    11.58NA  0.17  13.95 13.951XXX.00.00.00400001            33.5675 090 88     11.36  11.36   0.17
7155226Mri chest w/o & w/dye                             A   2.20   0.78     0.78    0.13   3.11  3.111XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71552TCMri chest w/o & w/dye                             A   0.00  10.80    10.80NA  0.04  10.84 10.841XXX.00.00.00400001            33.5675 020 88     10.58  10.58   0.04
71555  Mri angio chest w or w/o dye                      R   1.76   8.12     8.12NA  0.13  10.01 10.011XXX.00.00.00400001            33.5675 090 88     11.18  11.18   0.15
7155526Mri angio chest w or w/o dye                      R   1.76   0.62     0.62    0.09   2.47  2.471XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
71555TCMri angio chest w or w/o dye                      R   0.00   7.50     7.50NA  0.04   7.54  7.541XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
72020  X-ray exam of spine 1 view                        A   0.16   0.53     0.53NA  0.02   0.71  0.711XXX.00.00.00000001            33.5675 090 99      2.65   2.65   0.07
7202026X-ray exam of spine 1 view                        A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72020TCX-ray exam of spine 1 view                        A   0.00   0.47     0.47NA  0.01   0.48  0.481XXX.00.00.00000001            33.5675 010 99      2.59   2.59   0.06
72040  X-ray exam neck spine 2-3 vw                      A   0.21   0.96     0.96NA  0.02   1.19  1.191XXX.00.00.00000001            33.5675 090 99      2.71   2.71   0.04
7204026X-ray exam neck spine 2-3 vw                      A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72040TCX-ray exam neck spine 2-3 vw                      A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
72050  X-ray exam neck spine 4/5vws                      A   0.26   1.36     1.36NA  0.03   1.65  1.651XXX.00.00.00000001            33.5675 090 99      3.27   3.27   0.05
7205026X-ray exam neck spine 4/5vws                      A   0.26   0.11     0.11    0.02   0.39  0.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72050TCX-ray exam neck spine 4/5vws                      A   0.00   1.25     1.25NA  0.01   1.26  1.261XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.03
72052  X-ray exam neck spine 6/>vws                      A   0.29   1.56     1.56NA  0.03   1.88  1.881XXX.00.00.00000001            33.5675 090 99      3.28   3.28   0.04
7205226X-ray exam neck spine 6/>vws                      A   0.29   0.12     0.12    0.02   0.43  0.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72052TCX-ray exam neck spine 6/>vws                      A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
72070  X-ray exam thorac spine 2vws                      A   0.20   0.77     0.77NA  0.02   0.99  0.991XXX.00.00.00000001            33.5675 090 99      3.22   3.22   0.06
7207026X-ray exam thorac spine 2vws                      A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72070TCX-ray exam thorac spine 2vws                      A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.05
72072  X-ray exam thorac spine 3vws                      A   0.22   0.92     0.92NA  0.02   1.16  1.161XXX.00.00.00000001            33.5675 090 99      3.22   3.22   0.05
7207226X-ray exam thorac spine 3vws                      A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72072TCX-ray exam thorac spine 3vws                      A   0.00   0.84     0.84NA  0.01   0.85  0.851XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.04
72074  X-ray exam thorac spine4/>vw                      A   0.24   1.06     1.06NA  0.02   1.32  1.321XXX.00.00.00000001            33.5675 090 99      3.24   3.24   0.04
7207426X-ray exam thorac spine4/>vw                      A   0.24   0.09     0.09    0.01   0.34  0.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72074TCX-ray exam thorac spine4/>vw                      A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
72080  X-ray exam thoracolmb 2/> vw                      A   0.20   0.83     0.83NA  0.02   1.05  1.051XXX.00.00.00000001            33.5675 090 99      2.70   2.70   0.05
7208026X-ray exam thoracolmb 2/> vw                      A   0.20   0.09     0.09    0.01   0.30  0.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72080TCX-ray exam thoracolmb 2/> vw                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
72081  X-ray exam entire spi 1 vw                        A   0.25   1.04     1.04NA  0.03   1.32  1.321XXX.00.00.00000001            33.5675 090 99      2.73   2.73   0.05
7208126X-ray exam entire spi 1 vw                        A   0.25   0.11     0.11    0.02   0.38  0.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72081TCX-ray exam entire spi 1 vw                        A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
72082  X-ray exam entire spi 2/3 vw                      A   0.30   1.82     1.82NA  0.03   2.15  2.151XXX.00.00.00000001            33.5675 090 99      3.29   3.29   0.04
7208226X-ray exam entire spi 2/3 vw                      A   0.30   0.13     0.13    0.02   0.45  0.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72082TCX-ray exam entire spi 2/3 vw                      A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
72083  X-ray exam entire spi 4/5 vw                      A   0.34   2.02     2.02NA  0.03   2.39  2.391XXX.00.00.00000001            33.5675 090 99      3.31   3.31   0.04
7208326X-ray exam entire spi 4/5 vw                      A   0.34   0.15     0.15    0.02   0.51  0.511XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72083TCX-ray exam entire spi 4/5 vw                      A   0.00   1.87     1.87NA  0.01   1.88  1.881XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
72084  X-ray exam entire spi 6/> vw                      A   0.40   2.51     2.51NA  0.04   2.95  2.951XXX.00.00.00000001            33.5675 090 99      3.32   3.32   0.05
7208426X-ray exam entire spi 6/> vw                      A   0.40   0.17     0.17    0.02   0.59  0.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72084TCX-ray exam entire spi 6/> vw                      A   0.00   2.34     2.34NA  0.02   2.36  2.361XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
72100  X-ray exam l-s spine 2/3 vws                      A   0.21   0.98     0.98NA  0.02   1.21  1.211XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.05
7210026X-ray exam l-s spine 2/3 vws                      A   0.21   0.10     0.10    0.01   0.32  0.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72100TCX-ray exam l-s spine 2/3 vws                      A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.04
72110  X-ray exam l-2 spine 4/>vws                       A   0.25   1.32     1.32NA  0.03   1.60  1.601XXX.00.00.00000001            33.5675 090 99      3.27   3.27   0.05
7211026X-ray exam l-2 spine 4/>vws                       A   0.25   0.11     0.11    0.02   0.38  0.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72110TCX-ray exam l-2 spine 4/>vws                       A   0.00   1.21     1.21NA  0.01   1.22  1.221XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.03
72114  X-ray exam l-s spine bending                      A   0.29   1.53     1.53NA  0.03   1.85  1.851XXX.00.00.00000001            33.5675 090 99      3.28   3.28   0.04
7211426X-ray exam l-s spine bending                      A   0.29   0.12     0.12    0.02   0.43  0.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72114TCX-ray exam l-s spine bending                      A   0.00   1.41     1.41NA  0.01   1.42  1.421XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
72120  X-ray bend only l-s spine                         A   0.21   1.03     1.03NA  0.02   1.26  1.261XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.04
7212026X-ray bend only l-s spine                         A   0.21   0.10     0.10    0.01   0.32  0.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72120TCX-ray bend only l-s spine                         A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
72125  Ct neck spine w/o dye                             A   0.98   2.86     2.86NA  0.07   3.91  3.911XXX.00.00.00400001            33.5675 090 88      3.52   3.52   0.07
7212526Ct neck spine w/o dye                             A   0.98   0.35     0.35    0.06   1.39  1.391XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72125TCCt neck spine w/o dye                             A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
72126  Ct neck spine w/dye                               A   1.19   3.76     3.76NA  0.09   5.04  5.041XXX.00.00.00400001            33.5675 090 88     10.97  10.97   0.13
7212626Ct neck spine w/dye                               A   1.19   0.42     0.42    0.07   1.68  1.681XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72126TCCt neck spine w/dye                               A   0.00   3.34     3.34NA  0.02   3.36  3.361XXX.00.00.00400001            33.5675 020 88     10.55  10.55   0.06
72127  Ct neck spine w/o & w/dye                         A   1.24   4.54     4.54NA  0.09   5.87  5.871XXX.00.00.00400001            33.5675 090 88      5.74   5.74   0.10
7212726Ct neck spine w/o & w/dye                         A   1.24   0.43     0.43    0.07   1.74  1.741XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72127TCCt neck spine w/o & w/dye                         A   0.00   4.11     4.11NA  0.02   4.13  4.131XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
72128  Ct chest spine w/o dye                            A   0.98   2.85     2.85NA  0.07   3.90  3.901XXX.00.00.00400001            33.5675 090 88      3.52   3.52   0.07
7212826Ct chest spine w/o dye                            A   0.98   0.35     0.35    0.06   1.39  1.391XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72128TCCt chest spine w/o dye                            A   0.00   2.50     2.50NA  0.01   2.51  2.511XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
72129  Ct chest spine w/dye                              A   1.19   3.79     3.79NA  0.09   5.07  5.071XXX.00.00.00400001            33.5675 090 88      5.73   5.73   0.10
7212926Ct chest spine w/dye                              A   1.19   0.42     0.42    0.07   1.68  1.681XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72129TCCt chest spine w/dye                              A   0.00   3.37     3.37NA  0.02   3.39  3.391XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
72130  Ct chest spine w/o & w/dye                        A   1.24   4.60     4.60NA  0.09   5.93  5.931XXX.00.00.00400001            33.5675 090 88      5.75   5.75   0.10
7213026Ct chest spine w/o & w/dye                        A   1.24   0.44     0.44    0.07   1.75  1.751XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72130TCCt chest spine w/o & w/dye                        A   0.00   4.16     4.16NA  0.02   4.18  4.181XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
72131  Ct lumbar spine w/o dye                           A   0.98   2.84     2.84NA  0.07   3.89  3.891XXX.00.00.00400001            33.5675 090 88      3.52   3.52   0.07
7213126Ct lumbar spine w/o dye                           A   0.98   0.35     0.35    0.06   1.39  1.391XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72131TCCt lumbar spine w/o dye                           A   0.00   2.49     2.49NA  0.01   2.50  2.501XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
72132  Ct lumbar spine w/dye                             A   1.19   3.77     3.77NA  0.09   5.05  5.051XXX.00.00.00400001            33.5675 090 88     10.97  10.97   0.13
7213226Ct lumbar spine w/dye                             A   1.19   0.42     0.42    0.07   1.68  1.681XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72132TCCt lumbar spine w/dye                             A   0.00   3.35     3.35NA  0.02   3.37  3.371XXX.00.00.00400001            33.5675 020 88     10.55  10.55   0.06
72133  Ct lumbar spine w/o & w/dye                       A   1.24   4.56     4.56NA  0.09   5.89  5.891XXX.00.00.00400001            33.5675 090 88      5.75   5.75   0.10
7213326Ct lumbar spine w/o & w/dye                       A   1.24   0.44     0.44    0.07   1.75  1.751XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72133TCCt lumbar spine w/o & w/dye                       A   0.00   4.12     4.12NA  0.02   4.14  4.141XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
72141  Mri neck spine w/o dye                            A   1.44   4.17     4.17NA  0.10   5.71  5.711XXX.00.00.00400001            33.5675 090 88      7.74   7.74   0.12
7214126Mri neck spine w/o dye                            A   1.44   0.52     0.52    0.08   2.04  2.041XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72141TCMri neck spine w/o dye                            A   0.00   3.65     3.65NA  0.02   3.67  3.671XXX.00.00.00400001            33.5675 090 88      7.22   7.22   0.04
72142  Mri neck spine w/dye                              A   1.74   6.32     6.32NA  0.14   8.20  8.201XXX.00.00.00400001            33.5675 090 88     11.19  11.19   0.17
7214226Mri neck spine w/dye                              A   1.74   0.63     0.63    0.11   2.48  2.481XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72142TCMri neck spine w/dye                              A   0.00   5.69     5.69NA  0.03   5.72  5.721XXX.00.00.00400001            33.5675 090 88     10.56  10.56   0.06
72146  Mri chest spine w/o dye                           A   1.44   4.16     4.16NA  0.10   5.70  5.701XXX.00.00.00400001            33.5675 090 88      7.74   7.74   0.12
7214626Mri chest spine w/o dye                           A   1.44   0.52     0.52    0.08   2.04  2.041XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72146TCMri chest spine w/o dye                           A   0.00   3.64     3.64NA  0.02   3.66  3.661XXX.00.00.00400001            33.5675 090 88      7.22   7.22   0.04
72147  Mri chest spine w/dye                             A   1.74   6.26     6.26NA  0.12   8.12  8.121XXX.00.00.00400001            33.5675 090 88     11.19  11.19   0.15
7214726Mri chest spine w/dye                             A   1.74   0.63     0.63    0.09   2.46  2.461XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72147TCMri chest spine w/dye                             A   0.00   5.63     5.63NA  0.03   5.66  5.661XXX.00.00.00400001            33.5675 090 88     10.56  10.56   0.06
72148  Mri lumbar spine w/o dye                          A   1.44   4.20     4.20NA  0.10   5.74  5.741XXX.00.00.00400001            33.5675 090 88      7.75   7.75   0.12
7214826Mri lumbar spine w/o dye                          A   1.44   0.53     0.53    0.08   2.05  2.051XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72148TCMri lumbar spine w/o dye                          A   0.00   3.67     3.67NA  0.02   3.69  3.691XXX.00.00.00400001            33.5675 090 88      7.22   7.22   0.04
72149  Mri lumbar spine w/dye                            A   1.74   6.21     6.21NA  0.12   8.07  8.071XXX.00.00.00400001            33.5675 090 88     11.19  11.19   0.15
7214926Mri lumbar spine w/dye                            A   1.74   0.63     0.63    0.09   2.46  2.461XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72149TCMri lumbar spine w/dye                            A   0.00   5.58     5.58NA  0.03   5.61  5.611XXX.00.00.00400001            33.5675 090 88     10.56  10.56   0.06
72156  Mri neck spine w/o & w/dye                        A   2.23   7.13     7.13NA  0.16   9.52  9.521XXX.00.00.00400001            33.5675 090 88     11.37  11.37   0.18
7215626Mri neck spine w/o & w/dye                        A   2.23   0.80     0.80    0.13   3.16  3.161XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72156TCMri neck spine w/o & w/dye                        A   0.00   6.33     6.33NA  0.03   6.36  6.361XXX.00.00.00400001            33.5675 090 88     10.57  10.57   0.05
72157  Mri chest spine w/o & w/dye                       A   2.23   7.15     7.15NA  0.16   9.54  9.541XXX.00.00.00400001            33.5675 090 88     11.37  11.37   0.18
7215726Mri chest spine w/o & w/dye                       A   2.23   0.80     0.80    0.13   3.16  3.161XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72157TCMri chest spine w/o & w/dye                       A   0.00   6.35     6.35NA  0.03   6.38  6.381XXX.00.00.00400001            33.5675 090 88     10.57  10.57   0.05
72158  Mri lumbar spine w/o & w/dye                      A   2.23   7.14     7.14NA  0.16   9.53  9.531XXX.00.00.00400001            33.5675 090 88     11.37  11.37   0.18
7215826Mri lumbar spine w/o & w/dye                      A   2.23   0.80     0.80    0.13   3.16  3.161XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72158TCMri lumbar spine w/o & w/dye                      A   0.00   6.34     6.34NA  0.03   6.37  6.371XXX.00.00.00400001            33.5675 090 88     10.57  10.57   0.05
72159  Mr angio spine w/o&w/dye                          R   1.76   8.21     8.21NA  0.13  10.10 10.101XXX.00.00.00400001            33.5675 090 88     11.18  11.18   0.15
7215926Mr angio spine w/o&w/dye                          R   1.76   0.62     0.62    0.09   2.47  2.471XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72159TCMr angio spine w/o&w/dye                          R   0.00   7.59     7.59NA  0.04   7.63  7.631XXX.00.00.00409001            33.5675 020 88     10.56  10.56   0.06
72170  X-ray exam of pelvis                              A   0.17   0.65     0.65NA  0.02   0.84  0.841XXX.00.00.00000001            33.5675 090 99      3.20   3.20   0.06
7217026X-ray exam of pelvis                              A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72170TCX-ray exam of pelvis                              A   0.00   0.58     0.58NA  0.01   0.59  0.591XXX.00.00.00000001            33.5675 010 99      3.13   3.13   0.05
72190  X-ray exam of pelvis                              A   0.24   1.03     1.03NA  0.03   1.30  1.301XXX.00.00.00000001            33.5675 090 99      3.26   3.26   0.05
7219026X-ray exam of pelvis                              A   0.24   0.11     0.11    0.02   0.37  0.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72190TCX-ray exam of pelvis                              A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
72191  Ct angiograph pelv w/o&w/dye                      A   1.76   7.20     7.20NA  0.14   9.10  9.101XXX.00.00.00400001            33.5675 090 88      5.91   5.91   0.13
7219126Ct angiograph pelv w/o&w/dye                      A   1.76   0.60     0.60    0.11   2.47  2.471XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72191TCCt angiograph pelv w/o&w/dye                      A   0.00   6.60     6.60NA  0.03   6.63  6.631XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.02
72192  Ct pelvis w/o dye                                 A   1.06   2.84     2.84NA  0.07   3.97  3.971XXX.00.00.00400001            33.5675 090 88      3.54   3.54   0.07
7219226Ct pelvis w/o dye                                 A   1.06   0.37     0.37    0.06   1.49  1.491XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72192TCCt pelvis w/o dye                                 A   0.00   2.47     2.47NA  0.01   2.48  2.481XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
72193  Ct pelvis w/dye                                   A   1.13   5.54     5.54NA  0.09   6.76  6.761XXX.00.00.00400001            33.5675 090 88      5.72   5.72   0.09
7219326Ct pelvis w/dye                                   A   1.13   0.40     0.40    0.07   1.60  1.601XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72193TCCt pelvis w/dye                                   A   0.00   5.14     5.14NA  0.02   5.16  5.161XXX.00.00.00400001            33.5675 020 88      5.32   5.32   0.02
72194  Ct pelvis w/o & w/dye                             A   1.19   6.22     6.22NA  0.09   7.50  7.501XXX.00.00.00400001            33.5675 090 88      5.74   5.74   0.09
7219426Ct pelvis w/o & w/dye                             A   1.19   0.42     0.42    0.07   1.68  1.681XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72194TCCt pelvis w/o & w/dye                             A   0.00   5.80     5.80NA  0.02   5.82  5.821XXX.00.00.00400001            33.5675 020 88      5.32   5.32   0.02
72195  Mri pelvis w/o dye                                A   1.42   5.30     5.30NA  0.09   6.81  6.811XXX.00.00.00400001            33.5675 090 88      7.74   7.74   0.10
7219526Mri pelvis w/o dye                                A   1.42   0.51     0.51    0.07   2.00  2.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72195TCMri pelvis w/o dye                                A   0.00   4.79     4.79NA  0.02   4.81  4.811XXX.00.00.00400001            33.5675 010 88      7.23   7.23   0.03
72196  Mri pelvis w/dye                                  A   1.69   6.22     6.22NA  0.12   8.03  8.031XXX.00.00.00400001            33.5675 090 88     11.16  11.16   0.15
7219626Mri pelvis w/dye                                  A   1.69   0.60     0.60    0.09   2.38  2.381XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72196TCMri pelvis w/dye                                  A   0.00   5.62     5.62NA  0.03   5.65  5.651XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
72197  Mri pelvis w/o & w/dye                            A   2.15   7.70     7.70NA  0.16  10.01 10.011XXX.00.00.00400001            33.5675 090 88     11.33  11.33   0.18
7219726Mri pelvis w/o & w/dye                            A   2.15   0.76     0.76    0.13   3.04  3.041XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72197TCMri pelvis w/o & w/dye                            A   0.00   6.94     6.94NA  0.03   6.97  6.971XXX.00.00.00400001            33.5675 020 88     10.57  10.57   0.05
72198  Mr angio pelvis w/o & w/dye                       A   1.76   8.17     8.17NA  0.13  10.06 10.061XXX.00.00.00400001            33.5675 090 88     11.16  11.16   0.15
7219826Mr angio pelvis w/o & w/dye                       A   1.76   0.60     0.60    0.09   2.45  2.451XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
72198TCMr angio pelvis w/o & w/dye                       A   0.00   7.57     7.57NA  0.04   7.61  7.611XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
72200  X-ray exam si joints                              A   0.17   0.82     0.82NA  0.02   1.01  1.011XXX.00.00.00000001            33.5675 090 99      3.21   3.21   0.05
7220026X-ray exam si joints                              A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72200TCX-ray exam si joints                              A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.04
72202  X-ray exam si joints 3/> vws                      A   0.22   0.92     0.92NA  0.02   1.16  1.161XXX.00.00.00000001            33.5675 090 99      3.22   3.22   0.05
7220226X-ray exam si joints 3/> vws                      A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72202TCX-ray exam si joints 3/> vws                      A   0.00   0.84     0.84NA  0.01   0.85  0.851XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.04
72220  X-ray exam sacrum tailbone                        A   0.17   0.77     0.77NA  0.02   0.96  0.961XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7222026X-ray exam sacrum tailbone                        A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72220TCX-ray exam sacrum tailbone                        A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
72240  Myelography neck spine                            A   0.89   2.39     2.39NA  0.07   3.35  3.351XXX.00.00.00000001            33.5675 090 99     24.08  24.08   0.18
7224026Myelography neck spine                            A   0.89   0.34     0.34    0.06   1.29  1.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72240TCMyelography neck spine                            A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.00000001            33.5675 030 99     23.74  23.74   0.12
72255  Myelography thoracic spine                        A   0.89   2.17     2.17NA  0.06   3.12  3.121XXX.00.00.00000001            33.5675 090 99     24.05  24.05   0.18
7225526Myelography thoracic spine                        A   0.89   0.32     0.32    0.05   1.26  1.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72255TCMyelography thoracic spine                        A   0.00   1.85     1.85NA  0.01   1.86  1.861XXX.00.00.00000001            33.5675 030 99     23.73  23.73   0.13
72265  Myelography l-s spine                             A   0.81   2.43     2.43NA  0.06   3.30  3.301XXX.00.00.00000001            33.5675 090 99     24.08  24.08   0.16
7226526Myelography l-s spine                             A   0.81   0.34     0.34    0.05   1.20  1.201XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72265TCMyelography l-s spine                             A   0.00   2.09     2.09NA  0.01   2.10  2.101XXX.00.00.00000001            33.5675 030 99     23.74  23.74   0.11
72270  Myelogphy 2/> spine regions                       A   1.30   2.62     2.62NA  0.08   4.00  4.001XXX.00.00.00000001            33.5675 090 99     24.18  24.18   0.18
7227026Myelogphy 2/> spine regions                       A   1.30   0.43     0.43    0.07   1.80  1.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72270TCMyelogphy 2/> spine regions                       A   0.00   2.19     2.19NA  0.01   2.20  2.201XXX.00.00.00000001            33.5675 030 99     23.75  23.75   0.11
72285  Discography cerv/thor spine                       A   1.13   3.16     3.16NA  0.05   4.34  4.341XXX.00.00.00000001            33.5675 090 99     59.75  59.75   0.27
7228526Discography cerv/thor spine                       A   1.13   0.54     0.54    0.04   1.71  1.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72285TCDiscography cerv/thor spine                       A   0.00   2.62     2.62NA  0.01   2.63  2.631XXX.00.00.00000001            33.5675 030 99     59.21  59.21   0.23
72295  X-ray of lower spine disk                         A   0.81   2.80     2.80NA  0.05   3.66  3.661XXX.00.00.00000001            33.5675 090 99     59.55  59.55   0.28
7229526X-ray of lower spine disk                         A   0.81   0.36     0.36    0.04   1.21  1.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
72295TCX-ray of lower spine disk                         A   0.00   2.44     2.44NA  0.01   2.45  2.451XXX.00.00.00000001            33.5675 030 99     59.19  59.19   0.24
73000  X-ray exam of collar bone                         A   0.16   0.82     0.82NA  0.02   1.00  1.001XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.05
7300026X-ray exam of collar bone                         A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73000TCX-ray exam of collar bone                         A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73010  X-ray exam of shoulder blade                      A   0.17   0.56     0.56NA  0.02   0.75  0.751XXX.00.00.00030001            33.5675 090 99      3.21   3.21   0.08
7301026X-ray exam of shoulder blade                      A   0.17   0.09     0.09    0.01   0.27  0.271XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73010TCX-ray exam of shoulder blade                      A   0.00   0.47     0.47NA  0.01   0.48  0.481XXX.00.00.00030001            33.5675 010 99      3.12   3.12   0.07
73020  X-ray exam of shoulder                            A   0.15   0.48     0.48NA  0.02   0.65  0.651XXX.00.00.00030001            33.5675 090 99      2.65   2.65   0.07
7302026X-ray exam of shoulder                            A   0.15   0.06     0.06    0.01   0.22  0.221XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73020TCX-ray exam of shoulder                            A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.00030001            33.5675 010 99      2.59   2.59   0.06
73030  X-ray exam of shoulder                            A   0.18   0.87     0.87NA  0.02   1.07  1.071XXX.00.00.00030001            33.5675 090 99      2.70   2.70   0.04
7303026X-ray exam of shoulder                            A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73030TCX-ray exam of shoulder                            A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.00030001            33.5675 010 99      2.62   2.62   0.03
73040  Contrast x-ray of shoulder                        A   0.53   3.46     3.46NA  0.04   4.03  4.031XXX.00.00.00030001            33.5675 090 99     10.83  10.83   0.06
7304026Contrast x-ray of shoulder                        A   0.53   0.24     0.24    0.03   0.80  0.801XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73040TCContrast x-ray of shoulder                        A   0.00   3.22     3.22NA  0.01   3.23  3.231XXX.00.00.00030001            33.5675 030 99     10.59  10.59   0.03
73050  X-ray exam of shoulders                           A   0.18   0.71     0.71NA  0.02   0.91  0.911XXX.00.00.00020001            33.5675 090 99      2.70   2.70   0.05
7305026X-ray exam of shoulders                           A   0.18   0.09     0.09    0.01   0.28  0.281XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
73050TCX-ray exam of shoulders                           A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.00020001            33.5675 010 99      2.61   2.61   0.04
73060  X-ray exam of humerus                             A   0.16   0.78     0.78NA  0.02   0.96  0.961XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7306026X-ray exam of humerus                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
73060TCX-ray exam of humerus                             A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
73070  X-ray exam of elbow                               A   0.16   0.70     0.70NA  0.02   0.88  0.881XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.05
7307026X-ray exam of elbow                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73070TCX-ray exam of elbow                               A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73080  X-ray exam of elbow                               A   0.17   0.80     0.80NA  0.02   0.99  0.991XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.05
7308026X-ray exam of elbow                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73080TCX-ray exam of elbow                               A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73085  Contrast x-ray of elbow                           A   0.53   2.31     2.31NA  0.04   2.88  2.881XXX.00.00.00030001            33.5675 090 99     10.76  10.76   0.08
7308526Contrast x-ray of elbow                           A   0.53   0.19     0.19    0.03   0.75  0.751XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73085TCContrast x-ray of elbow                           A   0.00   2.12     2.12NA  0.01   2.13  2.131XXX.00.00.00030001            33.5675 030 99     10.57  10.57   0.05
73090  X-ray exam of forearm                             A   0.16   0.69     0.69NA  0.02   0.87  0.871XXX.00.00.00030001            33.5675 090 99      2.67   2.67   0.05
7309026X-ray exam of forearm                             A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73090TCX-ray exam of forearm                             A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73092  X-ray exam of arm infant                          A   0.16   0.74     0.74NA  0.02   0.92  0.921XXX.00.00.00030001            33.5675 090 99      3.20   3.20   0.06
7309226X-ray exam of arm infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73092TCX-ray exam of arm infant                          A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.00030001            33.5675 010 99      3.14   3.14   0.05
73100  X-ray exam of wrist                               A   0.16   0.85     0.85NA  0.02   1.03  1.031XXX.00.00.00030001            33.5675 090 99      2.69   2.69   0.04
7310026X-ray exam of wrist                               A   0.16   0.08     0.08    0.01   0.25  0.251XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73100TCX-ray exam of wrist                               A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.03
73110  X-ray exam of wrist                               A   0.17   1.09     1.09NA  0.02   1.28  1.281XXX.00.00.00030001            33.5675 090 99      2.70   2.70   0.04
7311026X-ray exam of wrist                               A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73110TCX-ray exam of wrist                               A   0.00   1.01     1.01NA  0.01   1.02  1.021XXX.00.00.00030001            33.5675 010 99      2.62   2.62   0.03
73115  Contrast x-ray of wrist                           A   0.53   3.41     3.41NA  0.05   3.99  3.991XXX.00.00.00030001            33.5675 090 99     10.82  10.82   0.07
7311526Contrast x-ray of wrist                           A   0.53   0.24     0.24    0.04   0.81  0.811XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73115TCContrast x-ray of wrist                           A   0.00   3.17     3.17NA  0.01   3.18  3.181XXX.00.00.00030001            33.5675 030 99     10.58  10.58   0.03
73120  X-ray exam of hand                                A   0.16   0.76     0.76NA  0.02   0.94  0.941XXX.00.00.00030001            33.5675 090 99      3.21   3.21   0.06
7312026X-ray exam of hand                                A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73120TCX-ray exam of hand                                A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.00030001            33.5675 010 99      3.14   3.14   0.05
73130  X-ray exam of hand                                A   0.17   0.95     0.95NA  0.02   1.14  1.141XXX.00.00.00030001            33.5675 090 99      2.70   2.70   0.04
7313026X-ray exam of hand                                A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73130TCX-ray exam of hand                                A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.00030001            33.5675 010 99      2.62   2.62   0.03
73140  X-ray exam of finger(s)                           A   0.13   1.03     1.03NA  0.02   1.18  1.181XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.04
7314026X-ray exam of finger(s)                           A   0.13   0.06     0.06    0.01   0.20  0.201XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73140TCX-ray exam of finger(s)                           A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.00030001            33.5675 010 99      2.62   2.62   0.03
73200  Ct upper extremity w/o dye                        A   0.98   3.75     3.75NA  0.08   4.81  4.811XXX.00.00.00430001            33.5675 090 88      3.51   3.51   0.08
7320026Ct upper extremity w/o dye                        A   0.98   0.35     0.35    0.06   1.39  1.391XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73200TCCt upper extremity w/o dye                        A   0.00   3.40     3.40NA  0.02   3.42  3.421XXX.00.00.00430001            33.5675 010 88      3.16   3.16   0.02
73201  Ct upper extremity w/dye                          A   1.13   4.75     4.75NA  0.09   5.97  5.971XXX.00.00.00430001            33.5675 090 88     10.97  10.97   0.12
7320126Ct upper extremity w/dye                          A   1.13   0.40     0.40    0.07   1.60  1.601XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73201TCCt upper extremity w/dye                          A   0.00   4.35     4.35NA  0.02   4.37  4.371XXX.00.00.00430001            33.5675 020 88     10.57  10.57   0.05
73202  Ct uppr extremity w/o&w/dye                       A   1.19   6.09     6.09NA  0.09   7.37  7.371XXX.00.00.00430001            33.5675 090 88      5.73   5.73   0.09
7320226Ct uppr extremity w/o&w/dye                       A   1.19   0.41     0.41    0.07   1.67  1.671XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73202TCCt uppr extremity w/o&w/dye                       A   0.00   5.68     5.68NA  0.02   5.70  5.701XXX.00.00.00430001            33.5675 020 88      5.32   5.32   0.02
73206  Ct angio upr extrm w/o&w/dye                      A   1.76   6.95     6.95NA  0.14   8.85  8.851XXX.00.00.00400001            33.5675 090 88      5.91   5.91   0.14
7320626Ct angio upr extrm w/o&w/dye                      A   1.76   0.60     0.60    0.11   2.47  2.471XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
73206TCCt angio upr extrm w/o&w/dye                      A   0.00   6.35     6.35NA  0.03   6.38  6.381XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
73218  Mri upper extremity w/o dye                       A   1.32   7.66     7.66NA  0.10   9.08  9.081XXX.00.00.00430001            33.5675 090 88      7.72   7.72   0.10
7321826Mri upper extremity w/o dye                       A   1.32   0.49     0.49    0.07   1.88  1.881XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73218TCMri upper extremity w/o dye                       A   0.00   7.17     7.17NA  0.03   7.20  7.201XXX.00.00.00430001            33.5675 010 88      7.23   7.23   0.03
73219  Mri upper extremity w/dye                         A   1.58   8.18     8.18NA  0.11   9.87  9.871XXX.00.00.00430001            33.5675 090 88     11.16  11.16   0.12
7321926Mri upper extremity w/dye                         A   1.58   0.58     0.58    0.08   2.24  2.241XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73219TCMri upper extremity w/dye                         A   0.00   7.60     7.60NA  0.03   7.63  7.631XXX.00.00.00430001            33.5675 020 88     10.58  10.58   0.04
73220  Mri uppr extremity w/o&w/dye                      A   2.10   9.92     9.92NA  0.16  12.18 12.181XXX.00.00.00430001            33.5675 090 88     11.33  11.33   0.17
7322026Mri uppr extremity w/o&w/dye                      A   2.10   0.76     0.76    0.12   2.98  2.981XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73220TCMri uppr extremity w/o&w/dye                      A   0.00   9.16     9.16NA  0.04   9.20  9.201XXX.00.00.00430001            33.5675 020 88     10.57  10.57   0.05
73221  Mri joint upr extrem w/o dye                      A   1.32   4.73     4.73NA  0.09   6.14  6.141XXX.00.00.00430001            33.5675 090 88      7.73   7.73   0.10
7322126Mri joint upr extrem w/o dye                      A   1.32   0.50     0.50    0.07   1.89  1.891XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73221TCMri joint upr extrem w/o dye                      A   0.00   4.23     4.23NA  0.02   4.25  4.251XXX.00.00.00430001            33.5675 010 88      7.23   7.23   0.03
73222  Mri joint upr extrem w/dye                        A   1.58   7.67     7.67NA  0.11   9.36  9.361XXX.00.00.00430001            33.5675 090 88     24.35  24.35   0.18
7322226Mri joint upr extrem w/dye                        A   1.58   0.59     0.59    0.08   2.25  2.251XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73222TCMri joint upr extrem w/dye                        A   0.00   7.08     7.08NA  0.03   7.11  7.111XXX.00.00.00430001            33.5675 020 88     23.76  23.76   0.10
73223  Mri joint upr extr w/o&w/dye                      A   2.10   9.22     9.22NA  0.15  11.47 11.471XXX.00.00.00430001            33.5675 090 88     11.34  11.34   0.16
7322326Mri joint upr extr w/o&w/dye                      A   2.10   0.76     0.76    0.12   2.98  2.981XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73223TCMri joint upr extr w/o&w/dye                      A   0.00   8.46     8.46NA  0.03   8.49  8.491XXX.00.00.00430001            33.5675 020 88     10.58  10.58   0.04
73225  Mr angio upr extr w/o&w/dye                       R   1.69   7.85     7.85NA  0.15   9.69  9.691XXX.00.00.00400001            33.5675 090 88     11.10  11.10   0.17
7322526Mr angio upr extr w/o&w/dye                       R   1.69   0.54     0.54    0.11   2.34  2.341XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
73225TCMr angio upr extr w/o&w/dye                       R   0.00   7.31     7.31NA  0.04   7.35  7.351XXX.00.00.00409001            33.5675 020 88     10.56  10.56   0.06
73501  X-ray exam hip uni 1 view                         A   0.18   0.81     0.81NA  0.02   1.01  1.011XXX.00.00.00000001            33.5675 090 99      2.69   2.69   0.05
7350126X-ray exam hip uni 1 view                         A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
73501TCX-ray exam hip uni 1 view                         A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
73502  X-ray exam hip uni 2-3 views                      A   0.21   1.23     1.23NA  0.02   1.46  1.461XXX.00.00.00000001            33.5675 090 99      2.73   2.73   0.03
7350226X-ray exam hip uni 2-3 views                      A   0.21   0.10     0.10    0.01   0.32  0.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
73502TCX-ray exam hip uni 2-3 views                      A   0.00   1.13     1.13NA  0.01   1.14  1.141XXX.00.00.00000001            33.5675 010 99      2.63   2.63   0.02
73503  X-ray exam hip uni 4/> views                      A   0.26   1.59     1.59NA  0.03   1.88  1.881XXX.00.00.00000001            33.5675 090 99      3.28   3.28   0.04
7350326X-ray exam hip uni 4/> views                      A   0.26   0.12     0.12    0.02   0.40  0.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
73503TCX-ray exam hip uni 4/> views                      A   0.00   1.47     1.47NA  0.01   1.48  1.481XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
73521  X-ray exam hips bi 2 views                        A   0.21   1.02     1.02NA  0.02   1.25  1.251XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.04
7352126X-ray exam hips bi 2 views                        A   0.21   0.10     0.10    0.01   0.32  0.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
73521TCX-ray exam hips bi 2 views                        A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
73522  X-ray exam hips bi 3-4 views                      A   0.28   1.32     1.32NA  0.03   1.63  1.631XXX.00.00.00000001            33.5675 090 99      3.28   3.28   0.05
7352226X-ray exam hips bi 3-4 views                      A   0.28   0.12     0.12    0.02   0.42  0.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
73522TCX-ray exam hips bi 3-4 views                      A   0.00   1.20     1.20NA  0.01   1.21  1.211XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.03
73523  X-ray exam hips bi 5/> views                      A   0.30   1.51     1.51NA  0.03   1.84  1.841XXX.00.00.00000001            33.5675 090 99      3.28   3.28   0.04
7352326X-ray exam hips bi 5/> views                      A   0.30   0.12     0.12    0.02   0.44  0.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
73523TCX-ray exam hips bi 5/> views                      A   0.00   1.39     1.39NA  0.01   1.40  1.401XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
73525  Contrast x-ray of hip                             A   0.53   3.41     3.41NA  0.05   3.99  3.991XXX.00.00.00030001            33.5675 090 99     10.86  10.86   0.07
7352526Contrast x-ray of hip                             A   0.53   0.28     0.28    0.04   0.85  0.851XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73525TCContrast x-ray of hip                             A   0.00   3.13     3.13NA  0.01   3.14  3.141XXX.00.00.00030001            33.5675 030 99     10.58  10.58   0.03
73551  X-ray exam of femur 1                             A   0.16   0.70     0.70NA  0.02   0.88  0.881XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.05
7355126X-ray exam of femur 1                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73551TCX-ray exam of femur 1                             A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73552  X-ray exam of femur 2/>                           A   0.18   0.87     0.87NA  0.02   1.07  1.071XXX.00.00.00030001            33.5675 090 99      2.69   2.69   0.04
7355226X-ray exam of femur 2/>                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73552TCX-ray exam of femur 2/>                           A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.00030001            33.5675 010 99      2.62   2.62   0.03
73560  X-ray exam of knee 1 or 2                         A   0.16   0.85     0.85NA  0.02   1.03  1.031XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.04
7356026X-ray exam of knee 1 or 2                         A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73560TCX-ray exam of knee 1 or 2                         A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.03
73562  X-ray exam of knee 3                              A   0.18   1.07     1.07NA  0.02   1.27  1.271XXX.00.00.00030001            33.5675 090 99      2.71   2.71   0.04
7356226X-ray exam of knee 3                              A   0.18   0.09     0.09    0.01   0.28  0.281XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73562TCX-ray exam of knee 3                              A   0.00   0.98     0.98NA  0.01   0.99  0.991XXX.00.00.00030001            33.5675 090 99      2.62   2.62   0.03
73564  X-ray exam knee 4 or more                         A   0.21   1.25     1.25NA  0.02   1.48  1.481XXX.00.00.00030001            33.5675 090 99      3.26   3.26   0.04
7356426X-ray exam knee 4 or more                         A   0.21   0.11     0.11    0.01   0.33  0.331XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73564TCX-ray exam knee 4 or more                         A   0.00   1.14     1.14NA  0.01   1.15  1.151XXX.00.00.00030001            33.5675 010 99      3.15   3.15   0.03
73565  X-ray exam of knees                               A   0.16   1.08     1.08NA  0.02   1.26  1.261XXX.00.00.00020001            33.5675 090 99      2.70   2.70   0.04
7356526X-ray exam of knees                               A   0.16   0.08     0.08    0.01   0.25  0.251XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
73565TCX-ray exam of knees                               A   0.00   1.00     1.00NA  0.01   1.01  1.011XXX.00.00.00020001            33.5675 010 99      2.62   2.62   0.03
73580  Contrast x-ray of knee joint                      A   0.58   2.85     2.85NA  0.08   3.51  3.511XXX.00.00.00030001            33.5675 090 99     10.88  10.88   0.11
7358026Contrast x-ray of knee joint                      A   0.58   0.30     0.30    0.07   0.95  0.951XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73580TCContrast x-ray of knee joint                      A   0.00   2.55     2.55NA  0.01   2.56  2.561XXX.00.00.00030001            33.5675 030 99     10.58  10.58   0.04
73590  X-ray exam of lower leg                           A   0.16   0.76     0.76NA  0.02   0.94  0.941XXX.00.00.00030001            33.5675 090 99      2.67   2.67   0.05
7359026X-ray exam of lower leg                           A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73590TCX-ray exam of lower leg                           A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73592  X-ray exam of leg infant                          A   0.16   0.74     0.74NA  0.02   0.92  0.921XXX.00.00.00030001            33.5675 090 99      2.67   2.67   0.05
7359226X-ray exam of leg infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73592TCX-ray exam of leg infant                          A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73600  X-ray exam of ankle                               A   0.16   0.79     0.79NA  0.02   0.97  0.971XXX.00.00.00030001            33.5675 090 99      2.68   2.68   0.05
7360026X-ray exam of ankle                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73600TCX-ray exam of ankle                               A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73610  X-ray exam of ankle                               A   0.17   0.92     0.92NA  0.02   1.11  1.111XXX.00.00.00030001            33.5675 090 99      2.69   2.69   0.04
7361026X-ray exam of ankle                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73610TCX-ray exam of ankle                               A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.00030001            33.5675 010 99      2.62   2.62   0.03
73615  Contrast x-ray of ankle                           A   0.53   3.40     3.40NA  0.05   3.98  3.981XXX.00.00.00030001            33.5675 090 99     10.85  10.85   0.07
7361526Contrast x-ray of ankle                           A   0.53   0.27     0.27    0.04   0.84  0.841XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73615TCContrast x-ray of ankle                           A   0.00   3.13     3.13NA  0.01   3.14  3.141XXX.00.00.00030001            33.5675 030 99     10.58  10.58   0.03
73620  X-ray exam of foot                                A   0.16   0.68     0.68NA  0.02   0.86  0.861XXX.00.00.00030001            33.5675 090 99      2.67   2.67   0.05
7362026X-ray exam of foot                                A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73620TCX-ray exam of foot                                A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73630  X-ray exam of foot                                A   0.17   0.83     0.83NA  0.02   1.02  1.021XXX.00.00.00030001            33.5675 090 99      2.67   2.67   0.04
7363026X-ray exam of foot                                A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73630TCX-ray exam of foot                                A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.03
73650  X-ray exam of heel                                A   0.16   0.67     0.67NA  0.02   0.85  0.851XXX.00.00.00030001            33.5675 090 99      2.67   2.67   0.05
7365026X-ray exam of heel                                A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73650TCX-ray exam of heel                                A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73660  X-ray exam of toe(s)                              A   0.13   0.71     0.71NA  0.02   0.86  0.861XXX.00.00.00030001            33.5675 090 99      2.66   2.66   0.05
7366026X-ray exam of toe(s)                              A   0.13   0.05     0.05    0.01   0.19  0.191XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
73660TCX-ray exam of toe(s)                              A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.00030001            33.5675 010 99      2.61   2.61   0.04
73700  Ct lower extremity w/o dye                        A   0.98   2.85     2.85NA  0.07   3.90  3.901XXX.00.00.00430001            33.5675 090 88      3.52   3.52   0.07
7370026Ct lower extremity w/o dye                        A   0.98   0.35     0.35    0.06   1.39  1.391XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73700TCCt lower extremity w/o dye                        A   0.00   2.50     2.50NA  0.01   2.51  2.511XXX.00.00.00430001            33.5675 010 88      3.17   3.17   0.01
73701  Ct lower extremity w/dye                          A   1.13   3.75     3.75NA  0.09   4.97  4.971XXX.00.00.00430001            33.5675 090 88      5.71   5.71   0.10
7370126Ct lower extremity w/dye                          A   1.13   0.40     0.40    0.07   1.60  1.601XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73701TCCt lower extremity w/dye                          A   0.00   3.35     3.35NA  0.02   3.37  3.371XXX.00.00.00430001            33.5675 020 88      5.31   5.31   0.03
73702  Ct lwr extremity w/o&w/dye                        A   1.19   4.55     4.55NA  0.09   5.83  5.831XXX.00.00.00430001            33.5675 090 88      5.72   5.72   0.10
7370226Ct lwr extremity w/o&w/dye                        A   1.19   0.41     0.41    0.07   1.67  1.671XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73702TCCt lwr extremity w/o&w/dye                        A   0.00   4.14     4.14NA  0.02   4.16  4.161XXX.00.00.00430001            33.5675 020 88      5.31   5.31   0.03
73706  Ct angio lwr extr w/o&w/dye                       A   1.85   7.62     7.62NA  0.16   9.63  9.631XXX.00.00.00430001            33.5675 090 88      5.94   5.94   0.15
7370626Ct angio lwr extr w/o&w/dye                       A   1.85   0.63     0.63    0.12   2.60  2.601XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73706TCCt angio lwr extr w/o&w/dye                       A   0.00   6.99     6.99NA  0.04   7.03  7.031XXX.00.00.00430001            33.5675 020 88      5.31   5.31   0.03
73718  Mri lower extremity w/o dye                       A   1.32   5.25     5.25NA  0.09   6.66  6.661XXX.00.00.00430001            33.5675 090 88      7.70   7.70   0.10
7371826Mri lower extremity w/o dye                       A   1.32   0.47     0.47    0.07   1.86  1.861XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73718TCMri lower extremity w/o dye                       A   0.00   4.78     4.78NA  0.02   4.80  4.801XXX.00.00.00430001            33.5675 010 88      7.23   7.23   0.03
73719  Mri lower extremity w/dye                         A   1.58   6.13     6.13NA  0.11   7.82  7.821XXX.00.00.00430001            33.5675 090 88     11.12  11.12   0.14
7371926Mri lower extremity w/dye                         A   1.58   0.56     0.56    0.08   2.22  2.221XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73719TCMri lower extremity w/dye                         A   0.00   5.57     5.57NA  0.03   5.60  5.601XXX.00.00.00430001            33.5675 020 88     10.56  10.56   0.06
73720  Mri lwr extremity w/o&w/dye                       A   2.10   7.78     7.78NA  0.15  10.03 10.031XXX.00.00.00430001            33.5675 090 88     11.32  11.32   0.17
7372026Mri lwr extremity w/o&w/dye                       A   2.10   0.75     0.75    0.12   2.97  2.971XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73720TCMri lwr extremity w/o&w/dye                       A   0.00   7.03     7.03NA  0.03   7.06  7.061XXX.00.00.00430001            33.5675 020 88     10.57  10.57   0.05
73721  Mri jnt of lwr extre w/o dye                      A   1.32   4.71     4.71NA  0.09   6.12  6.121XXX.00.00.00430001            33.5675 090 88      7.72   7.72   0.10
7372126Mri jnt of lwr extre w/o dye                      A   1.32   0.49     0.49    0.07   1.88  1.881XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73721TCMri jnt of lwr extre w/o dye                      A   0.00   4.22     4.22NA  0.02   4.24  4.241XXX.00.00.00430001            33.5675 010 88      7.23   7.23   0.03
73722  Mri joint of lwr extr w/dye                       A   1.58   7.74     7.74NA  0.11   9.43  9.431XXX.00.00.00430001            33.5675 090 88     24.35  24.35   0.18
7372226Mri joint of lwr extr w/dye                       A   1.58   0.59     0.59    0.08   2.25  2.251XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73722TCMri joint of lwr extr w/dye                       A   0.00   7.15     7.15NA  0.03   7.18  7.181XXX.00.00.00430001            33.5675 020 88     23.76  23.76   0.10
73723  Mri joint lwr extr w/o&w/dye                      A   2.10   9.17     9.17NA  0.15  11.42 11.421XXX.00.00.00430001            33.5675 090 88     11.33  11.33   0.16
7372326Mri joint lwr extr w/o&w/dye                      A   2.10   0.75     0.75    0.12   2.97  2.971XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73723TCMri joint lwr extr w/o&w/dye                      A   0.00   8.42     8.42NA  0.03   8.45  8.451XXX.00.00.00430001            33.5675 020 88     10.58  10.58   0.04
73725  Mr ang lwr ext w or w/o dye                       R   1.77   8.17     8.17NA  0.15  10.09 10.091XXX.00.00.00430001            33.5675 090 88     11.16  11.16   0.17
7372526Mr ang lwr ext w or w/o dye                       R   1.77   0.60     0.60    0.11   2.48  2.481XXX.00.00.00430001            33.5675 090 88      0.00   0.00   0.00
73725TCMr ang lwr ext w or w/o dye                       R   0.00   7.57     7.57NA  0.04   7.61  7.611XXX.00.00.00430001            33.5675 020 88     10.56  10.56   0.06
74018  Radex abdomen 1 view                              A   0.18   0.69     0.69NA  0.02   0.89  0.891XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7401826Radex abdomen 1 view                              A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74018TCRadex abdomen 1 view                              A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
74019  Radex abdomen 2 views                             A   0.22   0.84     0.84NA  0.02   1.08  1.081XXX.00.00.00000001            33.5675 090 99      3.23   3.23   0.05
7401926Radex abdomen 2 views                             A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74019TCRadex abdomen 2 views                             A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.04
74021  Radex abdomen 3+ views                            A   0.26   0.98     0.98NA  0.02   1.26  1.261XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.05
7402126Radex abdomen 3+ views                            A   0.26   0.10     0.10    0.01   0.37  0.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74021TCRadex abdomen 3+ views                            A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.04
74022  Radex compl aqt abd series                        A   0.31   1.14     1.14NA  0.03   1.48  1.481XXX.00.00.00000001            33.5675 090 99      3.27   3.27   0.05
7402226Radex compl aqt abd series                        A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74022TCRadex compl aqt abd series                        A   0.00   1.02     1.02NA  0.01   1.03  1.031XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
74150  Ct abdomen w/o contrast                           A   1.16   2.84     2.84NA  0.08   4.08  4.081XXX.00.00.00400001            33.5675 090 88      3.58   3.58   0.08
7415026Ct abdomen w/o contrast                           A   1.16   0.41     0.41    0.07   1.64  1.641XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74150TCCt abdomen w/o contrast                           A   0.00   2.43     2.43NA  0.01   2.44  2.441XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
74160  Ct abdomen w/contrast                             A   1.24   5.56     5.56NA  0.09   6.89  6.891XXX.00.00.00400001            33.5675 090 88      5.76   5.76   0.09
7416026Ct abdomen w/contrast                             A   1.24   0.44     0.44    0.07   1.75  1.751XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74160TCCt abdomen w/contrast                             A   0.00   5.12     5.12NA  0.02   5.14  5.141XXX.00.00.00400001            33.5675 020 88      5.32   5.32   0.02
74170  Ct abd wo cntrst flwd cntrst                      A   1.37   6.29     6.29NA  0.09   7.75  7.751XXX.00.00.00400001            33.5675 090 88      5.80   5.80   0.09
7417026Ct abd wo cntrst flwd cntrst                      A   1.37   0.48     0.48    0.07   1.92  1.921XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74170TCCt abd wo cntrst flwd cntrst                      A   0.00   5.81     5.81NA  0.02   5.83  5.831XXX.00.00.00400001            33.5675 020 88      5.32   5.32   0.02
74174  Cta abd&plvs w/contrast                           A   2.15   9.01     9.01NA  0.17  11.33 11.331XXX.00.00.00400001            33.5675 090 88     11.31  11.31   0.18
7417426Cta abd&plvs w/contrast                           A   2.15   0.74     0.74    0.13   3.02  3.021XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74174TCCta abd&plvs w/contrast                           A   0.00   8.27     8.27NA  0.04   8.31  8.311XXX.00.00.00400001            33.5675 020 88     10.57  10.57   0.05
74175  Cta abdomen w/contrast                            A   1.77   7.20     7.20NA  0.14   9.11  9.111XXX.00.00.00400001            33.5675 090 88      5.92   5.92   0.13
7417526Cta abdomen w/contrast                            A   1.77   0.61     0.61    0.11   2.49  2.491XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74175TCCta abdomen w/contrast                            A   0.00   6.59     6.59NA  0.03   6.62  6.621XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.02
74176  Ct abd & pelvis w/o contrast                      A   1.70   3.67     3.67NA  0.11   5.48  5.481XXX.00.00.00409001            33.5675 090 88      7.81   7.81   0.14
7417626Ct abd & pelvis w/o contrast                      A   1.70   0.60     0.60    0.09   2.39  2.391XXX.00.00.00409001            33.5675 090 88      0.00   0.00   0.00
74176TCCt abd & pelvis w/o contrast                      A   0.00   3.07     3.07NA  0.02   3.09  3.091XXX.00.00.00409001            33.5675 010 88      7.21   7.21   0.05
74177  Ct abd & pelvis w/contrast                        A   1.77   7.09     7.09NA  0.13   8.99  8.991XXX.00.00.00409001            33.5675 090 88     11.22  11.22   0.14
7417726Ct abd & pelvis w/contrast                        A   1.77   0.63     0.63    0.11   2.51  2.511XXX.00.00.00409001            33.5675 090 88      0.00   0.00   0.00
74177TCCt abd & pelvis w/contrast                        A   0.00   6.46     6.46NA  0.02   6.48  6.481XXX.00.00.00409001            33.5675 020 88     10.59  10.59   0.03
74178  Ct abd&plv wo cntr flwd cntr                      A   1.96   8.01     8.01NA  0.15  10.12 10.121XXX.00.00.00409001            33.5675 090 88     11.27  11.27   0.16
7417826Ct abd&plv wo cntr flwd cntr                      A   1.96   0.70     0.70    0.12   2.78  2.781XXX.00.00.00409001            33.5675 090 88      0.00   0.00   0.00
74178TCCt abd&plv wo cntr flwd cntr                      A   0.00   7.31     7.31NA  0.03   7.34  7.341XXX.00.00.00409001            33.5675 020 88     10.57  10.57   0.04
74181  Mri abdomen w/o contrast                          A   1.42   4.29     4.29NA  0.09   5.80  5.801XXX.00.00.00400001            33.5675 090 88      7.72   7.72   0.11
7418126Mri abdomen w/o contrast                          A   1.42   0.50     0.50    0.07   1.99  1.991XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74181TCMri abdomen w/o contrast                          A   0.00   3.79     3.79NA  0.02   3.81  3.811XXX.00.00.00400001            33.5675 010 88      7.22   7.22   0.04
74182  Mri abdomen w/contrast                            A   1.69   7.18     7.18NA  0.12   8.99  8.991XXX.00.00.00400001            33.5675 090 88     11.16  11.16   0.14
7418226Mri abdomen w/contrast                            A   1.69   0.59     0.59    0.09   2.37  2.371XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74182TCMri abdomen w/contrast                            A   0.00   6.59     6.59NA  0.03   6.62  6.621XXX.00.00.00400001            33.5675 020 88     10.57  10.57   0.05
74183  Mri abd w/o cntr flwd cntr                        A   2.15   7.75     7.75NA  0.16  10.06 10.061XXX.00.00.00400001            33.5675 090 88     11.33  11.33   0.18
7418326Mri abd w/o cntr flwd cntr                        A   2.15   0.76     0.76    0.13   3.04  3.041XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74183TCMri abd w/o cntr flwd cntr                        A   0.00   6.99     6.99NA  0.03   7.02  7.021XXX.00.00.00400001            33.5675 020 88     10.57  10.57   0.05
74185  Mra abd w or w/o cntrst                           R   1.76   8.14     8.14NA  0.15  10.05 10.051XXX.00.00.00400001            33.5675 090 88     11.16  11.16   0.17
7418526Mra abd w or w/o cntrst                           R   1.76   0.60     0.60    0.11   2.47  2.471XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74185TCMra abd w or w/o cntrst                           R   0.00   7.54     7.54NA  0.04   7.58  7.581XXX.00.00.00400001            33.5675 020 88     10.56  10.56   0.06
74190  Peritoneogram rs&i                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     16.77  16.77   0.04
7419026Peritoneogram rs&i                                A   0.47   0.15     0.15    0.03   0.65  0.651XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74190TCPeritoneogram rs&i                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99     16.62  16.62   0.01
74210  X-ray xm phrnx&/crv esoph c+                      A   0.58   2.11     2.11NA  0.04   2.73  2.731XXX.00.00.00000001            33.5675 090 99      5.51   5.51   0.06
7421026X-ray xm phrnx&/crv esoph c+                      A   0.58   0.20     0.20    0.03   0.81  0.811XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74210TCX-ray xm phrnx&/crv esoph c+                      A   0.00   1.91     1.91NA  0.01   1.92  1.921XXX.00.00.00000001            33.5675 030 99      5.31   5.31   0.03
74220  X-ray xm esophagus 1cntrst                        A   0.59   2.19     2.19NA  0.04   2.82  2.821XXX.00.00.00000001            33.5675 090 99      5.52   5.52   0.06
7422026X-ray xm esophagus 1cntrst                        A   0.59   0.21     0.21    0.03   0.83  0.831XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74220TCX-ray xm esophagus 1cntrst                        A   0.00   1.98     1.98NA  0.01   1.99  1.991XXX.00.00.00000001            33.5675 030 99      5.31   5.31   0.03
74221  X-ray xm esophagus 2cntrst                        A   0.68   2.43     2.43NA  0.05   3.16  3.161XXX.00.00.00000001            33.5675 090 99      5.55   5.55   0.06
7422126X-ray xm esophagus 2cntrst                        A   0.68   0.24     0.24    0.04   0.96  0.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74221TCX-ray xm esophagus 2cntrst                        A   0.00   2.19     2.19NA  0.01   2.20  2.201XXX.00.00.00000001            33.5675 030 99      5.31   5.31   0.02
74230  X-ray xm swlng funcj c+                           A   0.52   3.04     3.04NA  0.04   3.60  3.601XXX.00.00.00000001            33.5675 090 99      5.51   5.51   0.05
7423026X-ray xm swlng funcj c+                           A   0.52   0.19     0.19    0.03   0.74  0.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74230TCX-ray xm swlng funcj c+                           A   0.00   2.85     2.85NA  0.01   2.86  2.861XXX.00.00.00000001            33.5675 030 99      5.32   5.32   0.02
74235  Remove esophagus obstruction                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7423526Remove esophagus obstruction                      A   1.16   0.41     0.41    0.07   1.64  1.641XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74235TCRemove esophagus obstruction                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
74240  X-ray xm upr gi trc 1cntrst                       A   0.78   2.82     2.82NA  0.05   3.65  3.651XXX.00.00.00000001            33.5675 090 99      5.63   5.63   0.06
7424026X-ray xm upr gi trc 1cntrst                       A   0.78   0.31     0.31    0.04   1.13  1.131XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74240TCX-ray xm upr gi trc 1cntrst                       A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.00000001            33.5675 030 99      5.32   5.32   0.02
74246  X-ray xm upr gi trc 2cntrst                       A   0.88   3.09     3.09NA  0.06   4.03  4.031XXX.00.00.00000001            33.5675 090 99      5.64   5.64   0.07
7424626X-ray xm upr gi trc 2cntrst                       A   0.88   0.32     0.32    0.05   1.25  1.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74246TCX-ray xm upr gi trc 2cntrst                       A   0.00   2.77     2.77NA  0.01   2.78  2.781XXX.00.00.00000001            33.5675 030 99      5.32   5.32   0.02
74248  X-ray sm int f-thru std                           A   0.68   1.65     1.65NA  0.05   2.38  2.381ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7424826X-ray sm int f-thru std                           A   0.68   0.24     0.24    0.04   0.96  0.961ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74248TCX-ray sm int f-thru std                           A   0.00   1.41     1.41NA  0.01   1.42  1.421ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
74250  X-ray xm sm int 1cntrst std                       A   0.79   2.69     2.69NA  0.06   3.54  3.541XXX.00.00.00000001            33.5675 090 99      5.60   5.60   0.07
7425026X-ray xm sm int 1cntrst std                       A   0.79   0.28     0.28    0.05   1.12  1.121XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74250TCX-ray xm sm int 1cntrst std                       A   0.00   2.41     2.41NA  0.01   2.42  2.421XXX.00.00.00000001            33.5675 020 99      5.32   5.32   0.02
74251  X-ray xm sm int 2cntrst std                       A   1.14   9.07     9.07NA  0.08  10.29 10.291XXX.00.00.00000001            33.5675 090 99      5.73   5.73   0.08
7425126X-ray xm sm int 2cntrst std                       A   1.14   0.40     0.40    0.07   1.61  1.611XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74251TCX-ray xm sm int 2cntrst std                       A   0.00   8.67     8.67NA  0.01   8.68  8.681XXX.00.00.00000001            33.5675 030 99      5.33   5.33   0.01
74261  Ct colonography dx                                A   2.34   9.74     9.74NA  0.17  12.25 12.251XXX.00.00.00400001            33.5675 090 88      4.01   4.01   0.15
7426126Ct colonography dx                                A   2.34   0.84     0.84    0.14   3.32  3.321XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74261TCCt colonography dx                                A   0.00   8.90     8.90NA  0.03   8.93  8.931XXX.00.00.00400001            33.5675 020 88      3.17   3.17   0.01
74262  Ct colonography dx w/dye                          A   2.44  11.15    11.15NA  0.17  13.76 13.761XXX.00.00.00400001            33.5675 090 88      6.20   6.20   0.16
7426226Ct colonography dx w/dye                          A   2.44   0.88     0.88    0.14   3.46  3.461XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74262TCCt colonography dx w/dye                          A   0.00  10.27    10.27NA  0.03  10.30 10.301XXX.00.00.00400001            33.5675 020 88      5.32   5.32   0.02
74263  Ct colonography screening                         A   2.22  22.67    22.67NA  0.11  25.00 25.001XXX.00.00.00400001            33.5675 090 88      8.55   8.55   0.09
7426326Ct colonography screening                         A   2.22   1.30     1.30    0.08   3.60  3.601XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74263TCCt colonography screening                         A   0.00  21.37    21.37NA  0.03  21.40 21.401XXX.00.00.00400001            33.5675 020 88      7.25   7.25   0.01
74270  X-ray xm colon 1cntrst std                        A   1.01   3.37     3.37NA  0.07   4.45  4.451XXX.00.00.00000001            33.5675 090 99      5.68   5.68   0.08
7427026X-ray xm colon 1cntrst std                        A   1.01   0.36     0.36    0.06   1.43  1.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74270TCX-ray xm colon 1cntrst std                        A   0.00   3.01     3.01NA  0.01   3.02  3.021XXX.00.00.00000001            33.5675 030 99      5.32   5.32   0.02
74280  X-ray xm colon 2cntrst std                        A   1.23   5.01     5.01NA  0.09   6.33  6.331XXX.00.00.00000001            33.5675 090 99      5.75   5.75   0.09
7428026X-ray xm colon 2cntrst std                        A   1.23   0.43     0.43    0.07   1.73  1.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74280TCX-ray xm colon 2cntrst std                        A   0.00   4.58     4.58NA  0.02   4.60  4.601XXX.00.00.00000001            33.5675 030 99      5.32   5.32   0.02
74283  Ther nma rdctj intus/obstrcj                      A   1.97   6.29     6.29NA  0.13   8.39  8.391XXX.00.00.00000001            33.5675 090 99      6.32   6.32   0.13
7428326Ther nma rdctj intus/obstrcj                      A   1.97   0.99     0.99    0.12   3.08  3.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74283TCTher nma rdctj intus/obstrcj                      A   0.00   5.30     5.30NA  0.01   5.31  5.311XXX.00.00.00000001            33.5675 030 99      5.33   5.33   0.01
74290  Contrast x-ray gallbladder                        A   0.31   2.09     2.09NA  0.03   2.43  2.431XXX.00.00.00000001            33.5675 090 99      5.42   5.42   0.05
7429026Contrast x-ray gallbladder                        A   0.31   0.11     0.11    0.02   0.44  0.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74290TCContrast x-ray gallbladder                        A   0.00   1.98     1.98NA  0.01   1.99  1.991XXX.00.00.00000001            33.5675 010 99      5.31   5.31   0.03
74300  X-ray bile ducts/pancreas                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7430026X-ray bile ducts/pancreas                         A   0.26   0.10     0.10    0.03   0.39  0.391XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7430126X-rays at surgery add-on                          A   0.20   0.07     0.07    0.01   0.28  0.281ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7432826X-ray bile duct endoscopy                         A   0.46   0.24     0.24    0.02   0.72  0.721XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7432926X-ray for pancreas endoscopy                      A   0.46   0.25     0.25    0.02   0.73  0.731XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7433026X-ray bile/panc endoscopy                         A   0.55   0.25     0.25    0.03   0.83  0.831XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7434026X-ray guide for gi tube                           A   0.53   0.19     0.19    0.03   0.75  0.751XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7435526X-ray guide intestinal tube                       A   0.74   0.27     0.27    0.04   1.05  1.051XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7436026X-ray guide gi dilation                           A   0.53   0.29     0.29    0.05   0.87  0.871XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7436326X-ray bile duct dilation                          A   0.86   0.22     0.22    0.07   1.15  1.151XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
74400  Urography iv +-kub tomog                          A   0.48   3.42     3.42NA  0.05   3.95  3.951XXX.00.00.00000001            33.5675 090 99      5.48   5.48   0.06
7440026Urography iv +-kub tomog                          A   0.48   0.17     0.17    0.03   0.68  0.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74400TCUrography iv +-kub tomog                          A   0.00   3.25     3.25NA  0.02   3.27  3.271XXX.00.00.00000001            33.5675 020 99      5.31   5.31   0.03
74410  Urography nfs drip&/bolus                         A   0.48   3.81     3.81NA  0.04   4.33  4.331XXX.00.00.00000001            33.5675 090 99      5.50   5.50   0.05
7441026Urography nfs drip&/bolus                         A   0.48   0.19     0.19    0.02   0.69  0.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74410TCUrography nfs drip&/bolus                         A   0.00   3.62     3.62NA  0.02   3.64  3.641XXX.00.00.00000001            33.5675 020 99      5.31   5.31   0.03
74415  Urography nfs drip&/bls w/nf                      A   0.48   4.01     4.01NA  0.05   4.54  4.541XXX.00.00.00000001            33.5675 090 99      5.48   5.48   0.06
7441526Urography nfs drip&/bls w/nf                      A   0.48   0.17     0.17    0.03   0.68  0.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74415TCUrography nfs drip&/bls w/nf                      A   0.00   3.84     3.84NA  0.02   3.86  3.861XXX.00.00.00000001            33.5675 020 99      5.31   5.31   0.03
74420  Urography rtrgr +-kub                             A   0.51   1.89     1.89NA  0.03   2.43  2.431XXX.00.00.00000001            33.5675 090 99     10.76  10.76   0.08
7442026Urography rtrgr +-kub                             A   0.51   0.21     0.21    0.02   0.74  0.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74420TCUrography rtrgr +-kub                             A   0.00   1.68     1.68NA  0.01   1.69  1.691XXX.00.00.00000001            33.5675 030 99     10.55  10.55   0.06
74425  Urography antegrade rs&i                          A   0.50   3.47     3.47NA  0.04   4.01  4.011XXX.00.00.00000001            33.5675 090 99     10.77  10.77   0.06
7442526Urography antegrade rs&i                          A   0.50   0.18     0.18    0.03   0.71  0.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74425TCUrography antegrade rs&i                          A   0.00   3.29     3.29NA  0.01   3.30  3.301XXX.00.00.00000001            33.5675 030 99     10.59  10.59   0.03
74430  Contrast x-ray bladder                            A   0.31   0.91     0.91NA  0.03   1.25  1.251XXX.00.00.00000001            33.5675 090 99     10.60  10.60   0.15
7443026Contrast x-ray bladder                            A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74430TCContrast x-ray bladder                            A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.00000001            33.5675 030 99     10.48  10.48   0.13
74440  X-ray male genital tract                          A   0.37   2.63     2.63NA  0.02   3.02  3.021XXX.00.00.00000001            33.5675 090 99      7.39   7.39   0.04
7444026X-ray male genital tract                          A   0.37   0.16     0.16    0.01   0.54  0.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74440TCX-ray male genital tract                          A   0.00   2.47     2.47NA  0.01   2.48  2.481XXX.00.00.00000001            33.5675 030 99      7.23   7.23   0.03
74445  X-ray exam of penis                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      3.63   3.63   0.05
7444526X-ray exam of penis                               A   1.11   0.46     0.46    0.04   1.61  1.611XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74445TCX-ray exam of penis                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      3.17   3.17   0.01
74450  X-ray urethra/bladder                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      7.37   7.37   0.03
7445026X-ray urethra/bladder                             A   0.32   0.12     0.12    0.02   0.46  0.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74450TCX-ray urethra/bladder                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      7.25   7.25   0.01
74455  X-ray urethra/bladder                             A   0.32   2.81     2.81NA  0.03   3.16  3.161XXX.00.00.00000001            33.5675 090 99      7.36   7.36   0.05
7445526X-ray urethra/bladder                             A   0.32   0.13     0.13    0.02   0.47  0.471XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74455TCX-ray urethra/bladder                             A   0.00   2.68     2.68NA  0.01   2.69  2.691XXX.00.00.00000001            33.5675 030 99      7.23   7.23   0.03
74470  X-ray exam of kidney lesion                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     16.80  16.80   0.04
7447026X-ray exam of kidney lesion                       A   0.53   0.18     0.18    0.03   0.74  0.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74470TCX-ray exam of kidney lesion                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99     16.62  16.62   0.01
74485  Dilation urtr/urt rs&i                            A   0.81   2.85     2.85NA  0.04   3.70  3.701XXX.00.00.00000001            33.5675 090 99     63.71  63.71   0.28
7448526Dilation urtr/urt rs&i                            A   0.81   0.34     0.34    0.03   1.18  1.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74485TCDilation urtr/urt rs&i                            A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.00000001            33.5675 030 99     63.37  63.37   0.25
74712  Mri fetal sngl/1st gestation                      A   2.93   9.03     9.03NA  0.20  12.16 12.161XXX.00.00.00400001            33.5675 090 88      8.29   8.29   0.20
7471226Mri fetal sngl/1st gestation                      A   2.93   1.06     1.06    0.17   4.16  4.161XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
74712TCMri fetal sngl/1st gestation                      A   0.00   7.97     7.97NA  0.03   8.00  8.001XXX.00.00.00400001            33.5675 020 88      7.23   7.23   0.03
74713  Mri fetal ea addl gestation                       A   1.80   3.98     3.98NA  0.12   5.90  5.901ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7471326Mri fetal ea addl gestation                       A   1.80   0.65     0.65    0.11   2.56  2.561ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74713TCMri fetal ea addl gestation                       A   0.00   3.33     3.33NA  0.01   3.34  3.341ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
74740  X-ray female genital tract                        A   0.37   2.30     2.30NA  0.03   2.70  2.701XXX.00.00.00000001            33.5675 090 99      7.37   7.37   0.05
7474026X-ray female genital tract                        A   0.37   0.14     0.14    0.02   0.53  0.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74740TCX-ray female genital tract                        A   0.00   2.16     2.16NA  0.01   2.17  2.171XXX.00.00.00000001            33.5675 030 99      7.23   7.23   0.03
74742  X-ray fallopian tube                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7474226X-ray fallopian tube                              A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      7.47   7.47   0.05
7477526X-ray exam of perineum                            A   0.60   0.22     0.22    0.04   0.86  0.861XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
74775TCX-ray exam of perineum                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      7.25   7.25   0.01
75557  Cardiac mri for morph                             A   2.29   5.97     5.97NA  0.11   8.37  8.371XXX.00.00.00400001            33.5675 090 88      8.07   8.07   0.12
7555726Cardiac mri for morph                             A   2.29   0.84     0.84    0.09   3.22  3.221XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75557TCCardiac mri for morph                             A   0.00   5.13     5.13NA  0.02   5.15  5.151XXX.00.00.00400001            33.5675 010 88      7.23   7.23   0.03
75559  Cardiac mri w/stress img                          A   2.88   8.39     8.39NA  0.11  11.38 11.381XXX.00.00.00400001            33.5675 090 88     17.66  17.66   0.14
7555926Cardiac mri w/stress img                          A   2.88   1.08     1.08    0.09   4.05  4.051XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75559TCCardiac mri w/stress img                          A   0.00   7.31     7.31NA  0.02   7.33  7.331XXX.00.00.00400001            33.5675 020 88     16.58  16.58   0.05
75561  Cardiac mri for morph w/dye                       A   2.54   8.24     8.24NA  0.15  10.93 10.931XXX.00.00.00400001            33.5675 090 88     11.50  11.50   0.16
7556126Cardiac mri for morph w/dye                       A   2.54   0.93     0.93    0.12   3.59  3.591XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75561TCCardiac mri for morph w/dye                       A   0.00   7.31     7.31NA  0.03   7.34  7.341XXX.00.00.00400001            33.5675 010 88     10.57  10.57   0.04
75563  Card mri w/stress img & dye                       A   2.93   9.79     9.79NA  0.15  12.87 12.871XXX.00.00.00400001            33.5675 090 88     24.86  24.86   0.20
7556326Card mri w/stress img & dye                       A   2.93   1.08     1.08    0.12   4.13  4.131XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75563TCCard mri w/stress img & dye                       A   0.00   8.71     8.71NA  0.03   8.74  8.741XXX.00.00.00400001            33.5675 010 88     23.78  23.78   0.08
75565  Card mri veloc flow mapping                       A   0.24   1.11     1.11NA  0.01   1.36  1.361ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7556526Card mri veloc flow mapping                       A   0.24   0.09     0.09    0.01   0.34  0.341ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75565TCCard mri veloc flow mapping                       A   0.00   1.02     1.02NA  0.00   1.02  1.021ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
75571  Ct hrt w/o dye w/ca test                          A   0.57   2.36     2.36NA  0.05   2.98  2.981XXX.00.00.00400001            33.5675 090 88      2.82   2.82   0.05
7557126Ct hrt w/o dye w/ca test                          A   0.57   0.20     0.20    0.03   0.80  0.801XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75571TCCt hrt w/o dye w/ca test                          A   0.00   2.16     2.16NA  0.02   2.18  2.181XXX.00.00.00400001            33.5675 020 88      2.62   2.62   0.02
75572  Ct hrt w/3d image                                 A   1.71   5.06     5.06NA  0.10   6.87  6.871XXX.00.00.00400001            33.5675 090 88     11.17  11.17   0.14
7557226Ct hrt w/3d image                                 A   1.71   0.62     0.62    0.07   2.40  2.401XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75572TCCt hrt w/3d image                                 A   0.00   4.44     4.44NA  0.03   4.47  4.471XXX.00.00.00400001            33.5675 020 88     10.55  10.55   0.07
75573  Ct hrt c+ strux cgen hrt ds                       A   2.49   6.60     6.60NA  0.17   9.26  9.261XXX.00.00.00400001            33.5675 090 88     11.46  11.46   0.20
7557326Ct hrt c+ strux cgen hrt ds                       A   2.49   0.92     0.92    0.13   3.54  3.541XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75573TCCt hrt c+ strux cgen hrt ds                       A   0.00   5.68     5.68NA  0.04   5.72  5.721XXX.00.00.00400001            33.5675 020 88     10.54  10.54   0.07
75574  Ct angio hrt w/3d image                           A   2.34   7.25     7.25NA  0.16   9.75  9.751XXX.00.00.00400001            33.5675 090 88     11.40  11.40   0.19
7557426Ct angio hrt w/3d image                           A   2.34   0.85     0.85    0.12   3.31  3.311XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75574TCCt angio hrt w/3d image                           A   0.00   6.40     6.40NA  0.04   6.44  6.441XXX.00.00.00400001            33.5675 020 88     10.55  10.55   0.07
75577  Quan&char c athrosclrtc plaq                      A   0.85  29.40    29.40NA  0.05  30.30 30.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7557726Quan&char c athrosclrtc plaq                      A   0.85   0.35     0.35    0.04   1.24  1.241XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75577TCQuan&char c athrosclrtc plaq                      A   0.00  29.05    29.05NA  0.01  29.06 29.061XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
75580  N-invas est c ffr sw aly cta                      A   0.73  25.73    25.73NA  0.09  26.55 26.551XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7558026N-invas est c ffr sw aly cta                      A   0.73   0.27     0.27    0.03   1.03  1.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75580TCN-invas est c ffr sw aly cta                      A   0.00  25.46    25.46NA  0.06  25.52 25.521XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
75600  Contrast exam thoracic aorta                      A   0.48   4.74     4.74NA  0.09   5.31  5.311XXX.00.00.00600001            33.5675 090 99     95.84  95.84   0.49
7560026Contrast exam thoracic aorta                      A   0.48   0.16     0.16    0.07   0.71  0.711XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75600TCContrast exam thoracic aorta                      A   0.00   4.58     4.58NA  0.02   4.60  4.601XXX.00.00.00600001            33.5675 030 99     95.68  95.68   0.42
75605  Contrast exam thoracic aorta                      A   1.11   2.37     2.37NA  0.14   3.62  3.621XXX.00.00.00600001            33.5675 090 99    168.03 168.03   1.78
7560526Contrast exam thoracic aorta                      A   1.11   0.33     0.33    0.12   1.56  1.561XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75605TCContrast exam thoracic aorta                      A   0.00   2.04     2.04NA  0.02   2.06  2.061XXX.00.00.00600001            33.5675 030 99    167.70 167.70   1.66
75625  Contrast exam abdominl aorta                      A   1.40   2.13     2.13NA  0.22   3.75  3.751XXX.00.00.00600001            33.5675 090 99     95.92  95.92   0.75
7562526Contrast exam abdominl aorta                      A   1.40   0.36     0.36    0.21   1.97  1.971XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75625TCContrast exam abdominl aorta                      A   0.00   1.77     1.77NA  0.01   1.78  1.781XXX.00.00.00600001            33.5675 030 99     95.56  95.56   0.54
75630  X-ray aorta leg arteries                          A   1.95   2.48     2.48NA  0.23   4.66  4.661XXX.00.00.00600001            33.5675 090 99     95.67  95.67   1.21
7563026X-ray aorta leg arteries                          A   1.95   0.57     0.57    0.21   2.73  2.731XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75630TCX-ray aorta leg arteries                          A   0.00   1.91     1.91NA  0.02   1.93  1.931XXX.00.00.00600001            33.5675 030 99     95.10  95.10   1.00
75635  Ct angio abdominal arteries                       A   2.34   9.77     9.77NA  0.20  12.31 12.311XXX.00.00.00400001            33.5675 090 88      6.10   6.10   0.18
7563526Ct angio abdominal arteries                       A   2.34   0.79     0.79    0.15   3.28  3.281XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
75635TCCt angio abdominal arteries                       A   0.00   8.98     8.98NA  0.05   9.03  9.031XXX.00.00.00400001            33.5675 020 88      5.31   5.31   0.03
75705  Artery x-rays spine                               A   2.13   6.08     6.08NA  0.50   8.71  8.711XXX.00.00.00600001            33.5675 090 99    169.42 169.42   1.49
7570526Artery x-rays spine                               A   2.13   1.08     1.08    0.47   3.68  3.681XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75705TCArtery x-rays spine                               A   0.00   5.00     5.00NA  0.03   5.03  5.031XXX.00.00.00600001            33.5675 030 99    168.34 168.34   1.02
75710  Artery x-rays arm/leg                             A   1.71   2.51     2.51NA  0.25   4.47  4.471XXX.00.00.00600001            33.5675 090 99     95.63  95.63   1.17
7571026Artery x-rays arm/leg                             A   1.71   0.47     0.47    0.23   2.41  2.411XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75710TCArtery x-rays arm/leg                             A   0.00   2.04     2.04NA  0.02   2.06  2.061XXX.00.00.00600001            33.5675 030 99     95.16  95.16   0.94
75716  Artery x-rays arms/legs                           A   1.92   2.72     2.72NA  0.23   4.87  4.871XXX.00.00.00620001            33.5675 090 99     95.78  95.78   1.10
7571626Artery x-rays arms/legs                           A   1.92   0.57     0.57    0.21   2.70  2.701XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
75716TCArtery x-rays arms/legs                           A   0.00   2.15     2.15NA  0.02   2.17  2.171XXX.00.00.00620001            33.5675 030 99     95.21  95.21   0.89
75726  Artery x-rays abdomen                             A   2.00   2.84     2.84NA  0.18   5.02  5.021XXX.00.00.00600001            33.5675 090 99    168.44 168.44   1.64
7572626Artery x-rays abdomen                             A   2.00   0.56     0.56    0.16   2.72  2.721XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75726TCArtery x-rays abdomen                             A   0.00   2.28     2.28NA  0.02   2.30  2.301XXX.00.00.00600001            33.5675 030 99    167.88 167.88   1.48
75731  Artery x-rays adrenal gland                       A   1.11   3.31     3.31NA  0.10   4.52  4.521XXX.00.00.00600001            33.5675 090 99     95.51  95.51   1.06
7573126Artery x-rays adrenal gland                       A   1.11   0.39     0.39    0.07   1.57  1.571XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75731TCArtery x-rays adrenal gland                       A   0.00   2.92     2.92NA  0.03   2.95  2.951XXX.00.00.00600001            33.5675 030 99     95.12  95.12   0.99
75733  Artery x-rays adrenals                            A   1.28   3.88     3.88NA  0.08   5.24  5.241XXX.00.00.00620001            33.5675 090 99     95.45  95.45   1.16
7573326Artery x-rays adrenals                            A   1.28   0.47     0.47    0.04   1.79  1.791XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
75733TCArtery x-rays adrenals                            A   0.00   3.41     3.41NA  0.04   3.45  3.451XXX.00.00.00620001            33.5675 030 99     94.98  94.98   1.12
75736  Artery x-rays pelvis                              A   1.11   3.07     3.07NA  0.11   4.29  4.291XXX.00.00.00600001            33.5675 090 99    167.84 167.84   1.92
7573626Artery x-rays pelvis                              A   1.11   0.31     0.31    0.08   1.50  1.501XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75736TCArtery x-rays pelvis                              A   0.00   2.76     2.76NA  0.03   2.79  2.791XXX.00.00.00600001            33.5675 030 99    167.53 167.53   1.84
75741  Artery x-rays lung                                A   1.28   2.44     2.44NA  0.11   3.83  3.831XXX.00.00.00600001            33.5675 090 99     95.55  95.55   1.02
7574126Artery x-rays lung                                A   1.28   0.38     0.38    0.09   1.75  1.751XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75741TCArtery x-rays lung                                A   0.00   2.06     2.06NA  0.02   2.08  2.081XXX.00.00.00600001            33.5675 030 99     95.17  95.17   0.93
75743  Artery x-rays lungs                               A   1.62   2.61     2.61NA  0.14   4.37  4.371XXX.00.00.00620001            33.5675 090 99     95.69  95.69   1.03
7574326Artery x-rays lungs                               A   1.62   0.49     0.49    0.12   2.23  2.231XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
75743TCArtery x-rays lungs                               A   0.00   2.12     2.12NA  0.02   2.14  2.141XXX.00.00.00620001            33.5675 030 99     95.20  95.20   0.91
75746  Artery x-rays lung                                A   1.11   2.82     2.82NA  0.09   4.02  4.021XXX.00.00.00600001            33.5675 090 99     95.67  95.67   0.85
7574626Artery x-rays lung                                A   1.11   0.35     0.35    0.07   1.53  1.531XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75746TCArtery x-rays lung                                A   0.00   2.47     2.47NA  0.02   2.49  2.491XXX.00.00.00600001            33.5675 030 99     95.32  95.32   0.78
75756  Artery x-rays chest                               A   1.11   3.75     3.75NA  0.15   5.01  5.011XXX.00.00.00600001            33.5675 090 99     95.63  95.63   0.98
7575626Artery x-rays chest                               A   1.11   0.39     0.39    0.12   1.62  1.621XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75756TCArtery x-rays chest                               A   0.00   3.36     3.36NA  0.03   3.39  3.391XXX.00.00.00600001            33.5675 030 99     95.24  95.24   0.86
75774  Artery x-ray each vessel                          A   0.98   1.79     1.79NA  0.08   2.85  2.851ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7577426Artery x-ray each vessel                          A   0.98   0.28     0.28    0.07   1.33  1.331ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75774TCArtery x-ray each vessel                          A   0.00   1.51     1.51NA  0.01   1.52  1.521ZZZ.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99     19.48  19.48   0.13
7580126Lymph vessel x-ray arm/leg                        A   0.79   0.40     0.40    0.12   1.31  1.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75801TCLymph vessel x-ray arm/leg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99     19.08  19.08   0.01
75803  Lymph vessel x-ray arms/legs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00020001            33.5675 090 99     48.31  48.31   0.08
7580326Lymph vessel x-ray arms/legs                      A   1.14   0.41     0.41    0.07   1.62  1.621XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
75803TCLymph vessel x-ray arms/legs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00020001            33.5675 030 99     47.90  47.90   0.01
75805  Lymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     96.38  96.38   0.06
7580526Lymph vessel x-ray trunk                          A   0.79   0.29     0.29    0.05   1.13  1.131XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75805TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99     96.09  96.09   0.01
75807  Lymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00020001            33.5675 090 99     96.40  96.40   0.09
7580726Lymph vessel x-ray trunk                          A   1.14   0.31     0.31    0.08   1.53  1.531XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
75807TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00020001            33.5675 030 99     96.09  96.09   0.01
75809  Nonvascular shunt x-ray                           A   0.46   2.04     2.04NA  0.05   2.55  2.551XXX.00.00.00600001            33.5675 090 99      3.36   3.36   0.06
7580926Nonvascular shunt x-ray                           A   0.46   0.20     0.20    0.04   0.70  0.701XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75809TCNonvascular shunt x-ray                           A   0.00   1.84     1.84NA  0.01   1.85  1.851XXX.00.00.00600001            33.5675 030 99      3.16   3.16   0.02
75810  Vein x-ray spleen/liver                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     96.30  96.30   0.10
7581026Vein x-ray spleen/liver                           A   1.11   0.21     0.21    0.09   1.41  1.411XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75810TCVein x-ray spleen/liver                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99     96.09  96.09   0.01
75820  Vein x-ray arm/leg                                A   1.02   2.10     2.10NA  0.09   3.21  3.211XXX.00.00.00600001            33.5675 090 99     47.98  47.98   0.35
7582026Vein x-ray arm/leg                                A   1.02   0.34     0.34    0.08   1.44  1.441XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75820TCVein x-ray arm/leg                                A   0.00   1.76     1.76NA  0.01   1.77  1.771XXX.00.00.00600001            33.5675 030 99     47.64  47.64   0.27
75822  Vein x-ray arms/legs                              A   1.44   2.41     2.41NA  0.14   3.99  3.991XXX.00.00.00620001            33.5675 090 99     48.12  48.12   0.38
7582226Vein x-ray arms/legs                              A   1.44   0.45     0.45    0.13   2.02  2.021XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
75822TCVein x-ray arms/legs                              A   0.00   1.96     1.96NA  0.01   1.97  1.971XXX.00.00.00620001            33.5675 030 99     47.67  47.67   0.25
75825  Vein x-ray trunk                                  A   1.11   2.15     2.15NA  0.14   3.40  3.401XXX.00.00.00600001            33.5675 090 99     95.89  95.89   0.66
7582526Vein x-ray trunk                                  A   1.11   0.32     0.32    0.13   1.56  1.561XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75825TCVein x-ray trunk                                  A   0.00   1.83     1.83NA  0.01   1.84  1.841XXX.00.00.00600001            33.5675 030 99     95.57  95.57   0.53
75827  Vein x-ray chest                                  A   1.11   2.30     2.30NA  0.15   3.56  3.561XXX.00.00.00600001            33.5675 090 99     48.00  48.00   0.38
7582726Vein x-ray chest                                  A   1.11   0.33     0.33    0.14   1.58  1.581XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75827TCVein x-ray chest                                  A   0.00   1.97     1.97NA  0.01   1.98  1.981XXX.00.00.00600001            33.5675 030 99     47.67  47.67   0.24
75831  Vein x-ray kidney                                 A   1.11   2.34     2.34NA  0.11   3.56  3.561XXX.00.00.00600001            33.5675 090 99     95.46  95.46   1.03
7583126Vein x-ray kidney                                 A   1.11   0.30     0.30    0.09   1.50  1.501XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75831TCVein x-ray kidney                                 A   0.00   2.04     2.04NA  0.02   2.06  2.061XXX.00.00.00600001            33.5675 030 99     95.16  95.16   0.94
75833  Vein x-ray kidneys                                A   1.45   3.02     3.02NA  0.22   4.69  4.691XXX.00.00.00620001            33.5675 090 99     95.84  95.84   0.96
7583326Vein x-ray kidneys                                A   1.45   0.50     0.50    0.20   2.15  2.151XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
75833TCVein x-ray kidneys                                A   0.00   2.52     2.52NA  0.02   2.54  2.541XXX.00.00.00620001            33.5675 030 99     95.34  95.34   0.76
75840  Vein x-ray adrenal gland                          A   1.11   2.56     2.56NA  0.09   3.76  3.761XXX.00.00.00600001            33.5675 090 99     95.61  95.61   0.95
7584026Vein x-ray adrenal gland                          A   1.11   0.39     0.39    0.07   1.57  1.571XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75840TCVein x-ray adrenal gland                          A   0.00   2.17     2.17NA  0.02   2.19  2.191XXX.00.00.00600001            33.5675 030 99     95.22  95.22   0.88
75860  Vein x-ray neck                                   A   1.11   2.64     2.64NA  0.13   3.88  3.881XXX.00.00.00600001            33.5675 090 99     95.63  95.63   0.96
7586026Vein x-ray neck                                   A   1.11   0.38     0.38    0.11   1.60  1.601XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75860TCVein x-ray neck                                   A   0.00   2.26     2.26NA  0.02   2.28  2.281XXX.00.00.00600001            33.5675 030 99     95.25  95.25   0.85
75870  Vein x-ray skull                                  A   1.11   4.16     4.16NA  0.24   5.51  5.511XXX.00.00.00600001            33.5675 090 99     96.11  96.11   0.75
7587026Vein x-ray skull                                  A   1.11   0.54     0.54    0.22   1.87  1.871XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75870TCVein x-ray skull                                  A   0.00   3.62     3.62NA  0.02   3.64  3.641XXX.00.00.00600001            33.5675 030 99     95.57  95.57   0.53
75872  Vein x-ray skull epidural                         A   1.11   2.56     2.56NA  0.09   3.76  3.761XXX.00.00.00600001            33.5675 090 99     19.31  19.31   0.25
7587226Vein x-ray skull epidural                         A   1.11   0.39     0.39    0.07   1.57  1.571XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75872TCVein x-ray skull epidural                         A   0.00   2.17     2.17NA  0.02   2.19  2.191XXX.00.00.00600001            33.5675 030 99     18.92  18.92   0.18
75880  Vein x-ray eye socket                             A   0.68   2.41     2.41NA  0.06   3.15  3.151XXX.00.00.00600001            33.5675 090 99     19.17  19.17   0.22
7588026Vein x-ray eye socket                             A   0.68   0.25     0.25    0.04   0.97  0.971XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75880TCVein x-ray eye socket                             A   0.00   2.16     2.16NA  0.02   2.18  2.181XXX.00.00.00600001            33.5675 030 99     18.92  18.92   0.18
75885  Vein x-ray liver w/hemodynam                      A   1.40   2.52     2.52NA  0.13   4.05  4.051XXX.00.00.00600001            33.5675 090 99     95.59  95.59   1.01
7588526Vein x-ray liver w/hemodynam                      A   1.40   0.39     0.39    0.11   1.90  1.901XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75885TCVein x-ray liver w/hemodynam                      A   0.00   2.13     2.13NA  0.02   2.15  2.151XXX.00.00.00600001            33.5675 030 99     95.20  95.20   0.90
75887  Vein x-ray liver w/o hemodyn                      A   1.40   2.53     2.53NA  0.13   4.06  4.061XXX.00.00.00600001            33.5675 090 99     95.59  95.59   1.01
7588726Vein x-ray liver w/o hemodyn                      A   1.40   0.39     0.39    0.11   1.90  1.901XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75887TCVein x-ray liver w/o hemodyn                      A   0.00   2.14     2.14NA  0.02   2.16  2.161XXX.00.00.00600001            33.5675 030 99     95.20  95.20   0.90
75889  Vein x-ray liver w/hemodynam                      A   1.11   2.46     2.46NA  0.09   3.66  3.661XXX.00.00.00600001            33.5675 090 99     95.52  95.52   0.97
7588926Vein x-ray liver w/hemodynam                      A   1.11   0.32     0.32    0.07   1.50  1.501XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75889TCVein x-ray liver w/hemodynam                      A   0.00   2.14     2.14NA  0.02   2.16  2.161XXX.00.00.00600001            33.5675 030 99     95.20  95.20   0.90
75891  Vein x-ray liver                                  A   1.11   2.48     2.48NA  0.09   3.68  3.681XXX.00.00.00600001            33.5675 090 99     95.54  95.54   0.96
7589126Vein x-ray liver                                  A   1.11   0.33     0.33    0.07   1.51  1.511XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75891TCVein x-ray liver                                  A   0.00   2.15     2.15NA  0.02   2.17  2.171XXX.00.00.00600001            33.5675 030 99     95.21  95.21   0.89
75893  Venous sampling by catheter                       A   0.53   2.70     2.70NA  0.08   3.31  3.311XXX.00.00.00600001            33.5675 090 99    168.20 168.20   1.41
7589326Venous sampling by catheter                       A   0.53   0.19     0.19    0.06   0.78  0.781XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
75893TCVenous sampling by catheter                       A   0.00   2.51     2.51NA  0.02   2.53  2.531XXX.00.00.00600001            33.5675 030 99    168.01 168.01   1.35
75894  X-rays transcath therapy                          A   2.19   6.78     6.78NA  0.51   9.48  9.481XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7589426X-rays transcath therapy                          A   2.19   1.15     1.15    0.48   3.82  3.821XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75894TCX-rays transcath therapy                          A   0.00   5.63     5.63NA  0.03   5.66  5.661XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
75898  Follow-up angiography                             A   1.80   5.94     5.94NA  0.43   8.17  8.171XXX.00.00.00000001            33.5675 090 99     96.68  96.68   0.80
7589826Follow-up angiography                             A   1.80   0.97     0.97    0.41   3.18  3.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75898TCFollow-up angiography                             A   0.00   4.97     4.97NA  0.02   4.99  4.991XXX.00.00.00000001            33.5675 090 99     95.71  95.71   0.39
75901  Remove cva device obstruct                        A   0.48   6.28     6.28NA  0.06   6.82  6.821XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7590126Remove cva device obstruct                        A   0.48   0.15     0.15    0.04   0.67  0.671XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75901TCRemove cva device obstruct                        A   0.00   6.13     6.13NA  0.02   6.15  6.151XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
75902  Remove cva lumen obstruct                         A   0.38   2.15     2.15NA  0.05   2.58  2.581XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7590226Remove cva lumen obstruct                         A   0.38   0.12     0.12    0.04   0.54  0.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75902TCRemove cva lumen obstruct                         A   0.00   2.03     2.03NA  0.01   2.04  2.041XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
75970  Vascular biopsy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7597026Vascular biopsy                                   A   0.81   0.23     0.23    0.06   1.10  1.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75970TCVascular biopsy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
75984  Xray control catheter change                      A   0.81   1.93     1.93NA  0.07   2.81  2.811XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7598426Xray control catheter change                      A   0.81   0.24     0.24    0.06   1.11  1.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75984TCXray control catheter change                      A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
75989  Abscess drainage under x-ray                      A   1.16   2.12     2.12NA  0.09   3.37  3.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7598926Abscess drainage under x-ray                      A   1.16   0.39     0.39    0.08   1.63  1.631XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
75989TCAbscess drainage under x-ray                      A   0.00   1.73     1.73NA  0.01   1.74  1.741XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76000  Fluoroscopy <1 hr phys/qhp                        A   0.30   0.98     0.98NA  0.04   1.32  1.321XXX.00.00.00000001            33.5675 090 99      7.31   7.31   0.12
7600026Fluoroscopy <1 hr phys/qhp                        A   0.30   0.13     0.13    0.03   0.46  0.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76000TCFluoroscopy <1 hr phys/qhp                        A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.00000001            33.5675 030 99      7.18   7.18   0.09
76010  X-ray nose to rectum                              A   0.18   0.66     0.66NA  0.02   0.86  0.861XXX.00.00.00000001            33.5675 090 99      2.66   2.66   0.05
7601026X-ray nose to rectum                              A   0.18   0.06     0.06    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76010TCX-ray nose to rectum                              A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.00000001            33.5675 010 99      2.60   2.60   0.04
76014  Mr sfty implt&/fb asmt stf 1                      A   0.00   0.32     0.32NA  0.01   0.33  0.333XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76015  Mr sfty mplt&/fb asmt stf ea                      A   0.00   1.53     1.53NA  0.06   1.59  1.593ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76016  Mr safety deter phys/qhp                          A   0.59   1.51     1.51NA  0.05   2.15  2.151XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7601626Mr safety deter phys/qhp                          A   0.59   0.21     0.21    0.03   0.83  0.831XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76016TCMr safety deter phys/qhp                          A   0.00   1.30     1.30NA  0.02   1.32  1.321XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
76017  Mr sfty med physics xm cstmz                      A   0.74   5.79     5.79NA  0.11   6.64  6.641XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7601726Mr sfty med physics xm cstmz                      A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76017TCMr sfty med physics xm cstmz                      A   0.00   5.53     5.53NA  0.07   5.60  5.601XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
76018  Mr safety implant elec prepj                      A   0.73   2.67     2.67NA  0.04   3.44  3.441XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7601826Mr safety implant elec prepj                      A   0.73   0.27     0.27    0.03   1.03  1.031XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76018TCMr safety implant elec prepj                      A   0.00   2.40     2.40NA  0.01   2.41  2.411XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
76019  Mr safety implt pos&/immoblj                      A   0.59   3.93     3.93NA  0.07   4.59  4.591XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7601926Mr safety implt pos&/immoblj                      A   0.59   0.19     0.19    0.06   0.84  0.841XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76019TCMr safety implt pos&/immoblj                      A   0.00   3.74     3.74NA  0.01   3.75  3.751XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
76080  X-ray exam of fistula                             A   0.53   1.18     1.18NA  0.05   1.76  1.761XXX.00.00.00000001            33.5675 090 99     16.62  16.62   0.20
7608026X-ray exam of fistula                             A   0.53   0.15     0.15    0.04   0.72  0.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76080TCX-ray exam of fistula                             A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.00000001            33.5675 030 99     16.47  16.47   0.16
76098  X-ray exam surgical specimen                      A   0.30   0.96     0.96NA  0.03   1.29  1.291XXX.00.00.00000001            33.5675 090 99     16.55  16.55   0.22
7609826X-ray exam surgical specimen                      A   0.30   0.12     0.12    0.02   0.44  0.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76098TCX-ray exam surgical specimen                      A   0.00   0.84     0.84NA  0.01   0.85  0.851XXX.00.00.00000001            33.5675 010 99     16.43  16.43   0.20
76100  X-ray exam of body section                        A   0.57   1.97     1.97NA  0.04   2.58  2.581XXX.00.00.00000001            33.5675 090 99      3.37   3.37   0.05
7610026X-ray exam of body section                        A   0.57   0.21     0.21    0.03   0.81  0.811XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76100TCX-ray exam of body section                        A   0.00   1.76     1.76NA  0.01   1.77  1.771XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
76120  Cine/video x-rays                                 A   0.37   3.01     3.01NA  0.02   3.40  3.401XXX.00.00.00000001            33.5675 090 99      3.35   3.35   0.02
7612026Cine/video x-rays                                 A   0.37   0.18     0.18    0.01   0.56  0.561XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76120TCCine/video x-rays                                 A   0.00   2.83     2.83NA  0.01   2.84  2.841XXX.00.00.00000001            33.5675 020 99      3.17   3.17   0.01
76125  Cine/video x-rays add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7612526Cine/video x-rays add-on                          A   0.26   0.13     0.13    0.03   0.42  0.421ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
76145  Med physic dos eval rad exps                      A   0.00  30.60    30.60NA  0.51  31.11 31.113XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76376  3d render w/intrp postproces                      A   0.20   0.54     0.54NA  0.02   0.76  0.761XXX.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76376TC3d render w/intrp postproces                      A   0.00   0.47     0.47NA  0.01   0.48  0.481XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
76377  3d render w/intrp postproces                      A   0.77   1.52     1.52NA  0.07   2.36  2.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76377263d render w/intrp postproces                      A   0.77   0.29     0.29    0.05   1.11  1.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76377TC3d render w/intrp postproces                      A   0.00   1.23     1.23NA  0.02   1.25  1.251XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76380  Cat scan follow-up study                          A   0.96   2.92     2.92NA  0.08   3.96  3.961XXX.00.00.00000001            33.5675 090 99      2.95   2.95   0.08
7638026Cat scan follow-up study                          A   0.96   0.31     0.31    0.07   1.34  1.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76380TCCat scan follow-up study                          A   0.00   2.61     2.61NA  0.01   2.62  2.621XXX.00.00.00000001            33.5675 010 99      2.64   2.64   0.01
76390  Mr spectroscopy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7639026Mr spectroscopy                                   C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76390TCMr spectroscopy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
76391  Mr elastography                                   A   1.07   4.76     4.76NA  0.08   5.91  5.911XXX.00.00.00400001            33.5675 090 88      7.60   7.60   0.09
7639126Mr elastography                                   A   1.07   0.37     0.37    0.06   1.50  1.501XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76391TCMr elastography                                   A   0.00   4.39     4.39NA  0.02   4.41  4.411XXX.00.00.00400001            33.5675 020 88      7.23   7.23   0.03
76496  Unlisted fluoroscopic px                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7649626Unlisted fluoroscopic px                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76496TCUnlisted fluoroscopic px                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      2.64   2.64   0.01
76497  Unlisted ct procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7649726Unlisted ct procedure                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76497TCUnlisted ct procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 020 99      2.64   2.64   0.01
76498  Unlisted mr procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7649826Unlisted mr procedure                             C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76498TCUnlisted mr procedure                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 020 99      2.64   2.64   0.01
76499  Unlisted dx radiographic px                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76506  Echo exam of head                                 A   0.61   2.60     2.60NA  0.05   3.26  3.261XXX.00.00.00000001            33.5675 090 99      3.40   3.40   0.05
7650626Echo exam of head                                 A   0.61   0.23     0.23    0.04   0.88  0.881XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76506TCEcho exam of head                                 A   0.00   2.37     2.37NA  0.01   2.38  2.381XXX.00.00.00000001            33.5675 010 99      3.17   3.17   0.01
76510  Oph us dx b-scan&quan a-scan                      A   0.68   1.36     1.36NA  0.02   2.06  2.061XXX.00.00.00730001            33.5675 090 99      4.46   4.46   0.05
7651026Oph us dx b-scan&quan a-scan                      A   0.68   0.46     0.46    0.01   1.15  1.151XXX.00.00.00730001            33.5675 090 99      0.00   0.00   0.00
76510TCOph us dx b-scan&quan a-scan                      A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.00730001            33.5675 020 99      4.00   4.00   0.04
76511  Oph us dx quan a-scan only                        A   0.62   1.08     1.08NA  0.02   1.72  1.721XXX.00.00.00730001            33.5675 090 99      3.55   3.55   0.06
7651126Oph us dx quan a-scan only                        A   0.62   0.42     0.42    0.01   1.05  1.051XXX.00.00.00730001            33.5675 090 99      0.00   0.00   0.00
76511TCOph us dx quan a-scan only                        A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.00730001            33.5675 020 99      3.13   3.13   0.05
76512  Oph us dx b-scan                                  A   0.55   0.89     0.89NA  0.02   1.46  1.461XXX.00.00.00730001            33.5675 090 99      3.47   3.47   0.07
7651226Oph us dx b-scan                                  A   0.55   0.35     0.35    0.01   0.91  0.911XXX.00.00.00730001            33.5675 090 99      0.00   0.00   0.00
76512TCOph us dx b-scan                                  A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.00730001            33.5675 020 99      3.12   3.12   0.06
76513  Oph us dx ant sgm us uni/bi                       A   0.59   1.68     1.68NA  0.02   2.29  2.291XXX.00.00.00730001            33.5675 090 99      3.53   3.53   0.03
7651326Oph us dx ant sgm us uni/bi                       A   0.59   0.37     0.37    0.01   0.97  0.971XXX.00.00.00730001            33.5675 090 99      0.00   0.00   0.00
76513TCOph us dx ant sgm us uni/bi                       A   0.00   1.31     1.31NA  0.01   1.32  1.321XXX.00.00.00730001            33.5675 020 99      3.16   3.16   0.02
76514  Echo exam of eye thickness                        A   0.14   0.19     0.19NA  0.02   0.35  0.351XXX.00.00.00720001            33.5675 090 99      0.89   0.89   0.08
7651426Echo exam of eye thickness                        A   0.14   0.08     0.08    0.01   0.23  0.231XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
76514TCEcho exam of eye thickness                        A   0.00   0.11     0.11NA  0.01   0.12  0.121XXX.00.00.00720001            33.5675 010 99      0.81   0.81   0.07
76516  Echo exam of eye                                  A   0.39   1.02     1.02NA  0.02   1.43  1.431XXX.00.00.00720001            33.5675 090 99      3.41   3.41   0.05
7651626Echo exam of eye                                  A   0.39   0.27     0.27    0.01   0.67  0.671XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
76516TCEcho exam of eye                                  A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.00720001            33.5675 010 99      3.14   3.14   0.04
76519  Echo exam of eye                                  A   0.53   1.53     1.53NA  0.02   2.08  2.081XXX.00.00.00720001            33.5675 090 99      3.51   3.51   0.04
7651926Echo exam of eye                                  A   0.53   0.36     0.36    0.01   0.90  0.901XXX.00.00.00730001            33.5675 090 99      0.00   0.00   0.00
76519TCEcho exam of eye                                  A   0.00   1.17     1.17NA  0.01   1.18  1.181XXX.00.00.00720001            33.5675 010 99      3.15   3.15   0.03
76529  Echo exam of eye                                  A   0.56   2.02     2.02NA  0.03   2.61  2.611XXX.00.00.00030001            33.5675 090 99      3.01   3.01   0.04
7652926Echo exam of eye                                  A   0.56   0.38     0.38    0.02   0.96  0.961XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
76529TCEcho exam of eye                                  A   0.00   1.64     1.64NA  0.01   1.65  1.651XXX.00.00.00030001            33.5675 010 99      2.63   2.63   0.02
76536  Us exam of head and neck                          A   0.55   2.66     2.66NA  0.04   3.25  3.251XXX.00.00.00000001            33.5675 090 99      3.38   3.38   0.04
7653626Us exam of head and neck                          A   0.55   0.21     0.21    0.03   0.79  0.791XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76536TCUs exam of head and neck                          A   0.00   2.45     2.45NA  0.01   2.46  2.461XXX.00.00.00000001            33.5675 010 99      3.17   3.17   0.01
76604  Us exam chest                                     A   0.58   1.20     1.20NA  0.05   1.83  1.831XXX.00.00.00400001            33.5675 090 88      3.36   3.36   0.07
7660426Us exam chest                                     A   0.58   0.21     0.21    0.04   0.83  0.831XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76604TCUs exam chest                                     A   0.00   0.99     0.99NA  0.01   1.00  1.001XXX.00.00.00400001            33.5675 010 88      3.15   3.15   0.03
76641  Ultrasound breast complete                        A   0.71   2.24     2.24NA  0.05   3.00  3.001XXX.00.00.00010001            33.5675 090 99      3.43   3.43   0.06
7664126Ultrasound breast complete                        A   0.71   0.26     0.26    0.04   1.01  1.011XXX.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
76641TCUltrasound breast complete                        A   0.00   1.98     1.98NA  0.01   1.99  1.991XXX.00.00.00010001            33.5675 010 99      3.17   3.17   0.02
76642  Ultrasound breast limited                         A   0.66   1.79     1.79NA  0.05   2.50  2.501XXX.00.00.00010001            33.5675 090 99      2.87   2.87   0.06
7664226Ultrasound breast limited                         A   0.66   0.24     0.24    0.04   0.94  0.941XXX.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
76642TCUltrasound breast limited                         A   0.00   1.55     1.55NA  0.01   1.56  1.561XXX.00.00.00010001            33.5675 010 99      2.63   2.63   0.02
76700  Us exam abdom complete                            A   0.79   2.57     2.57NA  0.06   3.42  3.421XXX.00.00.00400001            33.5675 090 88      3.44   3.44   0.07
7670026Us exam abdom complete                            A   0.79   0.29     0.29    0.04   1.12  1.121XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76700TCUs exam abdom complete                            A   0.00   2.28     2.28NA  0.02   2.30  2.301XXX.00.00.00400001            33.5675 010 88      3.15   3.15   0.03
76705  Echo exam of abdomen                              A   0.58   1.96     1.96NA  0.04   2.58  2.581XXX.00.00.00400001            33.5675 090 88      3.37   3.37   0.05
7670526Echo exam of abdomen                              A   0.58   0.21     0.21    0.03   0.82  0.821XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76705TCEcho exam of abdomen                              A   0.00   1.75     1.75NA  0.01   1.76  1.761XXX.00.00.00400001            33.5675 010 88      3.16   3.16   0.02
76706  Us abdl aorta screen aaa                          A   0.54   2.58     2.58NA  0.05   3.17  3.171XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7670626Us abdl aorta screen aaa                          A   0.54   0.19     0.19    0.04   0.77  0.771XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76706TCUs abdl aorta screen aaa                          A   0.00   2.39     2.39NA  0.01   2.40  2.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76770  Us exam abdo back wall comp                       A   0.72   2.41     2.41NA  0.05   3.18  3.181XXX.00.00.00400001            33.5675 090 88      3.43   3.43   0.05
7677026Us exam abdo back wall comp                       A   0.72   0.26     0.26    0.04   1.02  1.021XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76770TCUs exam abdo back wall comp                       A   0.00   2.15     2.15NA  0.01   2.16  2.161XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
76775  Us exam abdo back wall lim                        A   0.57   1.21     1.21NA  0.04   1.82  1.821XXX.00.00.00400001            33.5675 090 88      3.36   3.36   0.06
7677526Us exam abdo back wall lim                        A   0.57   0.21     0.21    0.03   0.81  0.811XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76775TCUs exam abdo back wall lim                        A   0.00   1.00     1.00NA  0.01   1.01  1.011XXX.00.00.00400001            33.5675 010 88      3.15   3.15   0.03
76776  Us exam k transpl w/doppler                       A   0.74   3.49     3.49NA  0.06   4.29  4.291XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7677626Us exam k transpl w/doppler                       A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76776TCUs exam k transpl w/doppler                       A   0.00   3.23     3.23NA  0.02   3.25  3.251XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
76800  Us exam spinal canal                              A   1.10   4.36     4.36NA  0.24   5.70  5.701XXX.00.00.00000001            33.5675 090 99      3.77   3.77   0.24
7680026Us exam spinal canal                              A   1.10   0.60     0.60    0.23   1.93  1.931XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76800TCUs exam spinal canal                              A   0.00   3.76     3.76NA  0.01   3.77  3.771XXX.00.00.00000001            33.5675 010 99      3.17   3.17   0.01
76801  Ob us < 14 wks single fetus                       A   0.97   2.47     2.47NA  0.06   3.50  3.501XXX.00.00.00000001            33.5675 090 99      3.54   3.54   0.07
7680126Ob us < 14 wks single fetus                       A   0.97   0.37     0.37    0.05   1.39  1.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76801TCOb us < 14 wks single fetus                       A   0.00   2.10     2.10NA  0.01   2.11  2.111XXX.00.00.00000001            33.5675 010 99      3.17   3.17   0.02
76802  Ob us < 14 wks addl fetus                         A   0.81   0.96     0.96NA  0.04   1.81  1.811ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7680226Ob us < 14 wks addl fetus                         A   0.81   0.33     0.33    0.04   1.18  1.181ZZZ.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
76805  Ob us >/= 14 wks sngl fetus                       A   0.97   3.03     3.03NA  0.07   4.07  4.071XXX.00.00.00000001            33.5675 090 99      3.55   3.55   0.07
7680526Ob us >/= 14 wks sngl fetus                       A   0.97   0.39     0.39    0.05   1.41  1.411XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76805TCOb us >/= 14 wks sngl fetus                       A   0.00   2.64     2.64NA  0.02   2.66  2.661XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
76810  Ob us >/= 14 wks addl fetus                       A   0.96   1.63     1.63NA  0.06   2.65  2.651ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7681026Ob us >/= 14 wks addl fetus                       A   0.96   0.40     0.40    0.05   1.41  1.411ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
76811  Ob us detailed sngl fetus                         A   1.85   3.49     3.49NA  0.11   5.45  5.451XXX.00.00.00000001            33.5675 090 99      7.96   7.96   0.16
7681126Ob us detailed sngl fetus                         A   1.85   0.78     0.78    0.08   2.71  2.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76811TCOb us detailed sngl fetus                         A   0.00   2.71     2.71NA  0.03   2.74  2.741XXX.00.00.00000001            33.5675 010 99      7.18   7.18   0.08
76812  Ob us detailed addl fetus                         A   1.74   3.98     3.98NA  0.10   5.82  5.821ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7681226Ob us detailed addl fetus                         A   1.74   0.74     0.74    0.08   2.56  2.561ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76812TCOb us detailed addl fetus                         A   0.00   3.24     3.24NA  0.02   3.26  3.261ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
76813  Ob us nuchal meas 1 gest                          A   1.15   2.24     2.24NA  0.07   3.46  3.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7681326Ob us nuchal meas 1 gest                          A   1.15   0.48     0.48    0.06   1.69  1.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76813TCOb us nuchal meas 1 gest                          A   0.00   1.76     1.76NA  0.01   1.77  1.771XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
76814  Ob us nuchal meas add-on                          A   0.97   1.22     1.22NA  0.05   2.24  2.241ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7681426Ob us nuchal meas add-on                          A   0.97   0.40     0.40    0.05   1.42  1.421ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76814TCOb us nuchal meas add-on                          A   0.00   0.82     0.82NA  0.00   0.82  0.821ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
76815  Ob us limited fetus(s)                            A   0.63   1.76     1.76NA  0.05   2.44  2.441XXX.00.00.00000001            33.5675 090 99      3.41   3.41   0.06
7681526Ob us limited fetus(s)                            A   0.63   0.25     0.25    0.04   0.92  0.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76815TCOb us limited fetus(s)                            A   0.00   1.51     1.51NA  0.01   1.52  1.521XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
76816  Ob us follow-up per fetus                         A   0.83   2.45     2.45NA  0.05   3.33  3.331XXX.00.00.00000001            33.5675 090 99      3.52   3.52   0.06
7681626Ob us follow-up per fetus                         A   0.83   0.35     0.35    0.04   1.22  1.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76816TCOb us follow-up per fetus                         A   0.00   2.10     2.10NA  0.01   2.11  2.111XXX.00.00.00000001            33.5675 010 99      3.17   3.17   0.02
76817  Transvaginal us obstetric                         A   0.73   2.00     2.00NA  0.05   2.78  2.781XXX.00.00.00000001            33.5675 090 99      3.45   3.45   0.06
7681726Transvaginal us obstetric                         A   0.73   0.29     0.29    0.04   1.06  1.061XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76817TCTransvaginal us obstetric                         A   0.00   1.71     1.71NA  0.01   1.72  1.721XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
76818  Fetal biophys profile w/nst                       A   1.02   2.56     2.56NA  0.07   3.65  3.651XXX.00.00.00000001            33.5675 090 99      3.58   3.58   0.08
7681826Fetal biophys profile w/nst                       A   1.02   0.43     0.43    0.05   1.50  1.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76818TCFetal biophys profile w/nst                       A   0.00   2.13     2.13NA  0.02   2.15  2.151XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
76819  Fetal biophys profil w/o nst                      A   0.75   1.82     1.82NA  0.06   2.63  2.631XXX.00.00.00000001            33.5675 090 99      3.45   3.45   0.08
7681926Fetal biophys profil w/o nst                      A   0.75   0.31     0.31    0.04   1.10  1.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76819TCFetal biophys profil w/o nst                      A   0.00   1.51     1.51NA  0.02   1.53  1.531XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.04
76820  Umbilical artery echo                             A   0.49   0.83     0.83NA  0.03   1.35  1.351XXX.00.00.00000001            33.5675 090 99      3.34   3.34   0.07
7682026Umbilical artery echo                             A   0.49   0.21     0.21    0.02   0.72  0.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76820TCUmbilical artery echo                             A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.00000001            33.5675 010 99      3.13   3.13   0.05
76821  Middle cerebral artery echo                       A   0.68   1.98     1.98NA  0.04   2.70  2.701XXX.00.00.00000001            33.5675 090 99      3.45   3.45   0.05
7682126Middle cerebral artery echo                       A   0.68   0.29     0.29    0.03   1.00  1.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76821TCMiddle cerebral artery echo                       A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
76825  Echo exam of fetal heart                          A   1.63   6.12     6.12NA  0.09   7.84  7.841XXX.00.00.00000001            33.5675 090 99     17.21  17.21   0.15
7682526Echo exam of fetal heart                          A   1.63   0.67     0.67    0.06   2.36  2.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76825TCEcho exam of fetal heart                          A   0.00   5.45     5.45NA  0.03   5.48  5.481XXX.00.00.00000001            33.5675 010 99     16.54  16.54   0.09
76826  Echo exam of fetal heart                          A   0.81   3.88     3.88NA  0.05   4.74  4.741XXX.00.00.00000001            33.5675 090 99      7.56   7.56   0.07
7682626Echo exam of fetal heart                          A   0.81   0.34     0.34    0.03   1.18  1.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76826TCEcho exam of fetal heart                          A   0.00   3.54     3.54NA  0.02   3.56  3.561XXX.00.00.00000001            33.5675 010 99      7.22   7.22   0.04
76827  Echo exam of fetal heart                          A   0.57   1.49     1.49NA  0.03   2.09  2.091XXX.00.00.00000001            33.5675 090 99      3.39   3.39   0.05
7682726Echo exam of fetal heart                          A   0.57   0.23     0.23    0.02   0.82  0.821XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76827TCEcho exam of fetal heart                          A   0.00   1.26     1.26NA  0.01   1.27  1.271XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.03
76828  Echo exam of fetal heart                          A   0.55   0.90     0.90NA  0.03   1.48  1.481XXX.00.00.00000001            33.5675 090 99      3.36   3.36   0.07
7682826Echo exam of fetal heart                          A   0.55   0.23     0.23    0.02   0.80  0.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76828TCEcho exam of fetal heart                          A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.00000001            33.5675 010 99      3.13   3.13   0.05
76830  Transvaginal us non-ob                            A   0.67   2.79     2.79NA  0.06   3.52  3.521XXX.00.00.00000001            33.5675 090 99      3.42   3.42   0.07
7683026Transvaginal us non-ob                            A   0.67   0.26     0.26    0.04   0.97  0.971XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76830TCTransvaginal us non-ob                            A   0.00   2.53     2.53NA  0.02   2.55  2.551XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.03
76831  Echo exam uterus                                  A   0.70   2.76     2.76NA  0.05   3.51  3.511XXX.00.00.00400001            33.5675 090 88      7.53   7.53   0.07
7683126Echo exam uterus                                  A   0.70   0.30     0.30    0.04   1.04  1.041XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76831TCEcho exam uterus                                  A   0.00   2.46     2.46NA  0.01   2.47  2.471XXX.00.00.00400001            33.5675 030 88      7.23   7.23   0.03
76856  Us exam pelvic complete                           A   0.67   2.43     2.43NA  0.05   3.15  3.151XXX.00.00.00400001            33.5675 090 88      3.43   3.43   0.05
7685626Us exam pelvic complete                           A   0.67   0.26     0.26    0.04   0.97  0.971XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76856TCUs exam pelvic complete                           A   0.00   2.17     2.17NA  0.01   2.18  2.181XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.01
76857  Us exam pelvic limited                            A   0.49   1.00     1.00NA  0.04   1.53  1.531XXX.00.00.00400001            33.5675 090 88      3.33   3.33   0.07
7685726Us exam pelvic limited                            A   0.49   0.19     0.19    0.03   0.71  0.711XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76857TCUs exam pelvic limited                            A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.00400001            33.5675 010 88      3.14   3.14   0.04
76870  Us exam scrotum                                   A   0.62   2.28     2.28NA  0.05   2.95  2.951XXX.00.00.00400001            33.5675 090 88      3.40   3.40   0.06
7687026Us exam scrotum                                   A   0.62   0.23     0.23    0.04   0.89  0.891XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76870TCUs exam scrotum                                   A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.00400001            33.5675 010 88      3.17   3.17   0.02
76872  Us transrectal                                    A   0.65   2.91     2.91NA  0.04   3.60  3.601XXX.00.00.00000001            33.5675 090 99      3.44   3.44   0.04
7687226Us transrectal                                    A   0.65   0.28     0.28    0.02   0.95  0.951XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76872TCUs transrectal                                    A   0.00   2.63     2.63NA  0.02   2.65  2.651XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
76873  Echograp trans r pros study                       A   1.51   3.76     3.76NA  0.08   5.35  5.351XXX.00.00.00000001            33.5675 090 99      3.87   3.87   0.08
7687326Echograp trans r pros study                       A   1.51   0.71     0.71    0.06   2.28  2.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76873TCEchograp trans r pros study                       A   0.00   3.05     3.05NA  0.02   3.07  3.071XXX.00.00.00000001            33.5675 020 99      3.16   3.16   0.02
76881  Us compl joint r-t w/img                          A   0.88   0.68     0.68NA  0.05   1.61  1.611XXX.00.00.00000001            33.5675 090 99      3.44   3.44   0.14
7688126Us compl joint r-t w/img                          A   0.88   0.36     0.36    0.04   1.28  1.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76881TCUs compl joint r-t w/img                          A   0.00   0.32     0.32NA  0.01   0.33  0.331XXX.00.00.00000001            33.5675 090 99      3.08   3.08   0.10
76882  Us lmtd jt/fcl evl nvasc xtr                      A   0.67   1.20     1.20NA  0.05   1.92  1.921XXX.00.00.00000001            33.5675 090 99      3.40   3.40   0.07
7688226Us lmtd jt/fcl evl nvasc xtr                      A   0.67   0.25     0.25    0.04   0.96  0.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76882TCUs lmtd jt/fcl evl nvasc xtr                      A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.00000001            33.5675 090 99      3.15   3.15   0.03
76883  Us nrv&acc strux 1xtr compre                      A   1.18   0.97     0.97NA  0.08   2.23  2.231XXX.00.00.00000001            33.5675 090 99      3.61   3.61   0.14
7688326Us nrv&acc strux 1xtr compre                      A   1.18   0.49     0.49    0.07   1.74  1.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76883TCUs nrv&acc strux 1xtr compre                      A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.00000001            33.5675 090 99      3.12   3.12   0.07
76885  Us exam infant hips dynamic                       A   0.72   3.16     3.16NA  0.06   3.94  3.941XXX.00.00.00000001            33.5675 090 99      2.89   2.89   0.06
7688526Us exam infant hips dynamic                       A   0.72   0.26     0.26    0.04   1.02  1.021XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76885TCUs exam infant hips dynamic                       A   0.00   2.90     2.90NA  0.02   2.92  2.921XXX.00.00.00000001            33.5675 010 99      2.63   2.63   0.02
76886  Us exam infant hips static                        A   0.60   2.26     2.26NA  0.05   2.91  2.911XXX.00.00.00000001            33.5675 090 99      2.86   2.86   0.05
7688626Us exam infant hips static                        A   0.60   0.22     0.22    0.04   0.86  0.861XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76886TCUs exam infant hips static                        A   0.00   2.04     2.04NA  0.01   2.05  2.051XXX.00.00.00000001            33.5675 010 99      2.64   2.64   0.01
76932  Echo guide for heart biopsy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7693226Echo guide for heart biopsy                       A   0.65   0.35     0.35    0.02   1.02  1.021XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76936  Echo guide for artery repair                      A   1.94   5.75     5.75NA  0.24   7.93  7.931XXX.00.00.00000001            33.5675 090 99      7.16   7.16   0.25
7693626Echo guide for artery repair                      A   1.94   0.63     0.63    0.21   2.78  2.781XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76936TCEcho guide for artery repair                      A   0.00   5.12     5.12NA  0.03   5.15  5.151XXX.00.00.00000001            33.5675 030 99      6.53   6.53   0.04
76937  Us guide vascular access                          A   0.29   0.88     0.88NA  0.04   1.21  1.211ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7693726Us guide vascular access                          A   0.29   0.09     0.09    0.03   0.41  0.411ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76937TCUs guide vascular access                          A   0.00   0.79     0.79NA  0.01   0.80  0.801ZZZ.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7694026Us guide tissue ablation                          A   1.95   0.83     0.83    0.29   3.07  3.071XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7694126Echo guide for transfusion                        A   1.31   0.55     0.55    0.06   1.92  1.921XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76942  Echo guide for biopsy                             A   0.65   1.23     1.23NA  0.04   1.92  1.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7694226Echo guide for biopsy                             A   0.65   0.26     0.26    0.03   0.94  0.941XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76942TCEcho guide for biopsy                             A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7694526Echo guide villus sampling                        A   0.65   0.28     0.28    0.03   0.96  0.961XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76946  Echo guide for amniocentesis                      A   0.37   0.62     0.62NA  0.03   1.02  1.021XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7694626Echo guide for amniocentesis                      A   0.37   0.16     0.16    0.02   0.55  0.551XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76946TCEcho guide for amniocentesis                      A   0.00   0.46     0.46NA  0.01   0.47  0.471XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76948  Echo guide ova aspiration                         A   0.65   1.77     1.77NA  0.04   2.46  2.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7694826Echo guide ova aspiration                         A   0.65   0.28     0.28    0.03   0.96  0.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76948TCEcho guide ova aspiration                         A   0.00   1.49     1.49NA  0.01   1.50  1.501XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76965  Echo guidance radiotherapy                        A   1.31   1.52     1.52NA  0.06   2.89  2.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7696526Echo guidance radiotherapy                        A   1.31   0.67     0.67    0.05   2.03  2.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76965TCEcho guidance radiotherapy                        A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76975  Gi endoscopic ultrasound                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      7.71   7.71   0.04
7697526Gi endoscopic ultrasound                          A   0.79   0.46     0.46    0.03   1.28  1.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76975TCGi endoscopic ultrasound                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      7.25   7.25   0.01
76977  Us bone density measure                           A   0.05   0.16     0.16NA  0.02   0.23  0.231XXX.00.00.00000001            33.5675 090 99      2.99   2.99   0.22
7697726Us bone density measure                           A   0.05   0.02     0.02    0.01   0.08  0.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76977TCUs bone density measure                           A   0.00   0.14     0.14NA  0.01   0.15  0.151XXX.00.00.00000001            33.5675 010 99      2.97   2.97   0.21
76978  Us trgt dyn mbubb 1st les                         A   1.58   3.45     3.45NA  0.10   5.13  5.131XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7697826Us trgt dyn mbubb 1st les                         A   1.58   0.57     0.57    0.08   2.23  2.231XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76978TCUs trgt dyn mbubb 1st les                         A   0.00   2.88     2.88NA  0.02   2.90  2.901XXX.00.00.00400001            33.5675 030 88      0.00   0.00   0.00
76979  Us trgt dyn mbubb ea addl                         A   0.83   2.31     2.31NA  0.06   3.20  3.201ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7697926Us trgt dyn mbubb ea addl                         A   0.83   0.30     0.30    0.05   1.18  1.181ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76979TCUs trgt dyn mbubb ea addl                         A   0.00   2.01     2.01NA  0.01   2.02  2.021ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76981  Use parenchyma                                    A   0.58   2.75     2.75NA  0.04   3.37  3.371XXX.00.00.00400001            33.5675 090 88      3.43   3.43   0.04
7698126Use parenchyma                                    A   0.58   0.26     0.26    0.03   0.87  0.871XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76981TCUse parenchyma                                    A   0.00   2.49     2.49NA  0.01   2.50  2.501XXX.00.00.00400001            33.5675 020 88      3.17   3.17   0.01
76982  Use 1st target lesion                             A   0.58   2.15     2.15NA  0.04   2.77  2.771XXX.00.00.00400001            33.5675 090 88      3.40   3.40   0.05
7698226Use 1st target lesion                             A   0.58   0.23     0.23    0.03   0.84  0.841XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
76982TCUse 1st target lesion                             A   0.00   1.92     1.92NA  0.01   1.93  1.931XXX.00.00.00400001            33.5675 020 88      3.17   3.17   0.02
76983  Use ea addl target lesion                         A   0.46   1.32     1.32NA  0.04   1.82  1.821ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7698326Use ea addl target lesion                         A   0.46   0.23     0.23    0.03   0.72  0.721ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76983TCUse ea addl target lesion                         A   0.00   1.09     1.09NA  0.01   1.10  1.101ZZZ.00.00.00000001            33.5675 020 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7698426Dx intraop thoracic aorta us                      A   0.59   0.25     0.25    0.13   0.97  0.971XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76984TCDx intraop thoracic aorta us                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7698726Dx intraop epicar car us chd                      A   1.85   0.73     0.73    0.27   2.85  2.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76987TCDx intraop epicar car us chd                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7698826Dx ntrop epcr us chd img acq                      A   1.17   0.77     0.77    0.36   2.30  2.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76988TCDx ntrop epcr us chd img acq                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7698926Dx intraop epcar us chd i&r                       A   0.68   0.32     0.32    0.12   1.12  1.121XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76989TCDx intraop epcar us chd i&r                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76998  Us guide intraop                                  C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7699826Us guide intraop                                  A   0.89   0.41     0.41    0.16   1.46  1.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76998TCUs guide intraop                                  C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
76999  Echo examination procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7699926Echo examination procedure                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
76999TCEcho examination procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77001  Fluoroguide for vein device                       A   0.37   2.53     2.53NA  0.05   2.95  2.951ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7700126Fluoroguide for vein device                       A   0.37   0.12     0.12    0.04   0.53  0.531ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77001TCFluoroguide for vein device                       A   0.00   2.41     2.41NA  0.01   2.42  2.421ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
77002  Needle localization by xray                       A   0.53   3.06     3.06NA  0.04   3.63  3.631ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7700226Needle localization by xray                       A   0.53   0.25     0.25    0.03   0.81  0.811ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77002TCNeedle localization by xray                       A   0.00   2.81     2.81NA  0.01   2.82  2.821ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
77003  Fluoroguide for spine inject                      A   0.59   2.49     2.49NA  0.05   3.13  3.131ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7700326Fluoroguide for spine inject                      A   0.59   0.22     0.22    0.04   0.85  0.851ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77003TCFluoroguide for spine inject                      A   0.00   2.27     2.27NA  0.01   2.28  2.281ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
77011  Ct scan for localization                          A   1.18   5.37     5.37NA  0.08   6.63  6.631XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
7701126Ct scan for localization                          A   1.18   0.55     0.55    0.07   1.80  1.801XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
77011TCCt scan for localization                          A   0.00   4.82     4.82NA  0.01   4.83  4.831XXX.00.00.00009001            33.5675 030 99      0.00   0.00   0.00
77012  Ct scan for needle biopsy                         A   1.46   2.12     2.12NA  0.10   3.68  3.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7701226Ct scan for needle biopsy                         A   1.46   0.46     0.46    0.09   2.01  2.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77012TCCt scan for needle biopsy                         A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7701326Ct guide for tissue ablation                      A   3.89   1.14     1.14    0.27   5.30  5.301XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77021  Mri guidance ndl plmt rs&i                        A   1.46  11.24    11.24NA  0.08  12.78 12.781XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
7702126Mri guidance ndl plmt rs&i                        A   1.46   0.58     0.58    0.06   2.10  2.101XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
77021TCMri guidance ndl plmt rs&i                        A   0.00  10.66    10.66NA  0.02  10.68 10.681XXX.00.00.00009001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7702226Mri gdn parnchyma tiss abltj                      A   4.13   1.37     1.37    0.22   5.72  5.721XXX.00.00.00009001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77046  Mri breast c- unilateral                          A   1.41   4.88     4.88NA  0.09   6.38  6.381XXX.00.00.00400001            33.5675 090 88      7.73   7.73   0.10
7704626Mri breast c- unilateral                          A   1.41   0.50     0.50    0.07   1.98  1.981XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
77046TCMri breast c- unilateral                          A   0.00   4.38     4.38NA  0.02   4.40  4.401XXX.00.00.00400001            33.5675 020 88      7.23   7.23   0.03
77047  Mri breast c- bilateral                           A   1.56   4.82     4.82NA  0.10   6.48  6.481XXX.00.00.00420001            33.5675 090 88      7.78   7.78   0.11
7704726Mri breast c- bilateral                           A   1.56   0.55     0.55    0.08   2.19  2.191XXX.00.00.00420001            33.5675 090 88      0.00   0.00   0.00
77047TCMri breast c- bilateral                           A   0.00   4.27     4.27NA  0.02   4.29  4.291XXX.00.00.00420001            33.5675 020 88      7.23   7.23   0.03
77048  Mri breast c-+ w/cad uni                          A   2.05   7.80     7.80NA  0.15  10.00 10.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
7704826Mri breast c-+ w/cad uni                          A   2.05   0.73     0.73    0.12   2.90  2.901XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
77048TCMri breast c-+ w/cad uni                          A   0.00   7.07     7.07NA  0.03   7.10  7.101XXX.00.00.00400001            33.5675 020 88      0.00   0.00   0.00
77049  Mri breast c-+ w/cad bi                           A   2.24   7.77     7.77NA  0.16  10.17 10.171XXX.00.00.00420001            33.5675 090 88      0.00   0.00   0.00
7704926Mri breast c-+ w/cad bi                           A   2.24   0.80     0.80    0.13   3.17  3.171XXX.00.00.00420001            33.5675 090 88      0.00   0.00   0.00
77049TCMri breast c-+ w/cad bi                           A   0.00   6.97     6.97NA  0.03   7.00  7.001XXX.00.00.00420001            33.5675 020 88      0.00   0.00   0.00
77053  X-ray of mammary duct                             A   0.35   1.21     1.21NA  0.03   1.59  1.591XXX.00.00.00009001            33.5675 090 99      7.32   7.32   0.09
7705326X-ray of mammary duct                             A   0.35   0.13     0.13    0.02   0.50  0.501XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
77053TCX-ray of mammary duct                             A   0.00   1.08     1.08NA  0.01   1.09  1.091XXX.00.00.00009001            33.5675 030 99      7.19   7.19   0.07
77054  X-ray of mammary ducts                            A   0.44   1.57     1.57NA  0.04   2.05  2.051XXX.00.00.00009001            33.5675 090 99      7.37   7.37   0.08
7705426X-ray of mammary ducts                            A   0.44   0.16     0.16    0.03   0.63  0.631XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
77054TCX-ray of mammary ducts                            A   0.00   1.41     1.41NA  0.01   1.42  1.421XXX.00.00.00009001            33.5675 030 99      7.21   7.21   0.05
77063  Breast tomosynthesis bi                           A   0.59   0.91     0.91NA  0.03   1.53  1.531ZZZ.00.00.00029001            33.5675 090 99      0.00   0.00   0.00
7706326Breast tomosynthesis bi                           A   0.59   0.21     0.21    0.03   0.83  0.831ZZZ.00.00.00029001            33.5675 090 99      0.00   0.00   0.00
77063TCBreast tomosynthesis bi                           A   0.00   0.70     0.70NA  0.00   0.70  0.701ZZZ.00.00.00029001            33.5675 090 99      0.00   0.00   0.00
77065  Dx mammo incl cad uni                             A   0.79   2.86     2.86NA  0.06   3.71  3.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7706526Dx mammo incl cad uni                             A   0.79   0.29     0.29    0.05   1.13  1.131XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77065TCDx mammo incl cad uni                             A   0.00   2.57     2.57NA  0.01   2.58  2.581XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77066  Dx mammo incl cad bi                              A   0.98   3.64     3.64NA  0.08   4.70  4.701XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
7706626Dx mammo incl cad bi                              A   0.98   0.35     0.35    0.06   1.39  1.391XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
77066TCDx mammo incl cad bi                              A   0.00   3.29     3.29NA  0.02   3.31  3.311XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
77067  Scr mammo bi incl cad                             A   0.74   2.99     2.99NA  0.05   3.78  3.781XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
7706726Scr mammo bi incl cad                             A   0.74   0.27     0.27    0.04   1.05  1.051XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
77067TCScr mammo bi incl cad                             A   0.00   2.72     2.72NA  0.01   2.73  2.731XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
77071  Mnl appl strs jt radiography                      A   0.40   1.28     1.28    0.07   1.75  1.752XXX.00.00.00020001            33.5675 030 99      0.00   0.00   0.00
77072  Bone age studies                                  A   0.19   0.55     0.55NA  0.02   0.76  0.761XXX.00.00.00000001            33.5675 090 99      3.19   3.19   0.08
7707226Bone age studies                                  A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77072TCBone age studies                                  A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.00000001            33.5675 010 99      3.12   3.12   0.07
77073  Bone length studies                               A   0.25   1.11     1.11NA  0.03   1.39  1.391XXX.00.00.00000001            33.5675 090 99      3.27   3.27   0.05
7707326Bone length studies                               A   0.25   0.12     0.12    0.02   0.39  0.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77073TCBone length studies                               A   0.00   0.99     0.99NA  0.01   1.00  1.001XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
77074  Radex osseous survey lmtd                         A   0.43   1.47     1.47NA  0.04   1.94  1.941XXX.00.00.00000001            33.5675 090 99      3.32   3.32   0.05
7707426Radex osseous survey lmtd                         A   0.43   0.16     0.16    0.03   0.62  0.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77074TCRadex osseous survey lmtd                         A   0.00   1.31     1.31NA  0.01   1.32  1.321XXX.00.00.00000001            33.5675 010 99      3.16   3.16   0.02
77075  Radex osseous survey compl                        A   0.54   2.34     2.34NA  0.05   2.93  2.931XXX.00.00.00000001            33.5675 090 99      3.35   3.35   0.06
7707526Radex osseous survey compl                        A   0.54   0.20     0.20    0.03   0.77  0.771XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77075TCRadex osseous survey compl                        A   0.00   2.14     2.14NA  0.02   2.16  2.161XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
77076  Radex osseous survey infant                       A   0.68   2.40     2.40NA  0.06   3.14  3.141XXX.00.00.00000001            33.5675 090 99      3.40   3.40   0.07
7707626Radex osseous survey infant                       A   0.68   0.25     0.25    0.04   0.97  0.971XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77076TCRadex osseous survey infant                       A   0.00   2.15     2.15NA  0.02   2.17  2.171XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
77077  Joint survey single view                          A   0.32   1.07     1.07NA  0.03   1.42  1.421XXX.00.00.00000001            33.5675 090 99      3.30   3.30   0.05
7707726Joint survey single view                          A   0.32   0.15     0.15    0.02   0.49  0.491XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77077TCJoint survey single view                          A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.03
77078  Ct bone density axial                             A   0.24   2.70     2.70NA  0.02   2.96  2.961XXX.00.00.00000001            33.5675 090 99      2.73   2.73   0.02
7707826Ct bone density axial                             A   0.24   0.09     0.09    0.01   0.34  0.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77078TCCt bone density axial                             A   0.00   2.61     2.61NA  0.01   2.62  2.621XXX.00.00.00000001            33.5675 010 99      2.64   2.64   0.01
77080  Dxa bone density axial                            A   0.20   0.96     0.96NA  0.02   1.18  1.181XXX.00.00.00000001            33.5675 090 99      3.22   3.22   0.05
7708026Dxa bone density axial                            A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77080TCDxa bone density axial                            A   0.00   0.89     0.89NA  0.01   0.90  0.901XXX.00.00.00000001            33.5675 010 99      3.15   3.15   0.04
77081  Dxa bone density appendiculr                      A   0.20   0.73     0.73NA  0.02   0.95  0.951XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.05
7708126Dxa bone density appendiculr                      A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77081TCDxa bone density appendiculr                      A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.00000001            33.5675 010 99      2.61   2.61   0.04
77084  Mri bone marrow blood supply                      A   1.56   7.72     7.72NA  0.11   9.39  9.391XXX.00.00.00000001            33.5675 090 99      7.79   7.79   0.11
7708426Mri bone marrow blood supply                      A   1.56   0.56     0.56    0.08   2.20  2.201XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77084TCMri bone marrow blood supply                      A   0.00   7.16     7.16NA  0.03   7.19  7.191XXX.00.00.00000001            33.5675 010 99      7.23   7.23   0.03
77085  Dxa bone density axl vrt fx                       A   0.29   1.30     1.30NA  0.04   1.63  1.631XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.07
7708526Dxa bone density axl vrt fx                       A   0.29   0.12     0.12    0.02   0.43  0.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77085TCDxa bone density axl vrt fx                       A   0.00   1.18     1.18NA  0.02   1.20  1.201XXX.00.00.00000001            33.5675 010 99      3.13   3.13   0.05
77086  Vrt fracture assmt via dxa                        A   0.17   0.85     0.85NA  0.02   1.04  1.041XXX.00.00.00000001            33.5675 090 99      2.68   2.68   0.04
7708626Vrt fracture assmt via dxa                        A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77086TCVrt fracture assmt via dxa                        A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
77089  Tbs dxa cal w/i&r fx risk                         A   0.20   0.96     0.96NA  0.03   1.19  1.194XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77090  Tbs techl prep&transmis data                      A   0.00   0.08     0.08NA  0.01   0.09  0.093XXX.00.00.00000001            33.5675 010 99      2.35   2.35   0.30
77091  Tbs techl calculation only                        A   0.00   0.79     0.79NA  0.01   0.80  0.803XXX.00.00.00000001            33.5675 010 99      2.62   2.62   0.03
77092  Tbs i&r fx rsk qhp                                A   0.20   0.09     0.09    0.01   0.30  0.302XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77261  Ther radiology tx plng smpl                       A   1.27   0.75     0.75    0.07   2.09  2.092XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77262  Ther radiology tx plng intrm                      A   1.95   1.14     1.14    0.12   3.21  3.212XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77263  Ther radiology tx plng cplx                       A   3.06   1.74     1.74    0.24   5.04  5.042XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77280  Ther rad simulaj field smpl                       A   0.68   7.35     7.35NA  0.04   8.07  8.071XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7728026Ther rad simulaj field smpl                       A   0.68   0.40     0.40    0.03   1.11  1.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77280TCTher rad simulaj field smpl                       A   0.00   6.95     6.95NA  0.01   6.96  6.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77285  Ther rad simulaj field intrm                      A   1.02  12.48    12.48NA  0.06  13.56 13.561XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7728526Ther rad simulaj field intrm                      A   1.02   0.61     0.61    0.04   1.67  1.671XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77285TCTher rad simulaj field intrm                      A   0.00  11.87    11.87NA  0.02  11.89 11.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77290  Ther rad simulaj field cplx                       A   1.52  11.60    11.60NA  0.10  13.22 13.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7729026Ther rad simulaj field cplx                       A   1.52   0.86     0.86    0.07   2.45  2.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77290TCTher rad simulaj field cplx                       A   0.00  10.74    10.74NA  0.03  10.77 10.771XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77293  Respirator motion mgmt simul                      A   1.95   9.98     9.98NA  0.10  12.03 12.031ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7729326Respirator motion mgmt simul                      A   1.95   1.10     1.10    0.07   3.12  3.121ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77293TCRespirator motion mgmt simul                      A   0.00   8.88     8.88NA  0.03   8.91  8.911ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77295  3-d radiotherapy plan                             A   4.18  10.10    10.10NA  0.25  14.53 14.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77295263-d radiotherapy plan                             A   4.18   2.37     2.37    0.18   6.73  6.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77295TC3-d radiotherapy plan                             A   0.00   7.73     7.73NA  0.07   7.80  7.801XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77300  Radiation therapy dose plan                       A   0.60   1.37     1.37NA  0.04   2.01  2.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7730026Radiation therapy dose plan                       A   0.60   0.35     0.35    0.03   0.98  0.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77300TCRadiation therapy dose plan                       A   0.00   1.02     1.02NA  0.01   1.03  1.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77301  Radiotherapy dose plan imrt                       A   7.79  50.20    50.20NA  0.70  58.69 58.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7730126Radiotherapy dose plan imrt                       A   7.79   4.42     4.42    0.34  12.55 12.551XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77301TCRadiotherapy dose plan imrt                       A   0.00  45.78    45.78NA  0.36  46.14 46.141XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77306  Telethx isodose plan simple                       A   1.37   3.05     3.05NA  0.08   4.50  4.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7730626Telethx isodose plan simple                       A   1.37   0.78     0.78    0.06   2.21  2.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77306TCTelethx isodose plan simple                       A   0.00   2.27     2.27NA  0.02   2.29  2.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77307  Telethx isodose plan cplx                         A   2.83   5.70     5.70NA  0.16   8.69  8.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7730726Telethx isodose plan cplx                         A   2.83   1.60     1.60    0.12   4.55  4.551XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77307TCTelethx isodose plan cplx                         A   0.00   4.10     4.10NA  0.04   4.14  4.141XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77316  Brachytx isodose plan simple                      A   1.37   5.97     5.97NA  0.11   7.45  7.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7731626Brachytx isodose plan simple                      A   1.37   0.77     0.77    0.06   2.20  2.201XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77316TCBrachytx isodose plan simple                      A   0.00   5.20     5.20NA  0.05   5.25  5.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77317  Brachytx isodose intermed                         A   1.78   7.85     7.85NA  0.13   9.76  9.761XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7731726Brachytx isodose intermed                         A   1.78   1.02     1.02    0.07   2.87  2.871XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77317TCBrachytx isodose intermed                         A   0.00   6.83     6.83NA  0.06   6.89  6.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77318  Brachytx isodose complex                          A   2.83  10.84    10.84NA  0.19  13.86 13.861XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7731826Brachytx isodose complex                          A   2.83   1.60     1.60    0.12   4.55  4.551XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77318TCBrachytx isodose complex                          A   0.00   9.24     9.24NA  0.07   9.31  9.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77321  Special teletx port plan                          A   0.93   1.85     1.85NA  0.05   2.83  2.831XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7732126Special teletx port plan                          A   0.93   0.52     0.52    0.04   1.49  1.491XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77331  Special radiation dosimetry                       A   0.85   1.05     1.05NA  0.05   1.95  1.951XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7733126Special radiation dosimetry                       A   0.85   0.48     0.48    0.04   1.37  1.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77331TCSpecial radiation dosimetry                       A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77332  Radiation treatment aid(s)                        A   0.44   0.75     0.75NA  0.03   1.22  1.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7733226Radiation treatment aid(s)                        A   0.44   0.25     0.25    0.02   0.71  0.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77332TCRadiation treatment aid(s)                        A   0.00   0.50     0.50NA  0.01   0.51  0.511XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77333  Radiation treatment aid(s)                        A   0.73   3.35     3.35NA  0.04   4.12  4.121XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7733326Radiation treatment aid(s)                        A   0.73   0.41     0.41    0.03   1.17  1.171XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77333TCRadiation treatment aid(s)                        A   0.00   2.94     2.94NA  0.01   2.95  2.951XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77334  Radiation treatment aid(s)                        A   1.12   2.60     2.60NA  0.06   3.78  3.781XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7733426Radiation treatment aid(s)                        A   1.12   0.63     0.63    0.05   1.80  1.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77334TCRadiation treatment aid(s)                        A   0.00   1.97     1.97NA  0.01   1.98  1.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77336  Radiation physics consult                         A   0.00   2.69     2.69NA  0.07   2.76  2.763XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77338  Design mlc device for imrt                        A   4.18   9.79     9.79NA  0.25  14.22 14.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7733826Design mlc device for imrt                        A   4.18   2.38     2.38    0.18   6.74  6.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77338TCDesign mlc device for imrt                        A   0.00   7.41     7.41NA  0.07   7.48  7.481XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77370  Radiation physics consult                         A   0.00   4.37     4.37NA  0.15   4.52  4.523XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77371  Srs multisource                                   C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77372  Srs linear based                                  A   0.00  27.75    27.75NA  0.21  27.96 27.963XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77373  Strtctc bdy rad ther tx dlvr                      A   0.00  29.05    29.05NA  0.25  29.30 29.303XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77387  Guidance for radj tx dlvr                         A   0.68   0.38     0.38NA  0.03   1.09  1.091XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7738726Guidance for radj tx dlvr                         A   0.68   0.38     0.38    0.03   1.09  1.091XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77402  Radiation tx delivery lvl 1                       A   0.00   2.44     2.44NA  0.02   2.46  2.463XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77407  Radiation tx delivery lvl 2                       A   0.00   9.22     9.22NA  0.06   9.28  9.283XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77412  Radiation tx delivery lvl 3                       A   0.00  13.21    13.21NA  0.07  13.28 13.283XXX.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77427  Radiation tx management x5                        A   3.37   2.22     2.22    0.26   5.85  5.852XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
77431  Radiation therapy management                      A   1.76   1.29     1.29    0.14   3.19  3.192XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77432  Stereotactic radiation trmt                       A   7.72   4.37     4.37    0.61  12.70 12.702XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77435  Sbrt management                                   A  11.57   6.71     6.71    0.92  19.20 19.202XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77436  Surf radj ther tx planning                        A   0.77   1.54     1.54NA  0.04   2.35  2.351XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7743626Surf radj ther tx planning                        A   0.77   0.45     0.45    0.03   1.25  1.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77436TCSurf radj ther tx planning                        A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77437  Surf radj ther supfc<=150kv                       A   0.00   3.27     3.27NA  0.01   3.28  3.283XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77438  Surf rad thr orthvlt>150-500                      A   0.00   3.30     3.30NA  0.01   3.31  3.313XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77439  Surf rad thr img gdn us plmt                      A   0.30   0.18     0.18NA  0.00   0.48  0.481ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7743926Surf rad thr img gdn us plmt                      A   0.30   0.18     0.18    0.00   0.48  0.481ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77469  Io radiation tx management                        A   5.61   1.93NA   1.93    0.44   7.98  7.980XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77470  Special radiation treatment                       A   1.98   2.26     2.26NA  0.10   4.34  4.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7747026Special radiation treatment                       A   1.98   1.12     1.12    0.08   3.18  3.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77470TCSpecial radiation treatment                       A   0.00   1.14     1.14NA  0.02   1.16  1.161XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77600  Hyperthermia ext gen supfc                        R   1.28  15.00    15.00NA  0.13  16.41 16.411XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7760026Hyperthermia ext gen supfc                        R   1.28   0.76     0.76    0.06   2.10  2.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77600TCHyperthermia ext gen supfc                        R   0.00  14.24    14.24NA  0.07  14.31 14.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77605  Hyperthermia ext gen deep                         R   1.79  28.78    28.78NA  0.43  31.00 31.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7760526Hyperthermia ext gen deep                         R   1.79   0.97     0.97    0.36   3.12  3.121XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77605TCHyperthermia ext gen deep                         R   0.00  27.81    27.81NA  0.07  27.88 27.881XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77610  Hyperthermia ntrstl prb 5/<                       R   1.28  18.77    18.77NA  0.12  20.17 20.171XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7761026Hyperthermia ntrstl prb 5/<                       R   1.28   0.73     0.73    0.05   2.06  2.061XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77610TCHyperthermia ntrstl prb 5/<                       R   0.00  18.04    18.04NA  0.07  18.11 18.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77615  Hyperthermia ntrstl prb>5                         R   1.79  29.80    29.80NA  0.21  31.80 31.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7761526Hyperthermia ntrstl prb>5                         R   1.79   1.02     1.02    0.07   2.88  2.881XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77615TCHyperthermia ntrstl prb>5                         R   0.00  28.78    28.78NA  0.14  28.92 28.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77620  Hyperthermia gen intrcv prb                       R   1.52  19.96    19.96NA  0.43  21.91 21.911XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7762026Hyperthermia gen intrcv prb                       R   1.52   0.74     0.74    0.36   2.62  2.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77620TCHyperthermia gen intrcv prb                       R   0.00  19.22    19.22NA  0.07  19.29 19.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77750  Infuse radioactive materials                      A   4.88   6.70     6.70NA  0.26  11.84 11.841090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7775026Infuse radioactive materials                      A   4.88   2.77     2.77    0.21   7.86  7.861090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77750TCInfuse radioactive materials                      A   0.00   3.93     3.93NA  0.05   3.98  3.981090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77761  Apply intrcav radiat simple                       A   3.75   8.72     8.72NA  0.23  12.70 12.701090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7776126Apply intrcav radiat simple                       A   3.75   2.13     2.13    0.16   6.04  6.041090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77761TCApply intrcav radiat simple                       A   0.00   6.59     6.59NA  0.07   6.66  6.661090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77762  Apply intrcav radiat interm                       A   5.62  10.79    10.79NA  0.31  16.72 16.721090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7776226Apply intrcav radiat interm                       A   5.62   3.20     3.20    0.23   9.05  9.051090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77762TCApply intrcav radiat interm                       A   0.00   7.59     7.59NA  0.08   7.67  7.671090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77763  Apply intrcav radiat compl                        A   8.44  14.78    14.78NA  0.49  23.71 23.711090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7776326Apply intrcav radiat compl                        A   8.44   4.79     4.79    0.36  13.59 13.591090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77763TCApply intrcav radiat compl                        A   0.00   9.99     9.99NA  0.13  10.12 10.121090.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77767  Hdr rdncl skn surf brachytx                       A   1.02   6.40     6.40NA  0.09   7.51  7.511XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7776726Hdr rdncl skn surf brachytx                       A   1.02   0.58     0.58    0.04   1.64  1.641XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77767TCHdr rdncl skn surf brachytx                       A   0.00   5.82     5.82NA  0.05   5.87  5.871XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77768  Hdr rdncl skn surf brachytx                       A   1.37   9.55     9.55NA  0.13  11.05 11.051XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7776826Hdr rdncl skn surf brachytx                       A   1.37   0.78     0.78    0.06   2.21  2.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77768TCHdr rdncl skn surf brachytx                       A   0.00   8.77     8.77NA  0.07   8.84  8.841XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77770  Hdr rdncl ntrstl/icav brchtx                      A   1.90   8.43     8.43NA  0.13  10.46 10.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7777026Hdr rdncl ntrstl/icav brchtx                      A   1.90   1.08     1.08    0.07   3.05  3.051XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77770TCHdr rdncl ntrstl/icav brchtx                      A   0.00   7.35     7.35NA  0.06   7.41  7.411XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77771  Hdr rdncl ntrstl/icav brchtx                      A   3.71  14.31    14.31NA  0.27  18.29 18.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7777126Hdr rdncl ntrstl/icav brchtx                      A   3.71   2.10     2.10    0.16   5.97  5.971XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77771TCHdr rdncl ntrstl/icav brchtx                      A   0.00  12.21    12.21NA  0.11  12.32 12.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77772  Hdr rdncl ntrstl/icav brchtx                      A   5.27  21.73    21.73NA  0.39  27.39 27.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7777226Hdr rdncl ntrstl/icav brchtx                      A   5.27   2.92     2.92    0.22   8.41  8.411XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77772TCHdr rdncl ntrstl/icav brchtx                      A   0.00  18.81    18.81NA  0.17  18.98 18.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77778  Apply interstit radiat compl                      A   8.56  18.83    18.83NA  0.54  27.93 27.931000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7777826Apply interstit radiat compl                      A   8.56   4.83     4.83    0.38  13.77 13.771000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77778TCApply interstit radiat compl                      A   0.00  14.00    14.00NA  0.16  14.16 14.161000.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
77789  Apply surf ldr radionuclide                       A   1.11   2.80     2.80NA  0.07   3.98  3.981000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7778926Apply surf ldr radionuclide                       A   1.11   0.63     0.63    0.05   1.79  1.791000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77789TCApply surf ldr radionuclide                       A   0.00   2.17     2.17NA  0.02   2.19  2.191000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
77790  Radiation handling                                A   0.00   0.54     0.54NA  0.02   0.56  0.563XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78012  Thyroid uptake measurement                        A   0.19   2.17     2.17NA  0.04   2.40  2.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7801226Thyroid uptake measurement                        A   0.19   0.06     0.06    0.01   0.26  0.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78012TCThyroid uptake measurement                        A   0.00   2.11     2.11NA  0.03   2.14  2.141XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78013  Thyroid imaging w/blood flow                      A   0.36   4.56     4.56NA  0.05   4.97  4.971XXX.00.00.00000001            33.5675 090 99     12.21  12.21   0.10
7801326Thyroid imaging w/blood flow                      A   0.36   0.12     0.12    0.02   0.50  0.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78013TCThyroid imaging w/blood flow                      A   0.00   4.44     4.44NA  0.03   4.47  4.471XXX.00.00.00000001            33.5675 090 99     12.09  12.09   0.08
78014  Thyroid imaging w/blood flow                      A   0.49   5.75     5.75NA  0.07   6.31  6.311XXX.00.00.00000001            33.5675 090 99     12.24  12.24   0.12
7801426Thyroid imaging w/blood flow                      A   0.49   0.16     0.16    0.03   0.68  0.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78014TCThyroid imaging w/blood flow                      A   0.00   5.59     5.59NA  0.04   5.63  5.631XXX.00.00.00000001            33.5675 090 99     12.08  12.08   0.09
78015  Thyroid met imaging                               A   0.65   5.38     5.38NA  0.08   6.11  6.111XXX.00.00.00000001            33.5675 090 99     12.31  12.31   0.13
7801526Thyroid met imaging                               A   0.65   0.24     0.24    0.04   0.93  0.931XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78015TCThyroid met imaging                               A   0.00   5.14     5.14NA  0.04   5.18  5.181XXX.00.00.00000001            33.5675 010 99     12.07  12.07   0.09
78016  Thyroid met imaging/studies                       A   0.80   6.66     6.66NA  0.07   7.53  7.531XXX.00.00.00000001            33.5675 090 99     12.21  12.21   0.12
7801626Thyroid met imaging/studies                       A   0.80   0.15     0.15    0.01   0.96  0.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78016TCThyroid met imaging/studies                       A   0.00   6.51     6.51NA  0.06   6.57  6.571XXX.00.00.00000001            33.5675 010 99     12.06  12.06   0.11
78018  Thyroid met imaging body                          A   0.84   7.32     7.32NA  0.09   8.25  8.251XXX.00.00.00000001            33.5675 090 99     16.67  16.67   0.16
7801826Thyroid met imaging body                          A   0.84   0.26     0.26    0.04   1.14  1.141XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78018TCThyroid met imaging body                          A   0.00   7.06     7.06NA  0.05   7.11  7.111XXX.00.00.00000001            33.5675 010 99     16.41  16.41   0.12
78020  Thyroid met uptake                                A   0.59   1.74     1.74NA  0.04   2.37  2.371ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7802026Thyroid met uptake                                A   0.59   0.17     0.17    0.02   0.78  0.781ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78020TCThyroid met uptake                                A   0.00   1.57     1.57NA  0.02   1.59  1.591ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78070  Parathyroid planar imaging                        A   0.78   6.95     6.95NA  0.08   7.81  7.811XXX.00.00.00000001            33.5675 090 99     12.36  12.36   0.11
7807026Parathyroid planar imaging                        A   0.78   0.27     0.27    0.04   1.09  1.091XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78070TCParathyroid planar imaging                        A   0.00   6.68     6.68NA  0.04   6.72  6.721XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.07
78071  Parathyrd planar w/wo subtrj                      A   1.17   7.99     7.99NA  0.11   9.27  9.271XXX.00.00.00000001            33.5675 090 99     12.48  12.48   0.14
7807126Parathyrd planar w/wo subtrj                      A   1.17   0.39     0.39    0.06   1.62  1.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78071TCParathyrd planar w/wo subtrj                      A   0.00   7.60     7.60NA  0.05   7.65  7.651XXX.00.00.00000001            33.5675 090 99     12.09  12.09   0.08
78072  Parathyrd planar w/spect&ct                       A   1.56   9.79     9.79NA  0.12  11.47 11.471XXX.00.00.00000001            33.5675 090 99     16.93  16.93   0.16
7807226Parathyrd planar w/spect&ct                       A   1.56   0.49     0.49    0.07   2.12  2.121XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78072TCParathyrd planar w/spect&ct                       A   0.00   9.30     9.30NA  0.05   9.35  9.351XXX.00.00.00000001            33.5675 090 99     16.44  16.44   0.09
78075  Adrenal cortex & medulla img                      A   0.72  10.77    10.77NA  0.11  11.60 11.601XXX.00.00.00000001            33.5675 090 99     39.40  39.40   0.30
7807526Adrenal cortex & medulla img                      A   0.72   0.26     0.26    0.04   1.02  1.021XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78075TCAdrenal cortex & medulla img                      A   0.00  10.51    10.51NA  0.07  10.58 10.581XXX.00.00.00000001            33.5675 010 99     39.14  39.14   0.26
78099  Unlisted endocrine px dx nuc                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78102  Bone marrow imaging ltd                           A   0.54   4.10     4.10NA  0.07   4.71  4.711XXX.00.00.00000001            33.5675 090 99     12.21  12.21   0.15
7810226Bone marrow imaging ltd                           A   0.54   0.17     0.17    0.03   0.74  0.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78102TCBone marrow imaging ltd                           A   0.00   3.93     3.93NA  0.04   3.97  3.971XXX.00.00.00000001            33.5675 010 99     12.04  12.04   0.12
78103  Bone marrow imaging mult                          A   0.73   4.32     4.32NA  0.05   5.10  5.101XXX.00.00.00000001            33.5675 090 99     12.18  12.18   0.13
7810326Bone marrow imaging mult                          A   0.73   0.13     0.13    0.01   0.87  0.871XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78103TCBone marrow imaging mult                          A   0.00   4.19     4.19NA  0.04   4.23  4.231XXX.00.00.00000001            33.5675 010 99     12.05  12.05   0.12
78104  Bone marrow imaging body                          A   0.78   5.76     5.76NA  0.08   6.62  6.621XXX.00.00.00000001            33.5675 090 99     12.33  12.33   0.13
7810426Bone marrow imaging body                          A   0.78   0.25     0.25    0.04   1.07  1.071XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78104TCBone marrow imaging body                          A   0.00   5.51     5.51NA  0.04   5.55  5.551XXX.00.00.00000001            33.5675 010 99     12.08  12.08   0.09
78110  Plasma volume single                              A   0.19   1.89     1.89NA  0.05   2.13  2.131XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7811026Plasma volume single                              A   0.19   0.03     0.03    0.01   0.23  0.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78110TCPlasma volume single                              A   0.00   1.86     1.86NA  0.04   1.90  1.901XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78111  Plasma volume multiple                            A   0.21   2.64     2.64NA  0.05   2.90  2.901XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7811126Plasma volume multiple                            A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78111TCPlasma volume multiple                            A   0.00   2.55     2.55NA  0.04   2.59  2.591XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78120  Red cell mass single                              A   0.22   1.90     1.90NA  0.05   2.17  2.171XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7812026Red cell mass single                              A   0.22   0.04     0.04    0.01   0.27  0.271XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78120TCRed cell mass single                              A   0.00   1.86     1.86NA  0.04   1.90  1.901XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78121  Red cell mass multiple                            A   0.31   2.56     2.56NA  0.05   2.92  2.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7812126Red cell mass multiple                            A   0.31   0.12     0.12    0.01   0.44  0.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78121TCRed cell mass multiple                            A   0.00   2.44     2.44NA  0.04   2.48  2.481XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78122  Whl bld volume determination                      A   0.44   2.53     2.53NA  0.06   3.03  3.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7812226Whl bld volume determination                      A   0.44   0.16     0.16    0.02   0.62  0.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78122TCWhl bld volume determination                      A   0.00   2.37     2.37NA  0.04   2.41  2.411XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78130  Red cell survival study                           A   0.59   3.14     3.14NA  0.07   3.80  3.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7813026Red cell survival study                           A   0.59   0.11     0.11    0.01   0.71  0.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78130TCRed cell survival study                           A   0.00   3.03     3.03NA  0.06   3.09  3.091XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78140  Red cell sequestration                            A   0.59   2.65     2.65NA  0.05   3.29  3.291XXX.00.00.00000001            33.5675 090 99     12.09  12.09   0.20
7814026Red cell sequestration                            A   0.59   0.11     0.11    0.01   0.71  0.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78140TCRed cell sequestration                            A   0.00   2.54     2.54NA  0.04   2.58  2.581XXX.00.00.00000001            33.5675 010 99     11.98  11.98   0.19
78185  Spleen imaging                                    A   0.39   4.18     4.18NA  0.05   4.62  4.621XXX.00.00.00000001            33.5675 090 99     12.12  12.12   0.13
7818526Spleen imaging                                    A   0.39   0.07     0.07    0.01   0.47  0.471XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78185TCSpleen imaging                                    A   0.00   4.11     4.11NA  0.04   4.15  4.151XXX.00.00.00000001            33.5675 010 99     12.05  12.05   0.12
78191  Platelet survival study                           A   0.59   3.14     3.14NA  0.07   3.80  3.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7819126Platelet survival study                           A   0.59   0.11     0.11    0.01   0.71  0.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78191TCPlatelet survival study                           A   0.00   3.03     3.03NA  0.06   3.09  3.091XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78195  Lymph system imaging                              A   1.17   8.05     8.05NA  0.11   9.33  9.331XXX.00.00.00000001            33.5675 090 99     16.79  16.79   0.17
7819526Lymph system imaging                              A   1.17   0.37     0.37    0.06   1.60  1.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78195TCLymph system imaging                              A   0.00   7.68     7.68NA  0.05   7.73  7.731XXX.00.00.00000001            33.5675 010 99     16.42  16.42   0.11
78199  Unlstd hematop ret/endo lymp                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78201  Liver imaging static only                         A   0.43   4.65     4.65NA  0.06   5.14  5.141XXX.00.00.00000001            33.5675 090 99     16.52  16.52   0.17
7820126Liver imaging static only                         A   0.43   0.14     0.14    0.02   0.59  0.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78201TCLiver imaging static only                         A   0.00   4.51     4.51NA  0.04   4.55  4.551XXX.00.00.00000001            33.5675 010 99     16.38  16.38   0.15
78202  Liver imaging with vasc flow                      A   0.50   5.18     5.18NA  0.07   5.75  5.751XXX.00.00.00000001            33.5675 090 99     16.55  16.55   0.16
7820226Liver imaging with vasc flow                      A   0.50   0.16     0.16    0.03   0.69  0.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78202TCLiver imaging with vasc flow                      A   0.00   5.02     5.02NA  0.04   5.06  5.061XXX.00.00.00000001            33.5675 010 99     16.39  16.39   0.13
78215  Lvr&spleen img static only                        A   0.48   4.79     4.79NA  0.07   5.34  5.341XXX.00.00.00000001            33.5675 090 99     12.23  12.23   0.14
7821526Lvr&spleen img static only                        A   0.48   0.17     0.17    0.03   0.68  0.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78215TCLvr&spleen img static only                        A   0.00   4.62     4.62NA  0.04   4.66  4.661XXX.00.00.00000001            33.5675 010 99     12.06  12.06   0.11
78216  Lvr&spleen img w/vasc flow                        A   0.56   3.32     3.32NA  0.07   3.95  3.951XXX.00.00.00000001            33.5675 090 99     12.21  12.21   0.19
7821626Lvr&spleen img w/vasc flow                        A   0.56   0.20     0.20    0.03   0.79  0.791XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78216TCLvr&spleen img w/vasc flow                        A   0.00   3.12     3.12NA  0.04   3.16  3.161XXX.00.00.00000001            33.5675 010 99     12.01  12.01   0.16
78226  Hepatobiliary system imaging                      A   0.72   7.72     7.72NA  0.09   8.53  8.531XXX.00.00.00000001            33.5675 090 99     12.34  12.34   0.12
7822626Hepatobiliary system imaging                      A   0.72   0.25     0.25    0.04   1.01  1.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78226TCHepatobiliary system imaging                      A   0.00   7.47     7.47NA  0.05   7.52  7.521XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78227  Hepatobil syst image w/drug                       A   0.88  10.46    10.46NA  0.12  11.46 11.461XXX.00.00.00000001            33.5675 090 99     16.71  16.71   0.16
7822726Hepatobil syst image w/drug                       A   0.88   0.30     0.30    0.05   1.23  1.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78227TCHepatobil syst image w/drug                       A   0.00  10.16    10.16NA  0.07  10.23 10.231XXX.00.00.00000001            33.5675 010 99     16.41  16.41   0.11
78230  Salivary gland imaging                            A   0.44   4.22     4.22NA  0.07   4.73  4.731XXX.00.00.00000001            33.5675 090 99     12.21  12.21   0.15
7823026Salivary gland imaging                            A   0.44   0.16     0.16    0.03   0.63  0.631XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78230TCSalivary gland imaging                            A   0.00   4.06     4.06NA  0.04   4.10  4.101XXX.00.00.00000001            33.5675 010 99     12.05  12.05   0.12
78231  Salivary glnd img serial img                      A   0.51   2.58     2.58NA  0.05   3.14  3.141XXX.00.00.00000001            33.5675 090 99     12.06  12.06   0.20
7823126Salivary glnd img serial img                      A   0.51   0.09     0.09    0.01   0.61  0.611XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78231TCSalivary glnd img serial img                      A   0.00   2.49     2.49NA  0.04   2.53  2.531XXX.00.00.00000001            33.5675 010 99     11.97  11.97   0.19
78232  Salivary gland function std                       A   0.46   2.58     2.58NA  0.05   3.09  3.091XXX.00.00.00000001            33.5675 090 99     12.05  12.05   0.20
7823226Salivary gland function std                       A   0.46   0.08     0.08    0.01   0.55  0.551XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78232TCSalivary gland function std                       A   0.00   2.50     2.50NA  0.04   2.54  2.541XXX.00.00.00000001            33.5675 010 99     11.97  11.97   0.19
78258  Esophageal motility                               A   0.72   5.35     5.35NA  0.08   6.15  6.151XXX.00.00.00000001            33.5675 090 99     12.32  12.32   0.14
7825826Esophageal motility                               A   0.72   0.25     0.25    0.04   1.01  1.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78258TCEsophageal motility                               A   0.00   5.10     5.10NA  0.04   5.14  5.141XXX.00.00.00000001            33.5675 010 99     12.07  12.07   0.10
78261  Gastric mucosa imaging                            A   0.67   4.78     4.78NA  0.05   5.50  5.501XXX.00.00.00000001            33.5675 090 99     12.18  12.18   0.11
7826126Gastric mucosa imaging                            A   0.67   0.12     0.12    0.01   0.80  0.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78261TCGastric mucosa imaging                            A   0.00   4.66     4.66NA  0.04   4.70  4.701XXX.00.00.00000001            33.5675 010 99     12.06  12.06   0.10
78262  Gastroesophageal reflux std                       A   0.66   5.77     5.77NA  0.08   6.51  6.511XXX.00.00.00000001            33.5675 090 99     12.32  12.32   0.13
7826226Gastroesophageal reflux std                       A   0.66   0.24     0.24    0.04   0.94  0.941XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78262TCGastroesophageal reflux std                       A   0.00   5.53     5.53NA  0.04   5.57  5.571XXX.00.00.00000001            33.5675 010 99     12.08  12.08   0.09
78264  Gastric emptying img study                        A   0.77   7.82     7.82NA  0.09   8.68  8.681XXX.00.00.00000001            33.5675 090 99     12.35  12.35   0.12
7826426Gastric emptying img study                        A   0.77   0.26     0.26    0.04   1.07  1.071XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78264TCGastric emptying img study                        A   0.00   7.56     7.56NA  0.05   7.61  7.611XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78265  Gstr emptg img sm bwl trnst                       A   0.96   9.34     9.34NA  0.11  10.41 10.411XXX.00.00.00000001            33.5675 090 99     12.42  12.42   0.13
7826526Gstr emptg img sm bwl trnst                       A   0.96   0.33     0.33    0.05   1.34  1.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78265TCGstr emptg img sm bwl trnst                       A   0.00   9.01     9.01NA  0.06   9.07  9.071XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78266  Gstr empt img sm bwl&colon                        A   1.05  10.66    10.66NA  0.11  11.82 11.821XXX.00.00.00000001            33.5675 090 99     16.74  16.74   0.15
7826626Gstr empt img sm bwl&colon                        A   1.05   0.33     0.33    0.04   1.42  1.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78266TCGstr empt img sm bwl&colon                        A   0.00  10.33    10.33NA  0.07  10.40 10.401XXX.00.00.00000001            33.5675 010 99     16.41  16.41   0.11
78278  Acute gi blood loss imaging                       A   0.97   8.08     8.08NA  0.10   9.15  9.151XXX.00.00.00000001            33.5675 090 99     12.42  12.42   0.13
7827826Acute gi blood loss imaging                       A   0.97   0.33     0.33    0.05   1.35  1.351XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78278TCAcute gi blood loss imaging                       A   0.00   7.75     7.75NA  0.05   7.80  7.801XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78282  Gi protein loss                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     12.23  12.23   0.02
7828226Gi protein loss                                   A   0.37   0.07     0.07    0.01   0.45  0.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78282TCGi protein loss                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     12.16  12.16   0.01
78290  Intestine imaging                                 A   0.66   7.96     7.96NA  0.09   8.71  8.711XXX.00.00.00000001            33.5675 090 99     12.32  12.32   0.12
7829026Intestine imaging                                 A   0.66   0.23     0.23    0.04   0.93  0.931XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78290TCIntestine imaging                                 A   0.00   7.73     7.73NA  0.05   7.78  7.781XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78291  Pertl-ven shunt patency test                      A   0.86   6.02     6.02NA  0.09   6.97  6.971XXX.00.00.00000001            33.5675 090 99     12.39  12.39   0.14
7829126Pertl-ven shunt patency test                      A   0.86   0.31     0.31    0.05   1.22  1.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78291TCPertl-ven shunt patency test                      A   0.00   5.71     5.71NA  0.04   5.75  5.751XXX.00.00.00000001            33.5675 010 99     12.08  12.08   0.09
78299  Unlisted gi px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78300  Bone imaging limited area                         A   0.60   5.31     5.31NA  0.06   5.97  5.971XXX.00.00.00000001            33.5675 090 99     12.31  12.31   0.10
7830026Bone imaging limited area                         A   0.60   0.21     0.21    0.03   0.84  0.841XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78300TCBone imaging limited area                         A   0.00   5.10     5.10NA  0.03   5.13  5.131XXX.00.00.00000001            33.5675 010 99     12.10  12.10   0.07
78305  Bone imaging multiple areas                       A   0.81   6.37     6.37NA  0.09   7.27  7.271XXX.00.00.00000001            33.5675 090 99     12.37  12.37   0.13
7830526Bone imaging multiple areas                       A   0.81   0.28     0.28    0.05   1.14  1.141XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78305TCBone imaging multiple areas                       A   0.00   6.09     6.09NA  0.04   6.13  6.131XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78306  Bone imaging whole body                           A   0.84   6.84     6.84NA  0.08   7.76  7.761XXX.00.00.00400001            33.5675 090 88     12.37  12.37   0.11
7830626Bone imaging whole body                           A   0.84   0.28     0.28    0.04   1.16  1.161XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
78306TCBone imaging whole body                           A   0.00   6.56     6.56NA  0.04   6.60  6.601XXX.00.00.00400001            33.5675 010 88     12.09  12.09   0.07
78315  Bone imaging 3 phase                              A   0.99   7.99     7.99NA  0.10   9.08  9.081XXX.00.00.00000001            33.5675 090 99     12.43  12.43   0.13
7831526Bone imaging 3 phase                              A   0.99   0.34     0.34    0.05   1.38  1.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78315TCBone imaging 3 phase                              A   0.00   7.65     7.65NA  0.05   7.70  7.701XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78399  Unlisted muscskel px dx nuc                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7841426Non-imaging heart function                        A   0.44   0.17     0.17    0.02   0.63  0.631XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78428  Cardiac shunt imaging                             A   0.76   4.29     4.29NA  0.07   5.12  5.121XXX.00.00.00600001            33.5675 090 99     12.31  12.31   0.15
7842826Cardiac shunt imaging                             A   0.76   0.26     0.26    0.03   1.05  1.051XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78428TCCardiac shunt imaging                             A   0.00   4.03     4.03NA  0.04   4.07  4.071XXX.00.00.00600001            33.5675 010 99     12.05  12.05   0.12
78429  Myocrd img pet 1 std w/ct                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.05  44.05   0.08
7842926Myocrd img pet 1 std w/ct                         A   1.72   0.54     0.54    0.07   2.33  2.331XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78429TCMyocrd img pet 1 std w/ct                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78430  Myocrd img pet rst/strs w/ct                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.04  44.04   0.07
7843026Myocrd img pet rst/strs w/ct                      A   1.63   0.53     0.53    0.06   2.22  2.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78430TCMyocrd img pet rst/strs w/ct                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78431  Myocrd img pet rst&strs ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     67.71  67.71   0.07
7843126Myocrd img pet rst&strs ct                        A   1.85   0.68     0.68    0.06   2.59  2.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78431TCMyocrd img pet rst&strs ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     67.03  67.03   0.01
78432  Myocrd img pet 2rtracer                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     46.94  46.94   0.08
7843226Myocrd img pet 2rtracer                           A   2.02   0.76     0.76    0.07   2.85  2.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78432TCMyocrd img pet 2rtracer                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     46.18  46.18   0.01
78433  Myocrd img pet 2rtracer ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     67.76  67.76   0.08
7843326Myocrd img pet 2rtracer ct                        A   2.20   0.73     0.73    0.07   3.00  3.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78433TCMyocrd img pet 2rtracer ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     67.03  67.03   0.01
78434  Aqmbf pet rest & rx stress                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7843426Aqmbf pet rest & rx stress                        A   0.61   0.23     0.23    0.02   0.86  0.861ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78445  Vascular flow imaging                             A   0.48   4.45     4.45NA  0.07   5.00  5.001XXX.00.00.00600001            33.5675 090 99     12.22  12.22   0.14
7844526Vascular flow imaging                             A   0.48   0.17     0.17    0.03   0.68  0.681XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78445TCVascular flow imaging                             A   0.00   4.28     4.28NA  0.04   4.32  4.321XXX.00.00.00600001            33.5675 010 99     12.05  12.05   0.11
78451  Ht muscle image spect sing                        A   1.35   7.87     7.87NA  0.10   9.32  9.321XXX.00.00.00600001            33.5675 090 99     39.63  39.63   0.32
7845126Ht muscle image spect sing                        A   1.35   0.49     0.49    0.05   1.89  1.891XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78451TCHt muscle image spect sing                        A   0.00   7.38     7.38NA  0.05   7.43  7.431XXX.00.00.00600001            33.5675 010 99     39.14  39.14   0.27
78452  Ht muscle image spect mult                        A   1.58  11.10    11.10NA  0.13  12.81 12.811XXX.00.00.00600001            33.5675 090 99     39.73  39.73   0.32
7845226Ht muscle image spect mult                        A   1.58   0.59     0.59    0.06   2.23  2.231XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78452TCHt muscle image spect mult                        A   0.00  10.51    10.51NA  0.07  10.58 10.581XXX.00.00.00600001            33.5675 010 99     39.14  39.14   0.26
78453  Ht muscle image planar sing                       A   0.98   6.79     6.79NA  0.10   7.87  7.871XXX.00.00.00600001            33.5675 090 99     39.43  39.43   0.36
7845326Ht muscle image planar sing                       A   0.98   0.33     0.33    0.05   1.36  1.361XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78453TCHt muscle image planar sing                       A   0.00   6.46     6.46NA  0.05   6.51  6.511XXX.00.00.00600001            33.5675 010 99     39.10  39.10   0.31
78454  Ht musc image planar mult                         A   1.31   9.99     9.99NA  0.14  11.44 11.441XXX.00.00.00600001            33.5675 090 99     39.56  39.56   0.36
7845426Ht musc image planar mult                         A   1.31   0.45     0.45    0.07   1.83  1.831XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78454TCHt musc image planar mult                         A   0.00   9.54     9.54NA  0.07   9.61  9.611XXX.00.00.00600001            33.5675 010 99     39.11  39.11   0.29
78456  Acute venous thrombus image                       A   0.98   7.45     7.45NA  0.08   8.51  8.511XXX.00.00.00699991            33.5675 090 99     39.49  39.49   0.31
7845626Acute venous thrombus image                       A   0.98   0.36     0.36    0.03   1.37  1.371XXX.00.00.00699991            33.5675 090 99      0.00   0.00   0.00
78456TCAcute venous thrombus image                       A   0.00   7.09     7.09NA  0.05   7.14  7.141XXX.00.00.00699991            33.5675 090 99     39.13  39.13   0.28
78457  Venous thrombosis imaging                         A   0.75   4.19     4.19NA  0.07   5.01  5.011XXX.00.00.00600001            33.5675 090 99     16.64  16.64   0.20
7845726Venous thrombosis imaging                         A   0.75   0.28     0.28    0.03   1.06  1.061XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78457TCVenous thrombosis imaging                         A   0.00   3.91     3.91NA  0.04   3.95  3.951XXX.00.00.00600001            33.5675 010 99     16.36  16.36   0.17
78458  Ven thrombosis images bilat                       A   0.88   4.60     4.60NA  0.09   5.57  5.571XXX.00.00.00620001            33.5675 090 99     12.37  12.37   0.16
7845826Ven thrombosis images bilat                       A   0.88   0.32     0.32    0.05   1.25  1.251XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
78458TCVen thrombosis images bilat                       A   0.00   4.28     4.28NA  0.04   4.32  4.321XXX.00.00.00620001            33.5675 010 99     12.05  12.05   0.11
78459  Myocrd img pet single study                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     39.88  39.88   0.07
7845926Myocrd img pet single study                       A   1.57   0.49     0.49    0.06   2.12  2.121XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78459TCMyocrd img pet single study                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     39.39  39.39   0.01
78466  Heart infarct image                               A   0.67   4.02     4.02NA  0.07   4.76  4.761XXX.00.00.00600001            33.5675 090 99     12.28  12.28   0.16
7846626Heart infarct image                               A   0.67   0.24     0.24    0.03   0.94  0.941XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78466TCHeart infarct image                               A   0.00   3.78     3.78NA  0.04   3.82  3.821XXX.00.00.00600001            33.5675 010 99     12.04  12.04   0.13
78468  Heart infarct image (ef)                          A   0.78   4.63     4.63NA  0.07   5.48  5.481XXX.00.00.00600001            33.5675 090 99     16.66  16.66   0.18
7846826Heart infarct image (ef)                          A   0.78   0.29     0.29    0.03   1.10  1.101XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78468TCHeart infarct image (ef)                          A   0.00   4.34     4.34NA  0.04   4.38  4.381XXX.00.00.00600001            33.5675 010 99     16.37  16.37   0.15
78469  Heart infarct image (3d)                          A   0.90   5.12     5.12NA  0.08   6.10  6.101XXX.00.00.00600001            33.5675 090 99     16.72  16.72   0.18
7846926Heart infarct image (3d)                          A   0.90   0.33     0.33    0.04   1.27  1.271XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78469TCHeart infarct image (3d)                          A   0.00   4.79     4.79NA  0.04   4.83  4.831XXX.00.00.00600001            33.5675 010 99     16.39  16.39   0.14
78472  Gated heart planar single                         A   0.96   5.17     5.17NA  0.08   6.21  6.211XXX.00.00.00600001            33.5675 090 99     12.41  12.41   0.14
7847226Gated heart planar single                         A   0.96   0.34     0.34    0.04   1.34  1.341XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78472TCGated heart planar single                         A   0.00   4.83     4.83NA  0.04   4.87  4.871XXX.00.00.00600001            33.5675 010 99     12.07  12.07   0.10
78473  Gated heart multiple                              A   1.43   6.45     6.45NA  0.11   7.99  7.991XXX.00.00.00600001            33.5675 090 99     12.60  12.60   0.16
7847326Gated heart multiple                              A   1.43   0.54     0.54    0.06   2.03  2.031XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78473TCGated heart multiple                              A   0.00   5.91     5.91NA  0.05   5.96  5.961XXX.00.00.00600001            33.5675 010 99     12.06  12.06   0.10
78481  Heart first pass single                           A   0.96   3.85     3.85NA  0.05   4.86  4.861XXX.00.00.00600001            33.5675 090 99     16.73  16.73   0.16
7848126Heart first pass single                           A   0.96   0.35     0.35    0.02   1.33  1.331XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78481TCHeart first pass single                           A   0.00   3.50     3.50NA  0.03   3.53  3.531XXX.00.00.00600001            33.5675 010 99     16.38  16.38   0.14
78483  Heart first pass multiple                         A   1.43   5.06     5.06NA  0.08   6.57  6.571XXX.00.00.00600001            33.5675 090 99     16.95  16.95   0.16
7848326Heart first pass multiple                         A   1.43   0.53     0.53    0.05   2.01  2.011XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78483TCHeart first pass multiple                         A   0.00   4.53     4.53NA  0.03   4.56  4.561XXX.00.00.00600001            33.5675 010 99     16.42  16.42   0.11
78491  Myocrd img pet 1std rst/strs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.05  44.05   0.07
7849126Myocrd img pet 1std rst/strs                      A   1.52   0.54     0.54    0.06   2.12  2.121XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78491TCMyocrd img pet 1std rst/strs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78492  Myocrd img pet mlt rst&strs                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.16  44.16   0.07
7849226Myocrd img pet mlt rst&strs                       A   1.76   0.65     0.65    0.06   2.47  2.471XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78492TCMyocrd img pet mlt rst&strs                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78494  Heart image spect                                 A   1.16   5.07     5.07NA  0.09   6.32  6.321XXX.00.00.00600001            33.5675 090 99     12.48  12.48   0.15
7849426Heart image spect                                 A   1.16   0.42     0.42    0.05   1.63  1.631XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
78494TCHeart image spect                                 A   0.00   4.65     4.65NA  0.04   4.69  4.691XXX.00.00.00600001            33.5675 010 99     12.06  12.06   0.10
78496  Heart first pass add-on                           A   0.49   0.75     0.75NA  0.03   1.27  1.271ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7849626Heart first pass add-on                           A   0.49   0.18     0.18    0.02   0.69  0.691ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78496TCHeart first pass add-on                           A   0.00   0.57     0.57NA  0.01   0.58  0.581ZZZ.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78579  Lung ventilation imaging                          A   0.48   4.44     4.44NA  0.06   4.98  4.981XXX.00.00.00000001            33.5675 090 99     12.24  12.24   0.12
7857926Lung ventilation imaging                          A   0.48   0.16     0.16    0.03   0.67  0.671XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78579TCLung ventilation imaging                          A   0.00   4.28     4.28NA  0.03   4.31  4.311XXX.00.00.00000001            33.5675 010 99     12.08  12.08   0.09
78580  Lung perfusion imaging                            A   0.72   5.47     5.47NA  0.08   6.27  6.271XXX.00.00.00000001            33.5675 090 99     12.32  12.32   0.13
7858026Lung perfusion imaging                            A   0.72   0.25     0.25    0.04   1.01  1.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78580TCLung perfusion imaging                            A   0.00   5.22     5.22NA  0.04   5.26  5.261XXX.00.00.00000001            33.5675 010 99     12.07  12.07   0.09
78582  Lung ventilat&perfus imaging                      A   1.04   7.55     7.55NA  0.11   8.70  8.701XXX.00.00.00000001            33.5675 090 99     16.76  16.76   0.17
7858226Lung ventilat&perfus imaging                      A   1.04   0.35     0.35    0.06   1.45  1.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78582TCLung ventilat&perfus imaging                      A   0.00   7.20     7.20NA  0.05   7.25  7.251XXX.00.00.00000001            33.5675 010 99     16.41  16.41   0.11
78597  Lung perfusion differential                       A   0.73   4.60     4.60NA  0.06   5.39  5.391XXX.00.00.00000001            33.5675 090 99     12.31  12.31   0.11
7859726Lung perfusion differential                       A   0.73   0.23     0.23    0.03   0.99  0.991XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78597TCLung perfusion differential                       A   0.00   4.37     4.37NA  0.03   4.40  4.401XXX.00.00.00000001            33.5675 010 99     12.08  12.08   0.08
78598  Lung perf&ventilat diferentl                      A   0.83   7.01     7.01NA  0.09   7.93  7.931XXX.00.00.00000001            33.5675 090 99     16.66  16.66   0.16
7859826Lung perf&ventilat diferentl                      A   0.83   0.26     0.26    0.04   1.13  1.131XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78598TCLung perf&ventilat diferentl                      A   0.00   6.75     6.75NA  0.05   6.80  6.801XXX.00.00.00000001            33.5675 010 99     16.40  16.40   0.12
78599  Unlisted resp px dx nuc med                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78600  Brain image < 4 views                             A   0.43   4.50     4.50NA  0.06   4.99  4.991XXX.00.00.00000001            33.5675 090 99     12.21  12.21   0.13
7860026Brain image < 4 views                             A   0.43   0.15     0.15    0.02   0.60  0.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78600TCBrain image < 4 views                             A   0.00   4.35     4.35NA  0.04   4.39  4.391XXX.00.00.00000001            33.5675 010 99     12.06  12.06   0.11
78601  Brain image w/flow < 4 views                      A   0.50   5.20     5.20NA  0.07   5.77  5.771XXX.00.00.00000001            33.5675 090 99     12.24  12.24   0.13
7860126Brain image w/flow < 4 views                      A   0.50   0.17     0.17    0.03   0.70  0.701XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78601TCBrain image w/flow < 4 views                      A   0.00   5.03     5.03NA  0.04   5.07  5.071XXX.00.00.00000001            33.5675 010 99     12.07  12.07   0.10
78605  Brain image 4+ views                              A   0.52   4.78     4.78NA  0.07   5.37  5.371XXX.00.00.00000001            33.5675 090 99     16.57  16.57   0.17
7860526Brain image 4+ views                              A   0.52   0.19     0.19    0.03   0.74  0.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78605TCBrain image 4+ views                              A   0.00   4.59     4.59NA  0.04   4.63  4.631XXX.00.00.00000001            33.5675 010 99     16.38  16.38   0.14
78606  Brain image w/flow 4 + views                      A   0.62   7.92     7.92NA  0.08   8.62  8.621XXX.00.00.00000001            33.5675 090 99     16.63  16.63   0.14
7860626Brain image w/flow 4 + views                      A   0.62   0.21     0.21    0.03   0.86  0.861XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78606TCBrain image w/flow 4 + views                      A   0.00   7.71     7.71NA  0.05   7.76  7.761XXX.00.00.00000001            33.5675 010 99     16.42  16.42   0.11
78608  Brain imaging (pet)                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     43.98  43.98   0.08
7860826Brain imaging (pet)                               A   1.46   0.47     0.47    0.07   2.00  2.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78608TCBrain imaging (pet)                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78610  Brain flow imaging only                           A   0.29   4.34     4.34NA  0.06   4.69  4.691XXX.00.00.00000001            33.5675 090 99     16.47  16.47   0.18
7861026Brain flow imaging only                           A   0.29   0.10     0.10    0.02   0.41  0.411XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78610TCBrain flow imaging only                           A   0.00   4.24     4.24NA  0.04   4.28  4.281XXX.00.00.00000001            33.5675 010 99     16.37  16.37   0.16
78630  Cerebrospinal fluid scan                          A   0.66   8.06     8.06NA  0.10   8.82  8.821XXX.00.00.00000001            33.5675 090 99     16.62  16.62   0.17
7863026Cerebrospinal fluid scan                          A   0.66   0.22     0.22    0.04   0.92  0.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78630TCCerebrospinal fluid scan                          A   0.00   7.84     7.84NA  0.06   7.90  7.901XXX.00.00.00000001            33.5675 010 99     16.40  16.40   0.13
78635  Csf ventriculography                              A   0.59   8.15     8.15NA  0.08   8.82  8.821XXX.00.00.00000001            33.5675 090 99     16.64  16.64   0.13
7863526Csf ventriculography                              A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78635TCCsf ventriculography                              A   0.00   7.93     7.93NA  0.05   7.98  7.981XXX.00.00.00000001            33.5675 010 99     16.42  16.42   0.10
78645  Csf shunt evaluation                              A   0.56   7.90     7.90NA  0.08   8.54  8.541XXX.00.00.00000001            33.5675 090 99     16.60  16.60   0.14
7864526Csf shunt evaluation                              A   0.56   0.18     0.18    0.03   0.77  0.771XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78645TCCsf shunt evaluation                              A   0.00   7.72     7.72NA  0.05   7.77  7.771XXX.00.00.00000001            33.5675 010 99     16.42  16.42   0.11
78650  Csf leakage imaging                               A   0.59   6.68     6.68NA  0.07   7.34  7.341XXX.00.00.00000001            33.5675 090 99     39.15  39.15   0.37
7865026Csf leakage imaging                               A   0.59   0.11     0.11    0.01   0.71  0.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78650TCCsf leakage imaging                               A   0.00   6.57     6.57NA  0.06   6.63  6.631XXX.00.00.00000001            33.5675 010 99     39.04  39.04   0.36
78660  Nuclear exam of tear flow                         A   0.52   3.40     3.40NA  0.05   3.97  3.971XXX.00.00.00000001            33.5675 090 99     12.11  12.11   0.16
7866026Nuclear exam of tear flow                         A   0.52   0.09     0.09    0.01   0.62  0.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78660TCNuclear exam of tear flow                         A   0.00   3.31     3.31NA  0.04   3.35  3.351XXX.00.00.00000001            33.5675 010 99     12.02  12.02   0.15
78699  Unlisted nrvs sys px dx nuc                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78700  Kidney imaging morphol                            A   0.44   4.09     4.09NA  0.06   4.59  4.591XXX.00.00.00000001            33.5675 090 99     12.18  12.18   0.14
7870026Kidney imaging morphol                            A   0.44   0.14     0.14    0.02   0.60  0.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78700TCKidney imaging morphol                            A   0.00   3.95     3.95NA  0.04   3.99  3.991XXX.00.00.00000001            33.5675 010 99     12.04  12.04   0.12
78701  Kidney imaging with flow                          A   0.48   5.53     5.53NA  0.07   6.08  6.081XXX.00.00.00000001            33.5675 090 99     12.26  12.26   0.12
7870126Kidney imaging with flow                          A   0.48   0.18     0.18    0.03   0.69  0.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78701TCKidney imaging with flow                          A   0.00   5.35     5.35NA  0.04   5.39  5.391XXX.00.00.00000001            33.5675 010 99     12.08  12.08   0.09
78707  K flow/funct image w/o drug                       A   0.94   5.24     5.24NA  0.09   6.27  6.271XXX.00.00.00000001            33.5675 090 99     16.70  16.70   0.18
7870726K flow/funct image w/o drug                       A   0.94   0.31     0.31    0.05   1.30  1.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78707TCK flow/funct image w/o drug                       A   0.00   4.93     4.93NA  0.04   4.97  4.971XXX.00.00.00000001            33.5675 010 99     16.39  16.39   0.13
78708  K flow/funct image w/drug                         A   1.18   3.87     3.87NA  0.11   5.16  5.161XXX.00.00.00000001            33.5675 090 99     16.67  16.67   0.30
7870826K flow/funct image w/drug                         A   1.18   0.38     0.38    0.06   1.62  1.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78708TCK flow/funct image w/drug                         A   0.00   3.49     3.49NA  0.05   3.54  3.541XXX.00.00.00000001            33.5675 010 99     16.29  16.29   0.24
78709  K flow/funct image multiple                       A   1.37   8.27     8.27NA  0.13   9.77  9.771XXX.00.00.00000001            33.5675 090 99     16.85  16.85   0.20
7870926K flow/funct image multiple                       A   1.37   0.45     0.45    0.07   1.89  1.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78709TCK flow/funct image multiple                       A   0.00   7.82     7.82NA  0.06   7.88  7.881XXX.00.00.00000001            33.5675 010 99     16.40  16.40   0.13
78725  Kidney function study                             A   0.37   2.55     2.55NA  0.06   2.98  2.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7872526Kidney function study                             A   0.37   0.12     0.12    0.02   0.51  0.511XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78725TCKidney function study                             A   0.00   2.43     2.43NA  0.04   2.47  2.471XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78730  Urinary bladder retention                         A   0.15   2.03     2.03NA  0.01   2.19  2.191ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7873026Urinary bladder retention                         A   0.15   0.08     0.08    0.00   0.23  0.231ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78730TCUrinary bladder retention                         A   0.00   1.95     1.95NA  0.01   1.96  1.961ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
78740  Ureteral reflux study                             A   0.56   5.99     5.99NA  0.06   6.61  6.611XXX.00.00.00000001            33.5675 090 99     12.31  12.31   0.10
7874026Ureteral reflux study                             A   0.56   0.23     0.23    0.02   0.81  0.811XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78740TCUreteral reflux study                             A   0.00   5.76     5.76NA  0.04   5.80  5.801XXX.00.00.00000001            33.5675 010 99     12.08  12.08   0.08
78761  Testicular imaging w/flow                         A   0.69   4.92     4.92NA  0.08   5.69  5.691XXX.00.00.00000001            33.5675 090 99     12.31  12.31   0.14
7876126Testicular imaging w/flow                         A   0.69   0.25     0.25    0.04   0.98  0.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78761TCTesticular imaging w/flow                         A   0.00   4.67     4.67NA  0.04   4.71  4.711XXX.00.00.00000001            33.5675 010 99     12.06  12.06   0.10
78799  Unlisted gu px dx nuc med                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78800  Rp loclzj tum 1 area 1 d img                      A   0.62   6.22     6.22NA  0.10   6.94  6.941XXX.00.00.00000001            33.5675 090 99     12.34  12.34   0.13
7880026Rp loclzj tum 1 area 1 d img                      A   0.62   0.23     0.23    0.07   0.92  0.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78800TCRp loclzj tum 1 area 1 d img                      A   0.00   5.99     5.99NA  0.03   6.02  6.021XXX.00.00.00000001            33.5675 010 99     12.11  12.11   0.06
78801  Rp loclzj tum 2+area 1+d img                      A   0.71   6.40     6.40NA  0.08   7.19  7.191XXX.00.00.00000001            33.5675 090 99     12.33  12.33   0.12
7880126Rp loclzj tum 2+area 1+d img                      A   0.71   0.24     0.24    0.04   0.99  0.991XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78801TCRp loclzj tum 2+area 1+d img                      A   0.00   6.16     6.16NA  0.04   6.20  6.201XXX.00.00.00000001            33.5675 010 99     12.09  12.09   0.08
78802  Rp loclzj tum whbdy 1 d img                       A   0.78   7.23     7.23NA  0.08   8.09  8.091XXX.00.00.00400001            33.5675 090 88     16.68  16.68   0.13
7880226Rp loclzj tum whbdy 1 d img                       A   0.78   0.25     0.25    0.04   1.07  1.071XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
78802TCRp loclzj tum whbdy 1 d img                       A   0.00   6.98     6.98NA  0.04   7.02  7.021XXX.00.00.00400001            33.5675 010 88     16.43  16.43   0.09
78803  Rp loclzj tum spect 1 area                        A   1.06   8.89     8.89NA  0.10  10.05 10.051XXX.00.00.00400001            33.5675 090 88     16.79  16.79   0.15
7880326Rp loclzj tum spect 1 area                        A   1.06   0.36     0.36    0.05   1.47  1.471XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
78803TCRp loclzj tum spect 1 area                        A   0.00   8.53     8.53NA  0.05   8.58  8.581XXX.00.00.00400001            33.5675 010 88     16.43  16.43   0.10
78804  Rp loclzj tum whbdy 2+d img                       A   0.98  15.69    15.69NA  0.13  16.80 16.801XXX.00.00.00000001            33.5675 090 99     16.76  16.76   0.14
7880426Rp loclzj tum whbdy 2+d img                       A   0.98   0.32     0.32    0.05   1.35  1.351XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78804TCRp loclzj tum whbdy 2+d img                       A   0.00  15.37    15.37NA  0.08  15.45 15.451XXX.00.00.00000001            33.5675 010 99     16.44  16.44   0.09
78808  Iv inj ra drug dx study                           A   0.18   1.02     1.02NA  0.03   1.23  1.235XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99     39.88  39.88   0.08
7881126Pet image ltd area                                A   1.50   0.49     0.49    0.07   2.06  2.061XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78811TCPet image ltd area                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     39.39  39.39   0.01
78812  Pet image skull-thigh                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.13  44.13   0.10
7881226Pet image skull-thigh                             A   1.88   0.62     0.62    0.09   2.59  2.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78812TCPet image skull-thigh                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78813  Pet image full body                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.12  44.12   0.10
7881326Pet image full body                               A   1.95   0.61     0.61    0.09   2.65  2.651XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78813TCPet image full body                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78814  Pet image w/ct lmtd                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.20  44.20   0.12
7881426Pet image w/ct lmtd                               A   2.15   0.69     0.69    0.11   2.95  2.951XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78814TCPet image w/ct lmtd                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78815  Pet image w/ct skull-thigh                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.29  44.29   0.13
7881526Pet image w/ct skull-thigh                        A   2.38   0.78     0.78    0.12   3.28  3.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78815TCPet image w/ct skull-thigh                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78816  Pet image w/ct full body                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     44.28  44.28   0.13
7881626Pet image w/ct full body                          A   2.44   0.77     0.77    0.12   3.33  3.331XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78816TCPet image w/ct full body                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99     43.51  43.51   0.01
78830  Rp loclzj tum spect w/ct 1                        A   1.45  11.03    11.03NA  0.12  12.60 12.601XXX.00.00.00000001            33.5675 090 99     39.62  39.62   0.28
7883026Rp loclzj tum spect w/ct 1                        A   1.45   0.44     0.44    0.06   1.95  1.951XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78830TCRp loclzj tum spect w/ct 1                        A   0.00  10.59    10.59NA  0.06  10.65 10.651XXX.00.00.00000001            33.5675 010 99     39.18  39.18   0.22
78831  Rp loclzj tum spect 2 areas                       A   1.77  16.72    16.72NA  0.16  18.65 18.651XXX.00.00.00000001            33.5675 090 99     39.78  39.78   0.28
7883126Rp loclzj tum spect 2 areas                       A   1.77   0.57     0.57    0.08   2.42  2.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78831TCRp loclzj tum spect 2 areas                       A   0.00  16.15    16.15NA  0.08  16.23 16.231XXX.00.00.00000001            33.5675 010 99     39.21  39.21   0.20
78832  Rp loclzj tum spect w/ct 2                        A   2.07  21.43    21.43NA  0.18  23.68 23.681XXX.00.00.00000001            33.5675 090 99     43.98  43.98   0.28
7883226Rp loclzj tum spect w/ct 2                        A   2.07   0.65     0.65    0.09   2.81  2.811XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
78832TCRp loclzj tum spect w/ct 2                        A   0.00  20.78    20.78NA  0.09  20.87 20.871XXX.00.00.00000001            33.5675 010 99     43.33  43.33   0.19
78835  Rp quan meas single area                          A   0.46   2.20     2.20NA  0.03   2.69  2.691ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7883526Rp quan meas single area                          A   0.46   0.16     0.16    0.02   0.64  0.641ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79005  Nuclear rx oral admin                             A   1.76   2.11     2.11NA  0.09   3.96  3.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7900526Nuclear rx oral admin                             A   1.76   0.61     0.61    0.07   2.44  2.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79005TCNuclear rx oral admin                             A   0.00   1.50     1.50NA  0.02   1.52  1.521XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79101  Nuclear rx iv admin                               A   1.91   2.28     2.28NA  0.09   4.28  4.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7910126Nuclear rx iv admin                               A   1.91   0.71     0.71    0.07   2.69  2.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79101TCNuclear rx iv admin                               A   0.00   1.57     1.57NA  0.02   1.59  1.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79200  Nuclear rx intracav admin                         A   1.94   1.92     1.92NA  0.05   3.91  3.911XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7920026Nuclear rx intracav admin                         A   1.94   0.35     0.35    0.03   2.32  2.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79200TCNuclear rx intracav admin                         A   0.00   1.57     1.57NA  0.02   1.59  1.591XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7930026Nuclr rx interstit colloid                        A   1.56   0.28     0.28    0.02   1.86  1.861XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79403  Hematopoietic nuclear tx                          A   2.19   2.43     2.43NA  0.07   4.69  4.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7940326Hematopoietic nuclear tx                          A   2.19   0.39     0.39    0.03   2.61  2.611XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79403TCHematopoietic nuclear tx                          A   0.00   2.04     2.04NA  0.04   2.08  2.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
79440  Nuclear rx intra-articular                        A   1.94   1.52     1.52NA  0.05   3.51  3.511XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7944026Nuclear rx intra-articular                        A   1.94   0.35     0.35    0.03   2.32  2.321XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
7944526Nuclear rx intra-arterial                         A   2.34   0.68     0.68    0.16   3.18  3.181XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
80503  Path clin consltj sf 5-20                         A   0.43   0.34     0.10    0.02   0.79  0.550XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
80504  Path clin consltj mod 21-40                       A   0.91   0.57     0.20    0.05   1.53  1.160XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
80505  Path clin consltj high 41-60                      A   1.71   1.02     0.40    0.09   2.82  2.200XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
80506  Path clin consltj prolng svc                      A   0.80   0.40     0.40NA  0.05   1.25  1.251ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8302026Hemoglobin electrophoresis                        A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8416526Protein e-phoresis serum                          A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8416626Protein e-phoresis/urine/csf                      A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8418126Western blot test                                 A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8418226Protein western blot test                         A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
85060  Blood smear interpretation                        A   0.44   0.11NA   0.11    0.02   0.57  0.578XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
85097  Bone marrow interpretation                        A   0.92   1.06     0.20    0.05   2.03  1.170XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8539026Fibrinolysins screen i&r                          A   0.73   0.32     0.32    0.02   1.07  1.076XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
85396  Clotting assay whole blood                        A   0.36   0.09NA   0.09    0.02   0.47  0.470XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8557626Blood platelet aggregation                        A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
86077  Phys blood bank serv xmatch                       A   0.92   0.57     0.22    0.05   1.54  1.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
86078  Phys blood bank serv reactj                       A   0.92   0.57     0.22    0.05   1.54  1.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
86079  Phys blood bank serv authrj                       A   0.92   0.56     0.21    0.05   1.53  1.180XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8615326Cell enumeration phys interp                      A   0.67   0.30     0.30    0.02   0.99  0.996XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8625526Fluorescent antibody screen                       A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8625626Fluorescent antibody titer                        A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8632026Serum immunoelectrophoresis                       A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8632526Other immunoelectrophoresis                       A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8633426Immunofix e-phoresis serum                        A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8633526Immunfix e-phorsis/urine/csf                      A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
86486  Skin test unlisted antign ea                      A   0.00   0.19     0.19NA  0.01   0.20  0.203XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
86510  Histoplasmosis skin test                          A   0.00   0.24     0.24NA  0.01   0.25  0.253XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
86580  Tb intradermal test                               A   0.00   0.32     0.32NA  0.01   0.33  0.333XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8716426Dark field exam spec collj                        A   0.36   0.17     0.17    0.01   0.54  0.546XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8720726Smear special stain                               A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88104  Cytopath fl nongyn smears                         A   0.55   1.94     1.94NA  0.03   2.52  2.521XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8810426Cytopath fl nongyn smears                         A   0.55   0.24     0.24    0.01   0.80  0.801XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88104TCCytopath fl nongyn smears                         A   0.00   1.70     1.70NA  0.02   1.72  1.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88106  Cytopath fl nongyn filter                         A   0.36   1.63     1.63NA  0.03   2.02  2.021XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8810626Cytopath fl nongyn filter                         A   0.36   0.16     0.16    0.01   0.53  0.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88106TCCytopath fl nongyn filter                         A   0.00   1.47     1.47NA  0.02   1.49  1.491XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88108  Cytopath concentrate tech                         A   0.43   1.61     1.61NA  0.02   2.06  2.061XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8810826Cytopath concentrate tech                         A   0.43   0.20     0.20    0.01   0.64  0.641XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88108TCCytopath concentrate tech                         A   0.00   1.41     1.41NA  0.01   1.42  1.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88112  Cytopath cell enhance tech                        A   0.55   1.39     1.39NA  0.02   1.96  1.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8811226Cytopath cell enhance tech                        A   0.55   0.22     0.22    0.01   0.78  0.781XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88112TCCytopath cell enhance tech                        A   0.00   1.17     1.17NA  0.01   1.18  1.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88120  Cytp urne 3-5 probes ea spec                      A   1.17  15.01    15.01NA  0.05  16.23 16.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8812026Cytp urne 3-5 probes ea spec                      A   1.17   0.44     0.44    0.02   1.63  1.631XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88120TCCytp urne 3-5 probes ea spec                      A   0.00  14.57    14.57NA  0.03  14.60 14.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88121  Cytp urine 3-5 probes cmptr                       A   0.98  10.77    10.77NA  0.04  11.79 11.791XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8812126Cytp urine 3-5 probes cmptr                       A   0.98   0.36     0.36    0.02   1.36  1.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88121TCCytp urine 3-5 probes cmptr                       A   0.00  10.41    10.41NA  0.02  10.43 10.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88125  Forensic cytopathology                            A   0.25   0.56     0.56NA  0.02   0.83  0.831XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8812526Forensic cytopathology                            A   0.25   0.12     0.12    0.01   0.38  0.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88125TCForensic cytopathology                            A   0.00   0.44     0.44NA  0.01   0.45  0.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88141  Cytopath c/v interpret                            A   0.25   0.46     0.46    0.01   0.72  0.722XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88160  Cytopath smear other source                       A   0.49   1.92     1.92NA  0.03   2.44  2.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8816026Cytopath smear other source                       A   0.49   0.22     0.22    0.01   0.72  0.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88160TCCytopath smear other source                       A   0.00   1.70     1.70NA  0.02   1.72  1.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88161  Cytopath smear other source                       A   0.49   1.96     1.96NA  0.03   2.48  2.481XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8816126Cytopath smear other source                       A   0.49   0.22     0.22    0.01   0.72  0.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88161TCCytopath smear other source                       A   0.00   1.74     1.74NA  0.02   1.76  1.761XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88162  Cytopath smear other source                       A   0.74   3.04     3.04NA  0.04   3.82  3.821XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8816226Cytopath smear other source                       A   0.74   0.35     0.35    0.01   1.10  1.101XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88172  Cytp dx eval fna 1st ea site                      A   0.67   0.93     0.93NA  0.02   1.62  1.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8817226Cytp dx eval fna 1st ea site                      A   0.67   0.31     0.31    0.01   0.99  0.991XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88172TCCytp dx eval fna 1st ea site                      A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88173  Cytopath eval fna report                          A   1.36   3.58     3.58NA  0.05   4.99  4.991XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8817326Cytopath eval fna report                          A   1.36   0.58     0.58    0.02   1.96  1.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88173TCCytopath eval fna report                          A   0.00   3.00     3.00NA  0.03   3.03  3.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88177  Cytp fna eval ea addl                             A   0.41   0.45     0.45NA  0.01   0.87  0.871ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8817726Cytp fna eval ea addl                             A   0.41   0.19     0.19    0.01   0.61  0.611ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88177TCCytp fna eval ea addl                             A   0.00   0.26     0.26NA  0.00   0.26  0.261ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88182  Cell marker study                                 A   0.75   3.65     3.65NA  0.06   4.46  4.461XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8818226Cell marker study                                 A   0.75   0.29     0.29    0.01   1.05  1.051XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88182TCCell marker study                                 A   0.00   3.36     3.36NA  0.05   3.41  3.411XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88184  Flowcytometry/ tc 1 marker                        A   0.00   2.41     2.41NA  0.02   2.43  2.433XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88185  Flowcytometry/tc add-on                           A   0.00   0.69     0.69NA  0.00   0.69  0.693ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88187  Flowcytometry/read 2-8                            A   0.72   0.30     0.30    0.03   1.05  1.052XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88188  Flowcytometry/read 9-15                           A   1.17   0.52     0.52    0.06   1.75  1.752XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88189  Flowcytometry/read 16 & >                         A   1.66   0.64     0.64    0.07   2.37  2.372XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8819926Unlisted cytopathology px                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88199TCUnlisted cytopathology px                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88291  Cyto/molecular report                             A   0.51   0.46     0.46    0.02   0.99  0.992XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8830026Surgical path gross                               A   0.08   0.04     0.04    0.01   0.13  0.131XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88300TCSurgical path gross                               A   0.00   0.35     0.35NA  0.01   0.36  0.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88302  Tissue exam by pathologist                        A   0.13   0.82     0.82NA  0.02   0.97  0.971XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88302TCTissue exam by pathologist                        A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88304  Tissue exam by pathologist                        A   0.21   1.00     1.00NA  0.02   1.23  1.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8830426Tissue exam by pathologist                        A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88304TCTissue exam by pathologist                        A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88305  Tissue exam by pathologist                        A   0.73   1.35     1.35NA  0.02   2.10  2.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8830526Tissue exam by pathologist                        A   0.73   0.31     0.31    0.01   1.05  1.051XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88305TCTissue exam by pathologist                        A   0.00   1.04     1.04NA  0.01   1.05  1.051XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88307  Tissue exam by pathologist                        A   1.55   6.70     6.70NA  0.07   8.32  8.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8830726Tissue exam by pathologist                        A   1.55   0.71     0.71    0.03   2.29  2.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88307TCTissue exam by pathologist                        A   0.00   5.99     5.99NA  0.04   6.03  6.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88309  Tissue exam by pathologist                        A   2.73   9.55     9.55NA  0.10  12.38 12.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8830926Tissue exam by pathologist                        A   2.73   1.25     1.25    0.05   4.03  4.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88309TCTissue exam by pathologist                        A   0.00   8.30     8.30NA  0.05   8.35  8.351XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88311  Decalcify tissue                                  A   0.23   0.34     0.34NA  0.02   0.59  0.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8831126Decalcify tissue                                  A   0.23   0.10     0.10    0.01   0.34  0.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88311TCDecalcify tissue                                  A   0.00   0.24     0.24NA  0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88312  Special stains group 1                            A   0.53   2.72     2.72NA  0.03   3.28  3.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8831226Special stains group 1                            A   0.53   0.21     0.21    0.01   0.75  0.751XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88312TCSpecial stains group 1                            A   0.00   2.51     2.51NA  0.02   2.53  2.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88313  Special stains group 2                            A   0.23   2.17     2.17NA  0.02   2.42  2.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8831326Special stains group 2                            A   0.23   0.10     0.10    0.01   0.34  0.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88313TCSpecial stains group 2                            A   0.00   2.07     2.07NA  0.01   2.08  2.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88314  Histochemical stains add-on                       A   0.44   1.98     1.98NA  0.03   2.45  2.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8831426Histochemical stains add-on                       A   0.44   0.11     0.11    0.01   0.56  0.561XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88314TCHistochemical stains add-on                       A   0.00   1.87     1.87NA  0.02   1.89  1.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88319  Enzyme histochemistry                             A   0.52   3.40     3.40NA  0.03   3.95  3.951XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8831926Enzyme histochemistry                             A   0.52   0.23     0.23    0.01   0.76  0.761XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88319TCEnzyme histochemistry                             A   0.00   3.17     3.17NA  0.02   3.19  3.191XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88321  Consltj&reprt sld prep elswr                      A   1.59   1.15     0.36    0.07   2.81  2.020XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88323  Consltj&reprt matrl prep sld                      A   1.78   1.58     1.58NA  0.02   3.38  3.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8832326Consltj&reprt matrl prep sld                      A   1.78   0.70     0.70    0.01   2.49  2.491XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88325  Consltj compre rvw rec reprt                      A   2.78   1.70     0.48    0.11   4.59  3.370XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88329  Path consltj drg surg                             A   0.65   0.87     0.15    0.04   1.56  0.840XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88331  Path consltj surg 1 blk 1spc                      A   1.16   1.72     1.72NA  0.03   2.91  2.911XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8833126Path consltj surg 1 blk 1spc                      A   1.16   0.55     0.55    0.02   1.73  1.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88331TCPath consltj surg 1 blk 1spc                      A   0.00   1.17     1.17NA  0.01   1.18  1.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88332  Path consltj surg ea add blk                      A   0.58   1.00     1.00NA  0.02   1.60  1.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8833226Path consltj surg ea add blk                      A   0.58   0.28     0.28    0.01   0.87  0.871XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88332TCPath consltj surg ea add blk                      A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88333  Path consltj surg cyto xm 1                       A   1.17   1.44     1.44NA  0.03   2.64  2.641XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8833326Path consltj surg cyto xm 1                       A   1.17   0.53     0.53    0.02   1.72  1.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88333TCPath consltj surg cyto xm 1                       A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88334  Path consltj surg cyto xm ea                      A   0.71   0.89     0.89NA  0.01   1.61  1.611ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8833426Path consltj surg cyto xm ea                      A   0.71   0.33     0.33    0.01   1.05  1.051ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88334TCPath consltj surg cyto xm ea                      A   0.00   0.56     0.56NA  0.00   0.56  0.561ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88341  Imhchem/imcytchm ea add antb                      A   0.55   2.26     2.26NA  0.01   2.82  2.821ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8834126Imhchem/imcytchm ea add antb                      A   0.55   0.24     0.24    0.01   0.80  0.801ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88341TCImhchem/imcytchm ea add antb                      A   0.00   2.02     2.02NA  0.00   2.02  2.021ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88342  Imhchem/imcytchm 1st antb                         A   0.68   2.60     2.60NA  0.02   3.30  3.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8834226Imhchem/imcytchm 1st antb                         A   0.68   0.29     0.29    0.01   0.98  0.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88342TCImhchem/imcytchm 1st antb                         A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88344  Imhchem/imcytchm ea mlt antb                      A   0.75   4.42     4.42NA  0.02   5.19  5.191XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8834426Imhchem/imcytchm ea mlt antb                      A   0.75   0.32     0.32    0.01   1.08  1.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88344TCImhchem/imcytchm ea mlt antb                      A   0.00   4.10     4.10NA  0.01   4.11  4.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88346  Imfluor 1st 1antb stain px                        A   0.72   3.35     3.35NA  0.03   4.10  4.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8834626Imfluor 1st 1antb stain px                        A   0.72   0.27     0.27    0.01   1.00  1.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88346TCImfluor 1st 1antb stain px                        A   0.00   3.08     3.08NA  0.02   3.10  3.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88348  Electron microscopy dx                            A   1.47  12.72    12.72NA  0.12  14.31 14.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8834826Electron microscopy dx                            A   1.47   0.66     0.66    0.03   2.16  2.161XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88348TCElectron microscopy dx                            A   0.00  12.06    12.06NA  0.09  12.15 12.151XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88350  Imfluor ea addl 1antb stn px                      A   0.58   2.60     2.60NA  0.02   3.20  3.201ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8835026Imfluor ea addl 1antb stn px                      A   0.58   0.23     0.23    0.01   0.82  0.821ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88350TCImfluor ea addl 1antb stn px                      A   0.00   2.37     2.37NA  0.01   2.38  2.381ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88355  M/phmtrc alys skeletal musc                       A   1.80   2.37     2.37NA  0.03   4.20  4.201XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8835526M/phmtrc alys skeletal musc                       A   1.80   0.54     0.54    0.01   2.35  2.351XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88355TCM/phmtrc alys skeletal musc                       A   0.00   1.83     1.83NA  0.02   1.85  1.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88356  Analysis nerve                                    A   2.73   3.90     3.90NA  0.07   6.70  6.701XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8835626Analysis nerve                                    A   2.73   0.63     0.63    0.01   3.37  3.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88356TCAnalysis nerve                                    A   0.00   3.27     3.27NA  0.06   3.33  3.331XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88358  Analysis tumor                                    A   0.93   2.94     2.94NA  0.03   3.90  3.901XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8835826Analysis tumor                                    A   0.93   0.43     0.43    0.02   1.38  1.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88358TCAnalysis tumor                                    A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88360  Tumor immunohistochem/manual                      A   0.83   2.75     2.75NA  0.02   3.60  3.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836026Tumor immunohistochem/manual                      A   0.83   0.33     0.33    0.01   1.17  1.171XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88360TCTumor immunohistochem/manual                      A   0.00   2.42     2.42NA  0.01   2.43  2.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88361  Tumor immunohistochem/comput                      A   0.93   2.48     2.48NA  0.02   3.43  3.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836126Tumor immunohistochem/comput                      A   0.93   0.27     0.27    0.01   1.21  1.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88361TCTumor immunohistochem/comput                      A   0.00   2.21     2.21NA  0.01   2.22  2.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88362  Nerve teasing preparations                        A   2.12   4.34     4.34NA  0.08   6.54  6.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836226Nerve teasing preparations                        A   2.12   0.98     0.98    0.05   3.15  3.151XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88362TCNerve teasing preparations                        A   0.00   3.36     3.36NA  0.03   3.39  3.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88363  Xm archive tissue molec anal                      A   0.36   0.30     0.08    0.02   0.68  0.460XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88364  Insitu hybridization (fish)                       A   0.68   3.09     3.09NA  0.02   3.79  3.791ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836426Insitu hybridization (fish)                       A   0.68   0.26     0.26    0.01   0.95  0.951ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88364TCInsitu hybridization (fish)                       A   0.00   2.83     2.83NA  0.01   2.84  2.841ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88365  Insitu hybridization (fish)                       A   0.86   4.17     4.17NA  0.03   5.06  5.061XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836526Insitu hybridization (fish)                       A   0.86   0.34     0.34    0.01   1.21  1.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88365TCInsitu hybridization (fish)                       A   0.00   3.83     3.83NA  0.02   3.85  3.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88366  Insitu hybridization (fish)                       A   1.21   6.69     6.69NA  0.04   7.94  7.941XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836626Insitu hybridization (fish)                       A   1.21   0.50     0.50    0.02   1.73  1.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88366TCInsitu hybridization (fish)                       A   0.00   6.19     6.19NA  0.02   6.21  6.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88367  Insitu hybridization auto                         A   0.71   2.41     2.41NA  0.02   3.14  3.141XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836726Insitu hybridization auto                         A   0.71   0.21     0.21    0.01   0.93  0.931XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88367TCInsitu hybridization auto                         A   0.00   2.20     2.20NA  0.01   2.21  2.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88368  Insitu hybridization manual                       A   0.86   3.48     3.48NA  0.03   4.37  4.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836826Insitu hybridization manual                       A   0.86   0.33     0.33    0.01   1.20  1.201XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88368TCInsitu hybridization manual                       A   0.00   3.15     3.15NA  0.02   3.17  3.171XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88369  M/phmtrc alysishquant/semiq                       A   0.68   3.16     3.16NA  0.02   3.86  3.861ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8836926M/phmtrc alysishquant/semiq                       A   0.68   0.27     0.27    0.01   0.96  0.961ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88369TCM/phmtrc alysishquant/semiq                       A   0.00   2.89     2.89NA  0.01   2.90  2.901ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8837126Protein western blot tissue                       A   0.36   0.17     0.17    0.01   0.54  0.546XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8837226Protein analysis w/probe                          A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88373  M/phmtrc alys ishquant/semiq                      A   0.57   1.32     1.32NA  0.01   1.90  1.901ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8837326M/phmtrc alys ishquant/semiq                      A   0.57   0.14     0.14    0.00   0.71  0.711ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88373TCM/phmtrc alys ishquant/semiq                      A   0.00   1.18     1.18NA  0.01   1.19  1.191ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88374  M/phmtrc alys ishquant/semiq                      A   0.91   7.04     7.04NA  0.02   7.97  7.971XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8837426M/phmtrc alys ishquant/semiq                      A   0.91   0.26     0.26    0.01   1.18  1.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88374TCM/phmtrc alys ishquant/semiq                      A   0.00   6.78     6.78NA  0.01   6.79  6.791XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88375  Optical endomicroscpy interp                      A   0.89   0.41     0.41    0.05   1.35  1.352XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88377  M/phmtrc alys ishquant/semiq                      A   1.37  10.09    10.09NA  0.04  11.50 11.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8837726M/phmtrc alys ishquant/semiq                      A   1.37   0.44     0.44    0.01   1.82  1.821XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88377TCM/phmtrc alys ishquant/semiq                      A   0.00   9.65     9.65NA  0.03   9.68  9.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88380  Microdissection laser                             A   1.11   2.37     2.37NA  0.04   3.52  3.521XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8838026Microdissection laser                             A   1.11   0.33     0.33    0.01   1.45  1.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88380TCMicrodissection laser                             A   0.00   2.04     2.04NA  0.03   2.07  2.071XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88381  Microdissection manual                            A   0.52   5.05     5.05NA  0.05   5.62  5.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8838126Microdissection manual                            A   0.52   0.13     0.13    0.01   0.66  0.661XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88381TCMicrodissection manual                            A   0.00   4.92     4.92NA  0.04   4.96  4.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88387  Macroscopic xm dsj&prep tiss                      A   0.60   0.36     0.36NA  0.02   0.98  0.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8838726Macroscopic xm dsj&prep tiss                      A   0.60   0.15     0.15    0.01   0.76  0.761XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
88387TCMacroscopic xm dsj&prep tiss                      A   0.00   0.21     0.21NA  0.01   0.22  0.221XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
89049  Chct for mal hyperthermia                         A   1.37   9.06     0.20    0.18  10.61  1.750XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
8906026Exam synovial fluid crystals                      A   0.36   0.16     0.16    0.01   0.53  0.536XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
89220  Sputum specimen collection                        A   0.00   0.62     0.62NA  0.01   0.63  0.633XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90460  Im admin 1st/only component                       A   0.23   0.45     0.45NA  0.02   0.70  0.700XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90471  Immunization admin                                A   0.17   0.48     0.48NA  0.01   0.66  0.665XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90472  Immunization admin each add                       A   0.15   0.32     0.32NA  0.01   0.48  0.485ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90473  Immune admin oral/nasal                           A   0.17   0.34     0.34NA  0.01   0.52  0.520XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90474  Immune admin oral/nasal addl                      A   0.15   0.21     0.21NA  0.01   0.37  0.370ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90785  Psytx complex interactive                         A   0.33   0.11     0.02    0.00   0.44  0.350ZZZ.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90791  Psych diagnostic evaluation                       A   3.84   1.33     0.25    0.02   5.19  4.110XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90792  Psych diag eval w/med srvcs                       A   4.16   1.72     0.44    0.17   6.05  4.770XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90832  Psytx w pt 30 minutes                             A   1.94   0.62     0.13    0.01   2.57  2.080XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90833  Psytx w pt w e/m 30 min                           A   1.71   0.66     0.19    0.07   2.44  1.970ZZZ.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90834  Psytx w pt 45 minutes                             A   2.56   0.83     0.17    0.02   3.41  2.750XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90836  Psytx w pt w e/m 45 min                           A   2.17   0.84     0.24    0.08   3.09  2.490ZZZ.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90837  Psytx w pt 60 minutes                             A   3.78   1.20     0.25    0.02   5.00  4.050XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90838  Psytx w pt w e/m 60 min                           A   2.86   1.11     0.32    0.12   4.09  3.300ZZZ.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
90839  Psytx crisis initial 60 min                       A   3.58   1.19     0.27    0.03   4.80  3.880XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90840  Psytx crisis ea addl 30 min                       A   1.71   0.58     0.14    0.02   2.31  1.870ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90845  Psychoanalysis                                    A   2.40   0.83     0.20    0.04   3.27  2.640XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90846  Family psytx w/o pt 50 min                        R   2.74   0.40     0.20    0.03   3.17  2.970XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90847  Family psytx w/pt 50 min                          A   2.86   0.40     0.20    0.02   3.28  3.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90849  Multiple family group psytx                       A   0.67   0.52     0.21    0.02   1.21  0.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90853  Group psychotherapy                               A   0.67   0.23     0.05    0.01   0.91  0.730XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90865  Narcosynthesis                                    A   2.84   2.14     0.46    0.13   5.11  3.430XXX.00.00.00000001            33.5675 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  0.000000.00.00.00001001            33.5675 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  0.000000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
90869  Tcran magn stim redetemine                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
90870  Electroconvulsive therapy                         A   2.50   2.86     0.36    0.09   5.45  2.950000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90880  Hypnotherapy                                      A   2.19   0.90     0.17    0.02   3.11  2.380XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90901  Biofeedback train any meth                        A   0.41   0.81     0.07    0.01   1.23  0.490000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90912  Bfb training 1st 15 min                           A   0.90   1.51     0.17    0.05   2.46  1.120000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90913  Bfb training ea addl 15 min                       A   0.50   0.45     0.10    0.03   0.98  0.630ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90935  Hemodialysis one evaluation                       A   1.44   0.32NA   0.32    0.08   1.84  1.840000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90937  Hemodialysis repeated eval                        A   2.06   0.46NA   0.46    0.13   2.65  2.650000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90945  Dialysis one evaluation                           A   1.52   0.70NA   0.70    0.09   2.31  2.310000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90947  Dialysis repeated eval                            A   2.46   0.55NA   0.55    0.17   3.18  3.180000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90951  Esrd serv 4 visits p mo <2yr                      A  23.92  10.06    10.06    1.46  35.44 35.440XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90954  Esrd serv 4 vsts p mo 2-11                        A  20.86   8.80     8.80    1.31  30.97 30.970XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90955  Esrd srv 2-3 vsts p mo 2-11                       A  10.32   5.16     5.16    0.64  16.12 16.120XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90956  Esrd srv 1 visit p mo 2-11                        A   6.64   3.93     3.93    0.41  10.98 10.980XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90957  Esrd srv 4 vsts p mo 12-19                        A  15.46   7.42     7.42    0.98  23.86 23.860XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90958  Esrd srv 2-3 vsts p mo 12-19                      A   9.87   5.05     5.05    0.61  15.53 15.530XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90959  Esrd serv 1 vst p mo 12-19                        A   6.19   3.57     3.57    0.39  10.15 10.150XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90960  Esrd srv 4 visits p mo 20+                        A   6.77   3.96     3.96    0.43  11.16 11.160XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90961  Esrd srv 2-3 vsts p mo 20+                        A   5.52   3.42     3.42    0.36   9.30  9.300XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90962  Esrd serv 1 visit p mo 20+                        A   3.57   2.65     2.65    0.22   6.44  6.440XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90963  Esrd home pt serv p mo <2yrs                      A  12.09   5.91     5.91    0.75  18.75 18.750XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90964  Esrd home pt serv p mo 2-11                       A  10.25   5.12     5.12    0.62  15.99 15.990XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90965  Esrd home pt serv p mo 12-19                      A   9.80   5.05     5.05    0.60  15.45 15.450XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90966  Esrd home pt serv p mo 20+                        A   5.52   3.41     3.41    0.36   9.29  9.290XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90967  Esrd svc pr day pt <2                             A   0.35   0.18     0.18    0.02   0.55  0.550XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90968  Esrd svc pr day pt 2-11                           A   0.34   0.17     0.17    0.02   0.53  0.530XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90969  Esrd svc pr day pt 12-19                          A   0.33   0.17     0.17    0.02   0.52  0.520XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90970  Esrd svc pr day pt 20+                            A   0.18   0.11     0.11    0.01   0.30  0.300XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
90997  Hemoperfusion                                     A   1.79   0.38NA   0.38    0.11   2.28  2.280000.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91010  Esophagus motility study                          A   1.25   6.02     6.02NA  0.09   7.36  7.361000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9101026Esophagus motility study                          A   1.25   0.71     0.71    0.07   2.03  2.031000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91010TCEsophagus motility study                          A   0.00   5.31     5.31NA  0.02   5.33  5.331000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91013  Esophgl motil w/stim/perfus                       A   0.18   0.66     0.66NA  0.01   0.85  0.851ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9101326Esophgl motil w/stim/perfus                       A   0.18   0.10     0.10    0.01   0.29  0.291ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91013TCEsophgl motil w/stim/perfus                       A   0.00   0.56     0.56NA  0.00   0.56  0.561ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91020  Gastric motility studies                          A   1.40   7.76     7.76NA  0.08   9.24  9.241000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9102026Gastric motility studies                          A   1.40   0.83     0.83    0.05   2.28  2.281000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91020TCGastric motility studies                          A   0.00   6.93     6.93NA  0.03   6.96  6.961000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91022  Duodenal motility study                           A   1.40   4.34     4.34NA  0.07   5.81  5.811000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9102226Duodenal motility study                           A   1.40   0.83     0.83    0.05   2.28  2.281000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91022TCDuodenal motility study                           A   0.00   3.51     3.51NA  0.02   3.53  3.531000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91030  Acid perfusion of esophagus                       A   0.89   3.93     3.93NA  0.05   4.87  4.871000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9103026Acid perfusion of esophagus                       A   0.89   0.52     0.52    0.03   1.44  1.441000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91030TCAcid perfusion of esophagus                       A   0.00   3.41     3.41NA  0.02   3.43  3.431000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91034  Gastroesophageal reflux test                      A   0.95   5.03     5.03NA  0.08   6.06  6.061000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9103426Gastroesophageal reflux test                      A   0.95   0.50     0.50    0.06   1.51  1.511000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91034TCGastroesophageal reflux test                      A   0.00   4.53     4.53NA  0.02   4.55  4.551000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91035  G-esoph reflx tst w/electrod                      A   1.55  13.34    13.34NA  0.15  15.04 15.041000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9103526G-esoph reflx tst w/electrod                      A   1.55   0.87     0.87    0.13   2.55  2.551000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91035TCG-esoph reflx tst w/electrod                      A   0.00  12.47    12.47NA  0.02  12.49 12.491000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91037  Esoph imped function test                         A   0.95   4.59     4.59NA  0.07   5.61  5.611000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9103726Esoph imped function test                         A   0.95   0.54     0.54    0.05   1.54  1.541000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91037TCEsoph imped function test                         A   0.00   4.05     4.05NA  0.02   4.07  4.071000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91038  Esoph imped funct test > 1hr                      A   1.10  12.17    12.17NA  0.08  13.35 13.351000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9103826Esoph imped funct test > 1hr                      A   1.10   0.63     0.63    0.06   1.79  1.791000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91038TCEsoph imped funct test > 1hr                      A   0.00  11.54    11.54NA  0.02  11.56 11.561000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91040  Esoph balloon distension tst                      A   0.95  16.24    16.24NA  0.08  17.27 17.271000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9104026Esoph balloon distension tst                      A   0.95   0.52     0.52    0.07   1.54  1.541000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91040TCEsoph balloon distension tst                      A   0.00  15.72    15.72NA  0.01  15.73 15.731000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91065  Breath hydrogen/methane test                      A   0.20   1.71     1.71NA  0.02   1.93  1.931000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9106526Breath hydrogen/methane test                      A   0.20   0.08     0.08    0.01   0.29  0.291000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91065TCBreath hydrogen/methane test                      A   0.00   1.63     1.63NA  0.01   1.64  1.641000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91110  Gi trc img intral esoph-ile                       A   2.18  21.75    21.75NA  0.09  24.02 24.021XXX.00.00.00000001            33.5675 090 99     28.86  28.86   0.09
9111026Gi trc img intral esoph-ile                       A   2.18   1.27     1.27    0.08   3.53  3.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91110TCGi trc img intral esoph-ile                       A   0.00  20.48    20.48NA  0.01  20.49 20.491XXX.00.00.00000001            33.5675 090 99     27.59  27.59   0.01
91111  Gi trc img intral esophagus                       A   0.88  27.72    27.72NA  0.05  28.65 28.651XXX.00.00.00000001            33.5675 090 99     28.10  28.10   0.05
9111126Gi trc img intral esophagus                       A   0.88   0.51     0.51    0.04   1.43  1.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91111TCGi trc img intral esophagus                       A   0.00  27.21    27.21NA  0.01  27.22 27.221XXX.00.00.00000001            33.5675 090 99     27.59  27.59   0.01
91112  Gi wireless capsule measure                       A   2.05  50.76    50.76NA  0.10  52.91 52.911XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9111226Gi wireless capsule measure                       A   2.05   1.19     1.19    0.08   3.32  3.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91112TCGi wireless capsule measure                       A   0.00  49.57    49.57NA  0.02  49.59 49.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91113  Gi trc img intral colon i&r                       A   2.35  27.05    27.05NA  0.10  29.50 29.501XXX.00.00.00000001            33.5675 090 99     29.66  29.66   0.10
9111326Gi trc img intral colon i&r                       A   2.35   1.38     1.38    0.08   3.81  3.811XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91113TCGi trc img intral colon i&r                       A   0.00  25.67    25.67NA  0.02  25.69 25.691XXX.00.00.00000001            33.5675 090 99     28.28  28.28   0.02
91117  Colon motility 6 hr study                         A   2.39   1.08NA   1.08    0.18   3.65  3.650000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91124  Rct snsatn tone&cmplianc std                      A   3.05  19.74    19.74NA  0.22  23.01 23.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9112426Rct snsatn tone&cmplianc std                      A   3.05   1.67     1.67    0.18   4.90  4.901XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91124TCRct snsatn tone&cmplianc std                      A   0.00  18.07    18.07NA  0.04  18.11 18.111XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91125  Anrct mano rct snsatn&balo                        A   2.70   7.53     7.53NA  0.17  10.40 10.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9112526Anrct mano rct snsatn&balo                        A   2.70   1.41     1.41    0.15   4.26  4.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91125TCAnrct mano rct snsatn&balo                        A   0.00   6.12     6.12NA  0.02   6.14  6.141XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
91132  Electrogastrography                               A   0.51  14.00    14.00NA  0.03  14.54 14.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9113226Electrogastrography                               A   0.51   0.30     0.30    0.02   0.83  0.831XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91132TCElectrogastrography                               A   0.00  13.70    13.70NA  0.01  13.71 13.711XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
91133  Electrogastrography w/test                        A   0.64  14.55    14.55NA  0.03  15.22 15.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9113326Electrogastrography w/test                        A   0.64   0.37     0.37    0.02   1.03  1.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91133TCElectrogastrography w/test                        A   0.00  14.18    14.18NA  0.01  14.19 14.191XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
91200  Liver elastography                                A   0.20   0.79     0.79NA  0.02   1.01  1.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9120026Liver elastography                                A   0.20   0.12     0.12    0.01   0.33  0.331XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
91200TCLiver elastography                                A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92002  Intrm oph exam new patient                        A   0.88   1.64     0.23    0.02   2.54  1.130XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92004  Compre oph exam new pt 1/>                        A   1.82   2.62     0.47    0.04   4.48  2.330XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92012  Intrm oph exam est patient                        A   0.92   1.76     0.29    0.03   2.71  1.240XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92014  Compre oph exam est pt 1/>                        A   1.42   2.35     0.40    0.04   3.81  1.860XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92018  Compl oph exam general anes                       A   2.44   0.84NA   0.84    0.11   3.39  3.390XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92019  Lmtd oph exam general anes                        A   1.28   0.42NA   0.42    0.06   1.76  1.760XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92020  Gonioscopy                                        A   0.36   0.43     0.12    0.01   0.80  0.490XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92025  Cptrized corneal topography                       A   0.34   0.75     0.75NA  0.02   1.11  1.111XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9202526Cptrized corneal topography                       A   0.34   0.23     0.23    0.01   0.58  0.581XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92025TCCptrized corneal topography                       A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92060  Sensorimotor examination                          A   0.67   1.23     1.23NA  0.02   1.92  1.921XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9206026Sensorimotor examination                          A   0.67   0.40     0.40    0.01   1.08  1.081XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92060TCSensorimotor examination                          A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92065  Orthop traing pfrmd phys/qhp                      A   0.69   0.45     0.12    0.01   1.15  0.820XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92066  Orthop traing supvj phys/qhp                      A   0.00   0.77     0.77NA  0.01   0.78  0.783XXX.00.00.00020001            33.5675 010 99      0.00   0.00   0.00
92071  Contact lens fitting for tx                       A   0.59   0.46     0.17    0.02   1.07  0.780XXX.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
92072  Fitg c-lens keratoconus 1st                       A   1.92   1.67     0.36    0.01   3.60  2.290XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92081  Limited visual field xm                           A   0.29   0.70     0.70NA  0.02   1.01  1.011XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9208126Limited visual field xm                           A   0.29   0.17     0.17    0.01   0.47  0.471XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92081TCLimited visual field xm                           A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92082  Intermediate visual field xm                      A   0.39   1.01     1.01NA  0.02   1.42  1.421XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9208226Intermediate visual field xm                      A   0.39   0.21     0.21    0.01   0.61  0.611XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92082TCIntermediate visual field xm                      A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92083  Extended visual field xm                          A   0.49   1.40     1.40NA  0.02   1.91  1.911XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9208326Extended visual field xm                          A   0.49   0.29     0.29    0.01   0.79  0.791XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92083TCExtended visual field xm                          A   0.00   1.11     1.11NA  0.01   1.12  1.121XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92100  Serial tonometry                                  A   0.59   1.92     0.17    0.02   2.53  0.780XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92132  Cptrzd oph dx img ant sgm                         A   0.28   0.59     0.59NA  0.02   0.89  0.891XXX.00.00.00720001            33.5675 090 99      1.92   1.92   0.05
9213226Cptrzd oph dx img ant sgm                         A   0.28   0.17     0.17    0.01   0.46  0.461XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92132TCCptrzd oph dx img ant sgm                         A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.00720001            33.5675 010 99      1.75   1.75   0.04
92133  Cptrzd oph dx img pst sgm on                      A   0.30   0.60     0.60NA  0.02   0.92  0.921XXX.00.00.00720001            33.5675 090 99      1.93   1.93   0.05
9213326Cptrzd oph dx img pst sgm on                      A   0.30   0.18     0.18    0.01   0.49  0.491XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92133TCCptrzd oph dx img pst sgm on                      A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.00720001            33.5675 010 99      1.75   1.75   0.04
92134  Cptrz oph dx img pst sgm rta                      A   0.31   0.65     0.65NA  0.02   0.98  0.981XXX.00.00.00720001            33.5675 090 99      1.97   1.97   0.05
9213426Cptrz oph dx img pst sgm rta                      A   0.31   0.21     0.21    0.01   0.53  0.531XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92134TCCptrz oph dx img pst sgm rta                      A   0.00   0.44     0.44NA  0.01   0.45  0.451XXX.00.00.00720001            33.5675 010 99      1.76   1.76   0.04
92136  Ophthalmic biometry                               A   0.53   0.89     0.89NA  0.02   1.44  1.441XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9213626Ophthalmic biometry                               A   0.53   0.36     0.36    0.01   0.90  0.901XXX.00.00.00730001            33.5675 090 99      0.00   0.00   0.00
92136TCOphthalmic biometry                               A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92137  Cptrz oph img pst sg rta oct                      A   0.62   1.15     1.15NA  0.02   1.79  1.791XXX.00.00.00720001            33.5675 090 99      6.89   6.89   0.10
9213726Cptrz oph img pst sg rta oct                      A   0.62   0.41     0.41    0.01   1.04  1.041XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92137TCCptrz oph img pst sg rta oct                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.00720001            33.5675 010 99      6.48   6.48   0.09
92145  Corneal hysteresis deter                          A   0.10   0.29     0.29NA  0.02   0.41  0.411XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9214526Corneal hysteresis deter                          A   0.10   0.06     0.06    0.01   0.17  0.171XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92145TCCorneal hysteresis deter                          A   0.00   0.23     0.23NA  0.01   0.24  0.241XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92201  Opscpy extnd rta draw uni/bi                      A   0.39   0.34     0.14    0.02   0.75  0.550XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92202  Opscpy extnd on/mac draw                          A   0.25   0.21     0.09    0.01   0.47  0.350XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92227  Img rta detcj/mntr ds staff                       A   0.00   0.55     0.55NA  0.01   0.56  0.563XXX.00.00.00020001            33.5675 090 99      1.76   1.76   0.03
92228  Img rta detc/mntr ds phy/qhp                      A   0.31   0.58     0.58NA  0.02   0.91  0.911XXX.00.00.00720001            33.5675 090 99      1.28   1.28   0.04
9222826Img rta detc/mntr ds phy/qhp                      A   0.31   0.17     0.17    0.01   0.49  0.491XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92228TCImg rta detc/mntr ds phy/qhp                      A   0.00   0.41     0.41NA  0.01   0.42  0.421XXX.00.00.00720001            33.5675 010 99      1.11   1.11   0.03
92229  Img rta detc/mntr ds poc aly                      A   0.00   1.39     1.39NA  0.01   1.40  1.403XXX.00.00.00720001            33.5675 090 99      1.78   1.78   0.01
92230  Fluorescein angioscopy i&r                        A   0.59   3.35     0.17    0.04   3.98  0.800XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
92235  Fluorescein angrph mltiframe                      A   0.73   4.11     4.11NA  0.02   4.86  4.861XXX.00.00.00720001            33.5675 090 99      7.06   7.06   0.03
9223526Fluorescein angrph mltiframe                      A   0.73   0.51     0.51    0.01   1.25  1.251XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92235TCFluorescein angrph mltiframe                      A   0.00   3.60     3.60NA  0.01   3.61  3.611XXX.00.00.00720001            33.5675 020 99      6.55   6.55   0.02
92240  Icg angiography i&r uni/bi                        A   0.78   6.49     6.49NA  0.08   7.35  7.351XXX.00.00.00720001            33.5675 090 99      7.11   7.11   0.08
9224026Icg angiography i&r uni/bi                        A   0.78   0.55     0.55    0.07   1.40  1.401XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92240TCIcg angiography i&r uni/bi                        A   0.00   5.94     5.94NA  0.01   5.95  5.951XXX.00.00.00720001            33.5675 020 99      6.56   6.56   0.01
92242  Fluorescein&icg angiography                       A   0.93   9.10     9.10NA  0.04  10.07 10.071XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9224226Fluorescein&icg angiography                       A   0.93   0.65     0.65    0.03   1.61  1.611XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92242TCFluorescein&icg angiography                       A   0.00   8.45     8.45NA  0.01   8.46  8.461XXX.00.00.00720001            33.5675 020 99      0.00   0.00   0.00
92250  Fundus photography w/i&r                          A   0.39   0.70     0.70NA  0.02   1.11  1.111XXX.00.00.00720001            33.5675 090 99      4.18   4.18   0.09
9225026Fundus photography w/i&r                          A   0.39   0.21     0.21    0.01   0.61  0.611XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92250TCFundus photography w/i&r                          A   0.00   0.49     0.49NA  0.01   0.50  0.501XXX.00.00.00720001            33.5675 010 99      3.97   3.97   0.08
92260  Ophthalmodynamometry                              A   0.20   0.35     0.06    0.01   0.56  0.270XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92265  Ndl oculoelectromyography 1+                      A   0.79   1.83     1.83NA  0.02   2.64  2.641XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9226526Ndl oculoelectromyography 1+                      A   0.79   0.55     0.55    0.01   1.35  1.351XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92265TCNdl oculoelectromyography 1+                      A   0.00   1.28     1.28NA  0.01   1.29  1.291XXX.00.00.00720001            33.5675 030 99      0.00   0.00   0.00
92270  Electro-oculography w/i&r                         A   0.79   2.95     2.95NA  0.03   3.77  3.771XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9227026Electro-oculography w/i&r                         A   0.79   0.46     0.46    0.01   1.26  1.261XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92270TCElectro-oculography w/i&r                         A   0.00   2.49     2.49NA  0.02   2.51  2.511XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92273  Full field erg w/i&r                              A   0.67   2.99     2.99NA  0.03   3.69  3.691XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9227326Full field erg w/i&r                              A   0.67   0.35     0.35    0.01   1.03  1.031XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92273TCFull field erg w/i&r                              A   0.00   2.64     2.64NA  0.02   2.66  2.661XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92274  Multifocal erg w/i&r                              A   0.59   2.15     2.15NA  0.02   2.76  2.761XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9227426Multifocal erg w/i&r                              A   0.59   0.38     0.38    0.01   0.98  0.981XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92274TCMultifocal erg w/i&r                              A   0.00   1.77     1.77NA  0.01   1.78  1.781XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92283  Extnd color vision xm                             A   0.17   1.46     1.46NA  0.02   1.65  1.651XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9228326Extnd color vision xm                             A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92283TCExtnd color vision xm                             A   0.00   1.38     1.38NA  0.01   1.39  1.391XXX.00.00.00720001            33.5675 010 99      0.00   0.00   0.00
92284  Dx dark adaptation exam i&r                       A   0.28   0.69     0.69NA  0.02   0.99  0.991XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
9228426Dx dark adaptation exam i&r                       A   0.28   0.12     0.12    0.01   0.41  0.411XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92284TCDx dark adaptation exam i&r                       A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.00720001            33.5675 020 99      0.00   0.00   0.00
92285  External ocular photography                       A   0.05   0.64     0.64NA  0.02   0.71  0.711XXX.00.00.00720001            33.5675 090 99      1.15   1.15   0.03
9228526External ocular photography                       A   0.05   0.03     0.03    0.01   0.09  0.091XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92285TCExternal ocular photography                       A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.00720001            33.5675 010 99      1.12   1.12   0.02
92286  Ant sgm img i&r speclr mic                        A   0.39   0.77     0.77NA  0.02   1.18  1.181XXX.00.00.00720001            33.5675 090 99      4.21   4.21   0.08
9228626Ant sgm img i&r speclr mic                        A   0.39   0.23     0.23    0.01   0.63  0.631XXX.00.00.00720001            33.5675 090 99      0.00   0.00   0.00
92286TCAnt sgm img i&r speclr mic                        A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.00720001            33.5675 010 99      3.98   3.98   0.07
92287  Ant sgm img ir flrscn angrph                      A   0.39   3.64     3.64NA  0.02   4.05  4.051XXX.00.00.00020001            33.5675 090 99      4.31   4.31   0.02
9228726Ant sgm img ir flrscn angrph                      A   0.39   0.27     0.27    0.01   0.67  0.671XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92287TCAnt sgm img ir flrscn angrph                      A   0.00   3.37     3.37NA  0.01   3.38  3.381XXX.00.00.00020001            33.5675 090 99      4.04   4.04   0.01
92311  Contact lens fitg aphakia 1                       A   1.05   1.90     0.20    0.01   2.96  1.260XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92312  Contact lens fitg aphakia ou                      A   1.23   2.15     0.23    0.01   3.39  1.470XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92313  C-lens fitg corneosclrl lens                      A   0.90   1.95     0.16    0.01   2.86  1.070XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92315  C-lens fitg tech aphakia 1                        A   0.44   1.92     0.08    0.01   2.37  0.530XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92316  C-lens fitg tech aphakia ou                       A   0.66   2.26     0.12    0.01   2.93  0.790XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92317  C-lens fitg tech corneosclrl                      A   0.44   2.05     0.08    0.01   2.50  0.530XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92325  Modification of contact lens                      A   0.00   1.39     1.39NA  0.01   1.40  1.405XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92326  Replacement of contact lens                       A   0.00   1.16     1.16NA  0.01   1.17  1.175XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92502  Ear and throat examination                        A   1.47   1.01NA   1.01    0.11   2.59  2.590000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92504  Ear microscopy examination                        A   0.18   0.67     0.04    0.01   0.86  0.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92507  Tx sp lang voice comm indiv                       A   1.30   0.97     0.97NA  0.01   2.28  2.287XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92508  Tx sp lang voice comm group                       A   0.33   0.38     0.38NA  0.01   0.72  0.727XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92511  Nasopharyngoscopy                                 A   0.59   2.84     0.35    0.04   3.47  0.980000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
92512  Nasal function studies                            A   0.54   1.37     0.12    0.04   1.95  0.700XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92516  Facial nerve function test                        A   0.42   1.80     0.11    0.03   2.25  0.560XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92517  Vemp test i&r cervical                            A   0.78   1.40     0.21    0.02   2.20  1.010XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92518  Vemp test i&r ocular                              A   0.78   1.43     0.22    0.04   2.25  1.040XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92519  Vemp tst i&r cervical&ocular                      A   1.17   2.32     0.33    0.03   3.52  1.530XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92520  Laryngeal function studies                        A   0.73   1.97     0.22    0.02   2.72  0.970XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92521  Evaluation of speech fluency                      A   2.24   1.74     1.74NA  0.01   3.99  3.997XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92522  Evaluate speech production                        A   1.92   1.39     1.39NA  0.04   3.35  3.357XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92523  Speech sound lang comprehen                       A   3.84   2.93     2.93NA  0.01   6.78  6.787XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92524  Behavral qualit analys voice                      A   1.92   1.33     1.33NA  0.03   3.28  3.287XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92526  Oral function therapy                             A   1.34   1.17     1.17NA  0.01   2.52  2.527XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92537  Caloric vstblr test w/rec                         A   0.59   0.57     0.57NA  0.02   1.18  1.181XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9253726Caloric vstblr test w/rec                         A   0.59   0.31     0.31    0.01   0.91  0.911XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92537TCCaloric vstblr test w/rec                         A   0.00   0.26     0.26NA  0.01   0.27  0.271XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92538  Caloric vstblr test w/rec                         A   0.29   0.34     0.34NA  0.02   0.65  0.651XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9253826Caloric vstblr test w/rec                         A   0.29   0.16     0.16    0.01   0.46  0.461XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92538TCCaloric vstblr test w/rec                         A   0.00   0.18     0.18NA  0.01   0.19  0.191XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92540  Basic vestibular evaluation                       A   1.46   1.62     1.62NA  0.02   3.10  3.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254026Basic vestibular evaluation                       A   1.46   0.76     0.76    0.01   2.23  2.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92540TCBasic vestibular evaluation                       A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92541  Spontaneous nystagmus test                        A   0.39   0.33     0.33NA  0.02   0.74  0.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254126Spontaneous nystagmus test                        A   0.39   0.21     0.21    0.01   0.61  0.611XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92541TCSpontaneous nystagmus test                        A   0.00   0.12     0.12NA  0.01   0.13  0.131XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92542  Positional nystagmus test                         A   0.47   0.36     0.36NA  0.02   0.85  0.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254226Positional nystagmus test                         A   0.47   0.25     0.25    0.01   0.73  0.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92542TCPositional nystagmus test                         A   0.00   0.11     0.11NA  0.01   0.12  0.121XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92544  Optokinetic nystagmus test                        A   0.26   0.25     0.25NA  0.02   0.53  0.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254426Optokinetic nystagmus test                        A   0.26   0.15     0.15    0.01   0.42  0.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92544TCOptokinetic nystagmus test                        A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92545  Oscillating tracking test                         A   0.24   0.24     0.24NA  0.02   0.50  0.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254526Oscillating tracking test                         A   0.24   0.14     0.14    0.01   0.39  0.391XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92545TCOscillating tracking test                         A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92546  Sinusoidal rotational test                        A   0.28   3.72     3.72NA  0.03   4.03  4.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254626Sinusoidal rotational test                        A   0.28   0.15     0.15    0.01   0.44  0.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92546TCSinusoidal rotational test                        A   0.00   3.57     3.57NA  0.02   3.59  3.591XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92547  Supplemental electrical test                      A   0.00   0.33     0.33NA  0.00   0.33  0.333ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92548  Cdp-sot 6 cond w/i&r                              A   0.65   0.75     0.75NA  0.02   1.42  1.421XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254826Cdp-sot 6 cond w/i&r                              A   0.65   0.33     0.33    0.01   0.99  0.991XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92548TCCdp-sot 6 cond w/i&r                              A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92549  Cdp-sot 6 cond w/i&r mct&adt                      A   0.85   1.00     1.00NA  0.02   1.87  1.871XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9254926Cdp-sot 6 cond w/i&r mct&adt                      A   0.85   0.43     0.43    0.01   1.29  1.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92549TCCdp-sot 6 cond w/i&r mct&adt                      A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92550  Tympanometry & reflex thresh                      A   0.35   0.29     0.29NA  0.01   0.65  0.657XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92552  Pure tone audiometry air                          A   0.00   1.20     1.20NA  0.01   1.21  1.213XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92553  Audiometry air & bone                             A   0.00   1.46     1.46NA  0.01   1.47  1.473XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92555  Speech threshold audiometry                       A   0.00   0.88     0.88NA  0.01   0.89  0.893XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92556  Speech audiometry complete                        A   0.00   1.38     1.38NA  0.01   1.39  1.393XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92557  Comprehensive hearing test                        A   0.60   0.46     0.16    0.01   1.07  0.777XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92562  Loudness balance test                             A   0.00   1.46     1.46NA  0.01   1.47  1.473XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92563  Tone decay hearing test                           A   0.00   1.06     1.06NA  0.01   1.07  1.073XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92565  Stenger test pure tone                            A   0.00   0.66     0.66NA  0.01   0.67  0.673XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92567  Tympanometry                                      A   0.20   0.27     0.05    0.01   0.48  0.267XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92568  Acoustic refl threshold tst                       A   0.29   0.16     0.08    0.01   0.46  0.387XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92570  Acoustic immitance testing                        A   0.55   0.38     0.15    0.01   0.94  0.717XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92571  Filtered speech test                              A   0.00   0.92     0.92NA  0.01   0.93  0.933XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92572  Staggered spondaic word test                      A   0.00   1.80     1.80NA  0.01   1.81  1.813XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92575  Sensorineural acuity lvl tst                      A   0.00   2.19     2.19NA  0.02   2.21  2.213XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92576  Synthetic sentence id test                        A   0.00   1.26     1.26NA  0.01   1.27  1.273XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92577  Stenger test speech                               A   0.00   0.67     0.67NA  0.01   0.68  0.683XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92579  Visual audiometry (vra)                           A   0.68   0.60     0.20    0.01   1.29  0.897XXX.00.00.00020001            33.5675 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.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92583  Select picture audiometry                         A   0.00   1.83     1.83NA  0.01   1.84  1.843XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92584  Electrocochleography                              A   0.98   2.14     2.14NA  0.03   3.15  3.150XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92587  Evoked auditory test limited                      A   0.35   0.29     0.29NA  0.02   0.66  0.661XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9258726Evoked auditory test limited                      A   0.35   0.19     0.19    0.01   0.55  0.551XXX.00.00.00020001            33.5675 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.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92588  Evoked auditory tst complete                      A   0.55   0.44     0.44NA  0.02   1.01  1.011XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9258826Evoked auditory tst complete                      A   0.55   0.30     0.30    0.01   0.86  0.861XXX.00.00.00020001            33.5675 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.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92596  Ear protector evaluation                          A   0.00   2.33     2.33NA  0.01   2.34  2.343XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92597  Oral speech device eval                           A   1.23   0.88     0.88NA  0.02   2.13  2.137XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92601  Cochlear implt f/up exam <7                       A   2.30   2.31     0.63    0.01   4.62  2.947XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92602  Reprogram cochlear implt <7                       A   1.30   1.60     0.36    0.01   2.91  1.677XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92603  Cochlear implt f/up exam 7/>                      A   2.25   2.10     0.61    0.01   4.36  2.877XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92604  Reprogram cochlear implt 7/>                      A   1.25   1.36     0.34    0.01   2.62  1.607XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92607  Ex for speech device rx 1hr                       A   1.85   1.80     1.80NA  0.01   3.66  3.667XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92608  Ex for speech device rx addl                      A   0.70   0.73     0.73NA  0.00   1.43  1.437ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92609  Use of speech device service                      A   1.50   1.56     1.56NA  0.01   3.07  3.077XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
92610  Evaluate swallowing function                      A   1.30   1.23     0.42    0.01   2.54  1.737XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92611  Motion fluoroscopy/swallow                        A   1.31   1.38     1.38NA  0.05   2.74  2.747XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92612  Endoscopy swallow (fees) vid                      A   1.24   4.69     0.33    0.05   5.98  1.620XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92613  Endoscopy swallow (fees) i&r                      A   0.69   0.34     0.17    0.04   1.07  0.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92614  Laryngoscopic sensory vid                         A   1.24   3.24     0.32    0.06   4.54  1.620XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92615  Laryngoscopic sensory i&r                         A   0.61   0.31     0.15    0.04   0.96  0.800XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92616  Fees w/laryngeal sense test                       A   1.83   4.95     0.49    0.07   6.85  2.390XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92617  Fees w/laryngeal sense i&r                        A   0.77   0.37     0.19    0.05   1.19  1.010XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92620  Auditory function 60 min                          A   1.50   1.14     0.41    0.01   2.65  1.929XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92621  Auditory function + 15 min                        A   0.35   0.28     0.10    0.00   0.63  0.459ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92622  Dx aly aud oi snd prcsr 1st                       A   1.25   1.06     0.35    0.01   2.32  1.610XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
92623  Dx aly aud oi snd prcsr each                      A   0.33   0.27     0.09    0.00   0.60  0.420ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92625  Tinnitus assessment                               A   1.15   0.80     0.31    0.02   1.97  1.489XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92626  Eval aud funcj 1st hour                           A   1.40   1.11     0.38    0.01   2.52  1.790XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92627  Eval aud funcj ea addl 15                         A   0.33   0.27     0.09    0.00   0.60  0.420ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
92640  Aud brainstem implt programg                      A   1.76   1.41     0.48    0.01   3.18  2.259XXX.00.00.00020001            33.5675 050 99      0.00   0.00   0.00
92651  Aep hearing status deter i&r                      A   0.98   1.38     1.38NA  0.04   2.40  2.400XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92652  Aep thrshld est mlt freq i&r                      A   1.46   1.70     1.70NA  0.07   3.23  3.230XXX.00.00.00020001            33.5675 020 99      0.00   0.00   0.00
92653  Aep neurodiagnostic i&r                           A   1.02   1.33     1.33NA  0.05   2.40  2.400XXX.00.00.00020001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92920  Prq trluml c angiop 1art&/br                      A   8.14   1.54NA   1.54    1.91  11.59 11.590000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92924  Prq trluml c athrc 1 art&/br                      A   9.88   1.86NA   1.86    2.31  14.05 14.050000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92928  Prq tcat plmt ntrac st 1 les                      A   9.75   1.84NA   1.84    2.30  13.89 13.890000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92930  Prq tcat plmt ntrac st 2+les                      A  12.00   2.27NA   2.27    0.86  15.13 15.130000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92933  Prq trlml c athrc st angiop1                      A  11.64   2.20NA   2.20    2.73  16.57 16.570000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92937  Prq trluml revsc cab grf 1                        A  11.02   2.07NA   2.07    2.59  15.68 15.680000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92941  Prq trlml revsc tot occl ami                      A  12.40   2.35NA   2.35    2.90  17.65 17.650000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92943  Prq trluml revsc ch occ ant                       A  13.35   2.51NA   2.51    3.12  18.98 18.980000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92945  Prq trl rvs ch occ ant&rtrgr                      A  15.00   2.84NA   2.84    1.08  18.92 18.920000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92950  Heart/lung resuscitation cpr                      A   3.90   7.01     0.76    0.44  11.35  5.100000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92953  Temporary external pacing                         A   0.01   0.01NA   0.01    0.01   0.03  0.030000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92960  Cardioversion electric ext                        A   1.95   2.53     0.74    0.15   4.63  2.840000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92961  Cardioversion electric int                        A   4.23   1.24NA   1.24    0.98   6.45  6.450000.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
92970  Cardioassist internal                             A   3.42   0.64NA   0.64    0.82   4.88  4.880000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92971  Cardioassist external                             A   1.73   0.48NA   0.48    0.41   2.62  2.620000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92972  Perq trluml coronry lithotrp                      A   2.90   0.55NA   0.55    0.21   3.66  3.660ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
92973  Prq trluml c mchn asp thrmbc                      A   1.71   0.33NA   0.33    0.40   2.44  2.440ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
92974  Cath place cardio brachytx                        A   2.93   0.55NA   0.55    0.67   4.15  4.150ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9297826Endoluminl ivus oct c 1st                         A   1.76   0.66     0.66    0.36   2.78  2.781ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9297926Endoluminl ivus oct c ea                          A   1.40   0.53     0.53    0.27   2.20  2.201ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
92986  Revision of aortic valve                          A  22.04   7.76NA   7.76    5.17  34.97 34.970090.09.84.07200001            33.5675 090 99      0.00   0.00   0.00
92987  Revision of mitral valve                          A  22.80   7.98NA   7.98    5.30  36.08 36.080090.09.84.07200001            33.5675 090 99      0.00   0.00   0.00
92990  Revision of pulmonary valve                       A  17.81   6.85NA   6.85    4.26  28.92 28.920090.09.84.07200001            33.5675 090 99      0.00   0.00   0.00
92997  Pul art balloon repr percut                       A  11.68   2.36NA   2.36    2.35  16.39 16.390000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
92998  Pul art balloon repr percut                       A   5.84   1.08NA   1.08    1.31   8.23  8.230ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93000  Electrocardiogram complete                        A   0.17   0.27     0.27NA  0.02   0.46  0.464XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93005  Electrocardiogram tracing                         A   0.00   0.20     0.20NA  0.01   0.21  0.213XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93010  Electrocardiogram report                          A   0.17   0.07     0.07    0.01   0.25  0.252XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93015  Cv stress test supvj i&r                          A   0.73   1.43     1.43NA  0.04   2.20  2.204XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93016  Cv stress test supvj only                         A   0.44   0.17     0.17    0.01   0.62  0.622XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
93017  Cv stress test tracing only                       A   0.00   1.15     1.15NA  0.02   1.17  1.173XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93018  Cv stress test i&r only                           A   0.29   0.11     0.11    0.01   0.41  0.412XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93024  Ergonovine provocation test                       A   1.14   2.23     2.23NA  0.07   3.44  3.441XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9302426Ergonovine provocation test                       A   1.14   0.43     0.43    0.04   1.61  1.611XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93024TCErgonovine provocation test                       A   0.00   1.80     1.80NA  0.03   1.83  1.831XXX.00.00.00600001            33.5675 030 99      0.00   0.00   0.00
93025  Microvolt t-wave assess                           A   0.73   3.30     3.30NA  0.04   4.07  4.071XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9302526Microvolt t-wave assess                           A   0.73   0.37     0.37    0.02   1.12  1.121XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93025TCMicrovolt t-wave assess                           A   0.00   2.93     2.93NA  0.02   2.95  2.951XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93040  Rhythm ecg with report                            A   0.15   0.28     0.28NA  0.02   0.45  0.454XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93041  Rhythm ecg tracing                                A   0.00   0.23     0.23NA  0.01   0.24  0.243XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93042  Rhythm ecg report                                 A   0.15   0.05     0.05    0.01   0.21  0.212XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93050  Art pressure waveform analys                      A   0.17   0.32     0.32NA  0.02   0.51  0.511XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
9305026Art pressure waveform analys                      A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93050TCArt pressure waveform analys                      A   0.00   0.25     0.25NA  0.01   0.26  0.261XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93145  Interrog crtd sins bat ip wo                      A   0.65   0.94     0.13    0.05   1.64  0.830XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93146  Interrog crtd sins bat ip w/                      A   0.90   1.52     0.21    0.06   2.48  1.170XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93150  Therapy activation ipnss                          A   0.83   2.42     0.19    0.07   3.32  1.090XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93151  Interrog&prgrmg ipnss                             A   0.78   1.99     0.19    0.06   2.83  1.030XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93152  Interrog&prgrmg ipnss polysm                      A   1.77   2.45     0.36    0.14   4.36  2.270XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93153  Interrog w/o prgrmg ipnss                         A   0.42   1.29     0.11    0.03   1.74  0.560XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93224  Xtrnl ecg rec up to 48 hrs                        A   0.38   1.70     1.70NA  0.03   2.11  2.114XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93225  Xtrnl ecg rec<48 hrs rec                          A   0.00   0.53     0.53NA  0.01   0.54  0.543XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93226  Xtrnl ecg rec<48 hr scan a/r                      A   0.00   1.03     1.03NA  0.01   1.04  1.043XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93227  Xtrnl ecg rec<48 hr r&i                           A   0.38   0.14     0.14    0.01   0.53  0.532XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93228  Remote 30 day ecg rev/report                      A   0.47   0.25     0.25    0.03   0.75  0.752XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93229  Remote 30 day ecg tech supp                       A   0.00  22.64    22.64NA  0.07  22.71 22.713XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93241  Xtrnl ecg rec>48hr<7d                             A   0.49   7.83     7.83NA  0.04   8.36  8.364XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93242  Ext ecg>48hr<7d recording                         A   0.00   0.34     0.34NA  0.01   0.35  0.353XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93243  Ext ecg>48hr<7d scan a/r                          A   0.00   7.32     7.32NA  0.01   7.33  7.333XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93244  Ext ecg>48hr<7d rev&interpj                       A   0.49   0.17     0.17    0.02   0.68  0.682XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93245  Ext ecg>7d<15d rec scan a/r                       A   0.54   8.09     8.09NA  0.04   8.67  8.674XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93246  Ext ecg>7d<15d recording                          A   0.00   0.34     0.34NA  0.01   0.35  0.353XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93247  Ext ecg>7d<15d scan a/r                           A   0.00   7.57     7.57NA  0.01   7.58  7.583XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93248  Ext ecg>7d<15d rev&interpj                        A   0.54   0.18     0.18    0.02   0.74  0.742XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93260  Prgrmg dev eval impltbl sys                       A   0.83   1.39     1.39NA  0.04   2.26  2.261XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9326026Prgrmg dev eval impltbl sys                       A   0.83   0.36     0.36    0.03   1.22  1.221XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93260TCPrgrmg dev eval impltbl sys                       A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93261  Interrogate subq defib                            A   0.72   1.33     1.33NA  0.04   2.09  2.091XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9326126Interrogate subq defib                            A   0.72   0.31     0.31    0.03   1.06  1.061XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93261TCInterrogate subq defib                            A   0.00   1.02     1.02NA  0.01   1.03  1.031XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93264  Rem mntr wrls p-art prs snr                       A   0.68   0.85     0.16    0.05   1.58  0.890XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93268  Ecg record/review                                 A   0.51   4.53     4.53NA  0.04   5.08  5.084XXX.00.00.00600001            33.5675 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.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93271  Ecg/monitoring and analysis                       A   0.00   4.11     4.11NA  0.01   4.12  4.123XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93272  Ecg/review interpret only                         A   0.51   0.18     0.18    0.02   0.71  0.712XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93278  Ecg/signal-averaged                               A   0.24   0.73     0.73NA  0.02   0.99  0.991XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9327826Ecg/signal-averaged                               A   0.24   0.12     0.12    0.01   0.37  0.371XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93278TCEcg/signal-averaged                               A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93279  Prgrmg dev eval pm/ldls pm                        A   0.63   1.34     1.34NA  0.03   2.00  2.001XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9327926Prgrmg dev eval pm/ldls pm                        A   0.63   0.27     0.27    0.02   0.92  0.921XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93279TCPrgrmg dev eval pm/ldls pm                        A   0.00   1.07     1.07NA  0.01   1.08  1.081XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93280  Pm device progr eval dual                         A   0.75   1.56     1.56NA  0.04   2.35  2.351XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328026Pm device progr eval dual                         A   0.75   0.32     0.32    0.03   1.10  1.101XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93280TCPm device progr eval dual                         A   0.00   1.24     1.24NA  0.01   1.25  1.251XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93281  Pm device progr eval multi                        A   0.83   1.61     1.61NA  0.04   2.48  2.481XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328126Pm device progr eval multi                        A   0.83   0.36     0.36    0.03   1.22  1.221XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93281TCPm device progr eval multi                        A   0.00   1.25     1.25NA  0.01   1.26  1.261XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93282  Prgrmg eval implantable dfb                       A   0.83   1.48     1.48NA  0.04   2.35  2.351XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328226Prgrmg eval implantable dfb                       A   0.83   0.35     0.35    0.03   1.21  1.211XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93282TCPrgrmg eval implantable dfb                       A   0.00   1.13     1.13NA  0.01   1.14  1.141XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93283  Prgrmg eval implantable dfb                       A   1.12   1.72     1.72NA  0.05   2.89  2.891XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328326Prgrmg eval implantable dfb                       A   1.12   0.47     0.47    0.04   1.63  1.631XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93283TCPrgrmg eval implantable dfb                       A   0.00   1.25     1.25NA  0.01   1.26  1.261XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93284  Prgrmg eval implantable dfb                       A   1.22   1.85     1.85NA  0.05   3.12  3.121XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328426Prgrmg eval implantable dfb                       A   1.22   0.51     0.51    0.04   1.77  1.771XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93284TCPrgrmg eval implantable dfb                       A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93285  Prgrmg dev eval scrms ip                          A   0.51   1.24     1.24NA  0.03   1.78  1.781XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328526Prgrmg dev eval scrms ip                          A   0.51   0.22     0.22    0.02   0.75  0.751XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93285TCPrgrmg dev eval scrms ip                          A   0.00   1.02     1.02NA  0.01   1.03  1.031XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93286  Peri-px eval pm/ldls pm ip                        A   0.29   1.02     1.02NA  0.02   1.33  1.331XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328626Peri-px eval pm/ldls pm ip                        A   0.29   0.13     0.13    0.01   0.43  0.431XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93286TCPeri-px eval pm/ldls pm ip                        A   0.00   0.89     0.89NA  0.01   0.90  0.901XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93287  Peri-px device eval & prgr                        A   0.44   1.08     1.08NA  0.03   1.55  1.551XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328726Peri-px device eval & prgr                        A   0.44   0.19     0.19    0.02   0.65  0.651XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93287TCPeri-px device eval & prgr                        A   0.00   0.89     0.89NA  0.01   0.90  0.901XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93288  Interrog evl pm/ldls pm ip                        A   0.42   1.22     1.22NA  0.02   1.66  1.661XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328826Interrog evl pm/ldls pm ip                        A   0.42   0.17     0.17    0.01   0.60  0.601XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93288TCInterrog evl pm/ldls pm ip                        A   0.00   1.05     1.05NA  0.01   1.06  1.061XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93289  Interrog device eval heart                        A   0.73   1.36     1.36NA  0.04   2.13  2.131XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9328926Interrog device eval heart                        A   0.73   0.30     0.30    0.03   1.06  1.061XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93289TCInterrog device eval heart                        A   0.00   1.06     1.06NA  0.01   1.07  1.071XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93290  Interrog dev eval icpms ip                        A   0.42   1.13     1.13NA  0.02   1.57  1.571XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9329026Interrog dev eval icpms ip                        A   0.42   0.18     0.18    0.01   0.61  0.611XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93290TCInterrog dev eval icpms ip                        A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93291  Interrog dev eval scrms ip                        A   0.36   1.06     1.06NA  0.02   1.44  1.441XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9329126Interrog dev eval scrms ip                        A   0.36   0.15     0.15    0.01   0.52  0.521XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93291TCInterrog dev eval scrms ip                        A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93292  Wcd device interrogate                            A   0.42   1.10     1.10NA  0.02   1.54  1.541XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9329226Wcd device interrogate                            A   0.42   0.18     0.18    0.01   0.61  0.611XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93292TCWcd device interrogate                            A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.00600001            33.5675 020 99      0.00   0.00   0.00
93293  Pm phone r-strip device eval                      A   0.30   0.87     0.87NA  0.02   1.19  1.191XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9329326Pm phone r-strip device eval                      A   0.30   0.09     0.09    0.01   0.40  0.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93293TCPm phone r-strip device eval                      A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93294  Rem interrog evl pm/ldls pm                       A   0.59   0.25     0.25    0.04   0.88  0.882XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93295  Dev interrog remote 1/2/mlt                       A   0.72   0.31     0.31    0.05   1.08  1.082XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93296  Rem interrog evl pm/ids                           A   0.00   0.94     0.94NA  0.01   0.95  0.953XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93297  Rem interrog dev eval icpms                       A   0.51   1.28     1.28NA  0.03   1.82  1.821XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9329726Rem interrog dev eval icpms                       A   0.51   0.20     0.20    0.02   0.73  0.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93297TCRem interrog dev eval icpms                       A   0.00   1.08     1.08NA  0.01   1.09  1.091XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93298  Rem interrog dev eval scrms                       A   0.51   2.54     2.54NA  0.04   3.09  3.091XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9329826Rem interrog dev eval scrms                       A   0.51   0.20     0.20    0.02   0.73  0.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93298TCRem interrog dev eval scrms                       A   0.00   2.34     2.34NA  0.02   2.36  2.361XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93303  Echo transthoracic                                A   1.27   5.26     5.26NA  0.07   6.60  6.601XXX.00.00.00600001            33.5675 090 99     17.02  17.02   0.14
9330326Echo transthoracic                                A   1.27   0.49     0.49    0.04   1.80  1.801XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93303TCEcho transthoracic                                A   0.00   4.77     4.77NA  0.03   4.80  4.801XXX.00.00.00600001            33.5675 010 99     16.53  16.53   0.10
93304  Echo transthoracic                                A   0.73   3.83     3.83NA  0.04   4.60  4.601XXX.00.00.00600001            33.5675 090 99     16.83  16.83   0.11
9330426Echo transthoracic                                A   0.73   0.29     0.29    0.02   1.04  1.041XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93304TCEcho transthoracic                                A   0.00   3.54     3.54NA  0.02   3.56  3.561XXX.00.00.00600001            33.5675 010 99     16.54  16.54   0.09
93306  Tte w/doppler complete                            A   1.42   4.39     4.39NA  0.08   5.89  5.891XXX.00.00.00600001            33.5675 090 99     17.05  17.05   0.18
9330626Tte w/doppler complete                            A   1.42   0.55     0.55    0.05   2.02  2.021XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93306TCTte w/doppler complete                            A   0.00   3.84     3.84NA  0.03   3.87  3.871XXX.00.00.00600001            33.5675 010 99     16.50  16.50   0.13
93307  Tte w/o doppler complete                          A   0.90   3.18     3.18NA  0.05   4.13  4.131XXX.00.00.00600001            33.5675 090 99      7.57   7.57   0.08
9330726Tte w/o doppler complete                          A   0.90   0.36     0.36    0.03   1.29  1.291XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93307TCTte w/o doppler complete                          A   0.00   2.82     2.82NA  0.02   2.84  2.841XXX.00.00.00600001            33.5675 010 99      7.21   7.21   0.05
93308  Tte f-up or lmtd                                  A   0.52   2.47     2.47NA  0.04   3.03  3.031XXX.00.00.00600001            33.5675 090 99      7.40   7.40   0.08
9330826Tte f-up or lmtd                                  A   0.52   0.20     0.20    0.02   0.74  0.741XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93308TCTte f-up or lmtd                                  A   0.00   2.27     2.27NA  0.02   2.29  2.291XXX.00.00.00600001            33.5675 010 99      7.20   7.20   0.06
93312  Echo transesophageal                              A   2.24   4.83     4.83NA  0.10   7.17  7.171XXX.00.00.00600001            33.5675 090 99     17.35  17.35   0.20
9331226Echo transesophageal                              A   2.24   0.84     0.84    0.07   3.15  3.151XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93312TCEcho transesophageal                              A   0.00   3.99     3.99NA  0.03   4.02  4.021XXX.00.00.00600001            33.5675 030 99     16.51  16.51   0.13
93313  Echo transesophageal                              A   0.25   0.04NA   0.04    0.02   0.31  0.310XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93314  Echo transesophageal                              A   1.80   4.95     4.95NA  0.18   6.93  6.931XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9331426Echo transesophageal                              A   1.80   0.70     0.70    0.15   2.65  2.651XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93314TCEcho transesophageal                              A   0.00   4.25     4.25NA  0.03   4.28  4.281XXX.00.00.00600001            33.5675 030 99      0.00   0.00   0.00
93315  Echo transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99     17.62  17.62   0.09
9331526Echo transesophageal                              A   2.62   1.00     1.00    0.08   3.70  3.701XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93315TCEcho transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99     16.62  16.62   0.01
93316  Echo transesophageal                              A   0.59   0.09NA   0.09    0.05   0.73  0.730XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93317  Echo transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9331726Echo transesophageal                              A   1.79   0.70     0.70    0.08   2.57  2.571XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93317TCEcho transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93318  Echo transesophageal intraop                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 090 99     17.43  17.43   0.15
9331826Echo transesophageal intraop                      A   2.10   0.81     0.81    0.14   3.05  3.051XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93318TCEcho transesophageal intraop                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00600001            33.5675 010 99     16.62  16.62   0.01
93319  3d echo img cgen car anomal                       A   0.49   1.14     0.09    0.04   1.67  0.620ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93320  Doppler echo complete                             A   0.37   1.15     1.15NA  0.02   1.54  1.541ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9332026Doppler echo complete                             A   0.37   0.14     0.14    0.01   0.52  0.521ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93320TCDoppler echo complete                             A   0.00   1.01     1.01NA  0.01   1.02  1.021ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93321  Doppler echo f-up/lmtd std                        A   0.15   0.60     0.60NA  0.01   0.76  0.761ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9332126Doppler echo f-up/lmtd std                        A   0.15   0.06     0.06    0.01   0.22  0.221ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93321TCDoppler echo f-up/lmtd std                        A   0.00   0.54     0.54NA  0.00   0.54  0.541ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93325  Doppler echo color flow mapg                      A   0.07   0.64     0.64NA  0.00   0.71  0.711ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9332526Doppler echo color flow mapg                      A   0.07   0.03     0.03    0.00   0.10  0.101ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93325TCDoppler echo color flow mapg                      A   0.00   0.61     0.61NA  0.00   0.61  0.611ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93350  Stress tte only                                   A   1.42   4.06     4.06NA  0.07   5.55  5.551XXX.00.00.00600001            33.5675 090 99     17.09  17.09   0.14
9335026Stress tte only                                   A   1.42   0.55     0.55    0.05   2.02  2.021XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93350TCStress tte only                                   A   0.00   3.51     3.51NA  0.02   3.53  3.531XXX.00.00.00600001            33.5675 020 99     16.54  16.54   0.09
93351  Stress tte complete                               A   1.71   5.18     5.18NA  0.10   6.99  6.991XXX.00.00.00609991            33.5675 090 99     17.14  17.14   0.21
9335126Stress tte complete                               A   1.71   0.66     0.66    0.06   2.43  2.431XXX.00.00.00609991            33.5675 090 99      0.00   0.00   0.00
93351TCStress tte complete                               A   0.00   4.52     4.52NA  0.04   4.56  4.561XXX.00.00.00609991            33.5675 020 99     16.48  16.48   0.15
93352  Admin ecg contrast agent                          A   0.19   0.86     0.86NA  0.02   1.07  1.070ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93355  Echo transesophageal (tee)                        A   4.54   0.87NA   0.87    0.34   5.75  5.750XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93356  Myocrd strain img spckl trck                      A   0.23   0.85     0.05    0.02   1.10  0.300ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93451  Right heart cath                                  A   2.41  22.66    22.66NA  0.42  25.49 25.491000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345126Right heart cath                                  A   2.41   1.03     1.03    0.39   3.83  3.831000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93451TCRight heart cath                                  A   0.00  21.63    21.63NA  0.03  21.66 21.661000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93452  Left hrt cath w/ventrclgrphy                      A   4.39  20.94    20.94NA  0.90  26.23 26.231000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345226Left hrt cath w/ventrclgrphy                      A   4.39   1.68     1.68    0.85   6.92  6.921000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93452TCLeft hrt cath w/ventrclgrphy                      A   0.00  19.26    19.26NA  0.05  19.31 19.311000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93453  R&l hrt cath w/ventriclgrphy                      A   5.84  26.37    26.37NA  1.17  33.38 33.381000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345326R&l hrt cath w/ventriclgrphy                      A   5.84   2.26     2.26    1.12   9.22  9.221000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93453TCR&l hrt cath w/ventriclgrphy                      A   0.00  24.11    24.11NA  0.05  24.16 24.161000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93454  Coronary artery angio s&i                         A   4.43  20.93    20.93NA  0.92  26.28 26.281000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345426Coronary artery angio s&i                         A   4.43   1.68     1.68    0.87   6.98  6.981000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93454TCCoronary artery angio s&i                         A   0.00  19.25    19.25NA  0.05  19.30 19.301000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93455  Coronary art/grft angio s&i                       A   5.16  23.08    23.08NA  1.08  29.32 29.321000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345526Coronary art/grft angio s&i                       A   5.16   1.95     1.95    1.03   8.14  8.141000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93455TCCoronary art/grft angio s&i                       A   0.00  21.13    21.13NA  0.05  21.18 21.181000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93456  R hrt coronary artery angio                       A   5.75  25.83    25.83NA  1.16  32.74 32.741000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345626R hrt coronary artery angio                       A   5.75   2.21     2.21    1.11   9.07  9.071000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93456TCR hrt coronary artery angio                       A   0.00  23.62    23.62NA  0.05  23.67 23.671000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93457  R hrt art/grft angio                              A   6.47  27.93    27.93NA  1.33  35.73 35.731000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345726R hrt art/grft angio                              A   6.47   2.47     2.47    1.27  10.21 10.211000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93457TCR hrt art/grft angio                              A   0.00  25.46    25.46NA  0.06  25.52 25.521000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93458  L hrt artery/ventricle angio                      A   5.46  23.65    23.65NA  1.13  30.24 30.241000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345826L hrt artery/ventricle angio                      A   5.46   2.06     2.06    1.08   8.60  8.601000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93458TCL hrt artery/ventricle angio                      A   0.00  21.59    21.59NA  0.05  21.64 21.641000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93459  L hrt art/grft angio                              A   6.19  25.08    25.08NA  1.29  32.56 32.561000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9345926L hrt art/grft angio                              A   6.19   2.34     2.34    1.23   9.76  9.761000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93459TCL hrt art/grft angio                              A   0.00  22.74    22.74NA  0.06  22.80 22.801000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93460  R&l hrt art/ventricle angio                       A   6.92  27.78    27.78NA  1.40  36.10 36.101000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9346026R&l hrt art/ventricle angio                       A   6.92   2.63     2.63    1.34  10.89 10.891000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93460TCR&l hrt art/ventricle angio                       A   0.00  25.15    25.15NA  0.06  25.21 25.211000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93461  R&l hrt art/ventricle angio                       A   7.65  30.58    30.58NA  1.56  39.79 39.791000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9346126R&l hrt art/ventricle angio                       A   7.65   2.89     2.89    1.49  12.03 12.031000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93461TCR&l hrt art/ventricle angio                       A   0.00  27.69    27.69NA  0.07  27.76 27.761000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93462  L hrt cath trnsptl puncture                       A   3.64   1.60     0.80    0.86   6.10  5.300ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93463  Drug admin & hemodynmic meas                      A   1.95   0.78     0.39    0.14   2.87  2.480ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93464  Exercise w/hemodynamic meas                       A   1.76   4.85     4.85NA  0.07   6.68  6.681ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9346426Exercise w/hemodynamic meas                       A   1.76   0.80     0.80    0.06   2.62  2.621ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93464TCExercise w/hemodynamic meas                       A   0.00   4.05     4.05NA  0.01   4.06  4.061ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93503  Insert/place heart catheter                       A   1.95   0.31NA   0.31    0.18   2.44  2.440000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93505  Endomyocardial biopsy                             A   4.02  14.93    14.93NA  0.47  19.42 19.421000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9350526Endomyocardial biopsy                             A   4.02   2.08     2.08    0.45   6.55  6.551000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93505TCEndomyocardial biopsy                             A   0.00  12.85    12.85NA  0.02  12.87 12.871000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93563  Njx cgen car cth slctv c ang                      A   0.98   0.37     0.19    0.16   1.51  1.330ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93564  Njx cgen car cath slctv opac                      A   1.00   0.37     0.19    0.23   1.60  1.420ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93565  Njx car cth slctv lv/la ang                       A   0.49   0.18     0.09    0.12   0.79  0.700ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93566  Njx car cth slctv rv/ra ang                       A   0.49   0.19     0.10    0.08   0.76  0.670ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93567  Njx car cth sprvlv aortgrphy                      A   0.68   0.26     0.13    0.16   1.10  0.970ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93568  Njx car cth nslc p-art angrp                      A   0.86   0.33     0.17    0.18   1.37  1.210ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93569  Njx cth slct p-art angrp uni                      A   0.76   0.29     0.15    0.06   1.11  0.970ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93571  Iv dop vel&/press c flo 1st                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9357126Iv dop vel&/press c flo 1st                       A   1.76   0.66     0.66    0.36   2.78  2.781ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93571TCIv dop vel&/press c flo 1st                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93572  Iv dop vel&/press c flo ea                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9357226Iv dop vel&/press c flo ea                        A   1.40   0.53     0.53    0.27   2.20  2.201ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93572TCIv dop vel&/press c flo ea                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93573  Njx cath slct p-art angrp bi                      A   1.27   0.48     0.24    0.08   1.83  1.590ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93574  Njx cath slct pulm vn angrph                      A   1.40   0.52     0.27    0.09   2.01  1.760ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93575  Njx cath slct p angrph mapca                      A   1.87   0.70     0.35    0.13   2.70  2.350ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93580  Transcath closure of asd                          A  17.52   3.69NA   3.69    4.06  25.27 25.270000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93581  Transcath closure of vsd                          A  23.78   4.82NA   4.82    5.70  34.30 34.300000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93582  Perq transcath closure pda                        A  12.00   2.24NA   2.24    2.87  17.11 17.110000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93583  Perq transcath septal reduxn                      A  13.41   2.58NA   2.58    3.20  19.19 19.190000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93584  Vngrph chd anom/persist svc                       A   1.17   0.22NA   0.22    0.07   1.46  1.460ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93585  Vngrph chd azygs/hemiazygs                        A   1.10   0.21NA   0.21    0.07   1.38  1.380ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93586  Vngrph chd coronary sinus                         A   1.39   0.31NA   0.31    0.08   1.78  1.780ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93587  Vngrph chd vnvn cltrl at/abv                      A   2.06   0.38NA   0.38    0.15   2.59  2.590ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93588  Vngrph chd vnvn cltrl below                       A   2.08   0.38NA   0.38    0.15   2.61  2.610ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93590  Perq transcath cls mitral                         A  21.16   4.40NA   4.40    1.76  27.32 27.320000.00.00.00202101            33.5675 090 99      0.00   0.00   0.00
93591  Perq transcath cls aortic                         A  17.52   3.63NA   3.63    1.36  22.51 22.510000.00.00.00200211            33.5675 090 99      0.00   0.00   0.00
93592  Perq transcath closure each                       A   7.80   1.45NA   1.45    0.54   9.79  9.790ZZZ.00.00.00002101            33.5675 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  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9359326R hrt cath chd nml nt cnj                         A   3.89   1.53     1.53    0.15   5.57  5.571000.00.00.00200001            33.5675 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  0.001000.00.00.00000001            33.5675 030 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  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9359426R hrt cath chd abnl nt cnj                        A   5.95   2.46     2.46    0.18   8.59  8.591000.00.00.00200001            33.5675 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  0.001000.00.00.00000001            33.5675 030 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  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9359526L hrt cath chd nm/abn nt cnj                      A   5.36   2.05     2.05    0.16   7.57  7.571000.00.00.00200001            33.5675 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  0.001000.00.00.00000001            33.5675 030 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  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9359626R&l hrt cath chd nml nt cnj                       A   6.67   2.58     2.58    0.20   9.45  9.451000.00.00.00200001            33.5675 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  0.001000.00.00.00000001            33.5675 030 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  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9359726R&l hrt cath chd abnl nt cnj                      A   8.66   3.35     3.35    0.24  12.25 12.251000.00.00.00200001            33.5675 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  0.001000.00.00.00000001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9359826Car outp meas drg cath chd                        A   1.40   0.52     0.52    0.06   1.98  1.981ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93600  Bundle of his recording                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9360026Bundle of his recording                           A   2.07   0.91     0.91    0.41   3.39  3.391000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93600TCBundle of his recording                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93602  Intra-atrial recording                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9360226Intra-atrial recording                            A   2.07   0.89     0.89    0.39   3.35  3.351000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93602TCIntra-atrial recording                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93603  Right ventricular recording                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9360326Right ventricular recording                       A   2.07   0.89     0.89    0.40   3.36  3.361000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93603TCRight ventricular recording                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93609  Intra-vntr mapg tchycar site                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9360926Intra-vntr mapg tchycar site                      A   4.87   2.16     2.16    0.99   8.02  8.021ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93609TCIntra-vntr mapg tchycar site                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93610  Intra-atrial pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9361026Intra-atrial pacing                               A   2.94   1.19     1.19    0.57   4.70  4.701000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93610TCIntra-atrial pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93612  Intraventricular pacing                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9361226Intraventricular pacing                           A   2.94   1.21     1.21    0.55   4.70  4.701000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93612TCIntraventricular pacing                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93613  Intracardiac ephys 3d mapg                        A   5.10   1.11NA   1.11    1.21   7.42  7.420ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93615  Esophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9361526Esophageal recording                              A   0.72   0.32     0.32    0.03   1.07  1.071000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93615TCEsophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93616  Esophageal recording w/pacg                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9361626Esophageal recording w/pacg                       A   1.21   0.50     0.50    0.04   1.75  1.751000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93616TCEsophageal recording w/pacg                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93618  Indctj arrhythmia elec pacg                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9361826Indctj arrhythmia elec pacg                       A   3.90   1.67     1.67    0.76   6.33  6.331000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93618TCIndctj arrhythmia elec pacg                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93619  Comprehensive ep evaluation                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9361926Comprehensive ep evaluation                       A   6.88   3.04     3.04    1.33  11.25 11.251000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93619TCComprehensive ep evaluation                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93620  Comp ep evl r at ven pac&rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9362026Comp ep evl r at ven pac&rec                      A  11.04   4.83     4.83    2.19  18.06 18.061000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93620TCComp ep evl r at ven pac&rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93621  Comp ep evl l pac&rec c sins                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9362126Comp ep evl l pac&rec c sins                      A   1.46   0.64     0.64    0.28   2.38  2.381ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93621TCComp ep evl l pac&rec c sins                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93622  Comp ep eval l ventr pac&rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9362226Comp ep eval l ventr pac&rec                      A   3.02   1.33     1.33    0.60   4.95  4.951ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93622TCComp ep eval l ventr pac&rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93623  Prgrmd stimj&pacg iv rx nfs                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9362326Prgrmd stimj&pacg iv rx nfs                       A   0.96   0.42     0.42    0.19   1.57  1.571ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93623TCPrgrmd stimj&pacg iv rx nfs                       C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93624  Ep f-up study pacg&rec                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9362426Ep f-up study pacg&rec                            A   4.44   1.66     1.66    0.90   7.00  7.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93624TCEp f-up study pacg&rec                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93631  Ntraop epicar&endcar pac&map                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9363126Ntraop epicar&endcar pac&map                      A   7.40   2.99     2.99    1.56  11.95 11.951000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93631TCNtraop epicar&endcar pac&map                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93640  Ep eval 1/2chmbr pacg cvdfb                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9364026Ep eval 1/2chmbr pacg cvdfb                       A   3.18   1.36     1.36    0.62   5.16  5.161000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93640TCEp eval 1/2chmbr pacg cvdfb                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93641  Ep evl 1/2chmb pac cvdfb tst                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9364126Ep evl 1/2chmb pac cvdfb tst                      A   5.53   2.37     2.37    1.11   9.01  9.011000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93641TCEp evl 1/2chmb pac cvdfb tst                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93642  Ep evl 1/2chmb trnsvns cvdfb                      A   4.51   4.43     4.43NA  0.94   9.88  9.881000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9364226Ep evl 1/2chmb trnsvns cvdfb                      A   4.51   1.96     1.96    0.91   7.38  7.381000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93642TCEp evl 1/2chmb trnsvns cvdfb                      A   0.00   2.47     2.47NA  0.03   2.50  2.501000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93644  Ep eval subq impl dfb                             A   2.96   2.60     2.60NA  0.10   5.66  5.661000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9364426Ep eval subq impl dfb                             A   2.96   1.10     1.10    0.09   4.15  4.151000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93644TCEp eval subq impl dfb                             A   0.00   1.50     1.50NA  0.01   1.51  1.511000.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93650  Icar cath abltj av node func                      A   9.98   2.55NA   2.55    2.35  14.88 14.880000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93653  Compre ep eval tx svt                             A  14.63   3.22NA   3.22    3.45  21.30 21.300000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93654  Compre ep eval tx vt                              A  17.65   3.87NA   3.87    4.15  25.67 25.670000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93655  Icar cath abltj dscrt arrhyt                      A   5.36   1.18NA   1.18    1.27   7.81  7.810ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93656  Compre ep eval abltj atr fib                      A  16.58   3.66NA   3.66    3.91  24.15 24.150000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93657  Tx l/r atrial fib addl                            A   5.36   1.18NA   1.18    1.27   7.81  7.810ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93660  Tilt table evaluation                             A   1.84   3.11     3.11NA  0.09   5.04  5.041000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
9366026Tilt table evaluation                             A   1.84   0.79     0.79    0.06   2.69  2.691000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
93660TCTilt table evaluation                             A   0.00   2.32     2.32NA  0.03   2.35  2.351000.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
93662  Intracardiac ecg (ice)                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9366226Intracardiac ecg (ice)                            A   1.40   0.61     0.61    0.05   2.06  2.061ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93662TCIntracardiac ecg (ice)                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
93668  Peripheral vascular rehab                         A   0.00   0.45     0.45NA  0.01   0.46  0.463XXX.00.00.00000001            33.5675 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.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93702  Bis xtracell fluid analysis                       A   0.00   3.95     3.95NA  0.02   3.97  3.973XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93724  Elec alys antitchycar pm sys                      A   4.76   3.37     3.37NA  0.17   8.30  8.301000.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
9372426Elec alys antitchycar pm sys                      A   4.76   1.99     1.99    0.16   6.91  6.911000.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93724TCElec alys antitchycar pm sys                      A   0.00   1.38     1.38NA  0.01   1.39  1.391000.00.00.00600001            33.5675 030 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9374526Set-up cardiovert-defibrill                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
93750  Interrogation vad in person                       A   0.75   0.77     0.20    0.07   1.59  1.020XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93784  Ambl bp mntr w/software                           A   0.37   1.03     1.03NA  0.03   1.43  1.434XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93786  Ambl bp mntr w/sw rec only                        A   0.00   0.70     0.70NA  0.01   0.71  0.713XXX.00.00.00600001            33.5675 010 99      0.00   0.00   0.00
93788  Ambl bp mntr w/sw a/r                             A   0.00   0.17     0.17NA  0.01   0.18  0.183XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93790  Ambl bp mntr w/sw i&r                             A   0.37   0.16     0.16    0.01   0.54  0.542XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93792  Pt/caregiver traing home inr                      A   0.00   2.14     2.14NA  0.03   2.17  2.173XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93793  Anticoag mgmt pt warfarin                         A   0.18   0.16     0.16NA  0.01   0.35  0.352XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93797  Phys/qhp op car rhab wo ecg                       A   0.18   0.34     0.04    0.01   0.53  0.230000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93798  Phys/qhp op car rhab w/ecg                        A   0.28   0.48     0.06    0.02   0.78  0.360000.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93880  Extracranial bilat study                          A   0.78   4.78     4.78NA  0.10   5.66  5.661XXX.00.00.00620001            33.5675 090 99      7.48   7.48   0.12
9388026Extracranial bilat study                          A   0.78   0.27     0.27    0.07   1.12  1.121XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93880TCExtracranial bilat study                          A   0.00   4.51     4.51NA  0.03   4.54  4.541XXX.00.00.00620001            33.5675 010 99      7.21   7.21   0.05
93882  Extracranial uni/ltd study                        A   0.49   3.14     3.14NA  0.08   3.71  3.711XXX.00.00.00600001            33.5675 090 99      3.31   3.31   0.08
9388226Extracranial uni/ltd study                        A   0.49   0.15     0.15    0.06   0.70  0.701XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93882TCExtracranial uni/ltd study                        A   0.00   2.99     2.99NA  0.02   3.01  3.011XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93886  Intracranial complete study                       A   0.88   7.11     7.11NA  0.09   8.08  8.081XXX.00.00.00600001            33.5675 090 99      7.65   7.65   0.09
9388626Intracranial complete study                       A   0.88   0.42     0.42    0.06   1.36  1.361XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93886TCIntracranial complete study                       A   0.00   6.69     6.69NA  0.03   6.72  6.721XXX.00.00.00600001            33.5675 010 99      7.23   7.23   0.03
93888  Intracranial limited study                        A   0.71   4.33     4.33NA  0.06   5.10  5.101XXX.00.00.00600001            33.5675 090 99      3.50   3.50   0.06
9388826Intracranial limited study                        A   0.71   0.33     0.33    0.04   1.08  1.081XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93888TCIntracranial limited study                        A   0.00   4.00     4.00NA  0.02   4.02  4.021XXX.00.00.00600001            33.5675 010 99      3.17   3.17   0.02
93892  Tcd emboli detect w/o inj                         A   1.12   7.94     7.94NA  0.11   9.17  9.171XXX.00.00.00600001            33.5675 090 99      3.72   3.72   0.09
9389226Tcd emboli detect w/o inj                         A   1.12   0.56     0.56    0.07   1.75  1.751XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93892TCTcd emboli detect w/o inj                         A   0.00   7.38     7.38NA  0.04   7.42  7.421XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93893  Tcd std icr art ven-art shnt                      A   1.12   9.73     9.73NA  0.10  10.95 10.951XXX.00.00.00600001            33.5675 090 99      3.76   3.76   0.08
9389326Tcd std icr art ven-art shnt                      A   1.12   0.59     0.59    0.07   1.78  1.781XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93893TCTcd std icr art ven-art shnt                      A   0.00   9.14     9.14NA  0.03   9.17  9.171XXX.00.00.00600001            33.5675 010 99      3.17   3.17   0.01
93896  Vsrctv std tcd icr art compl                      A   0.79   4.74     4.74NA  0.08   5.61  5.611ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9389626Vsrctv std tcd icr art compl                      A   0.79   0.38     0.38    0.06   1.23  1.231ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93896TCVsrctv std tcd icr art compl                      A   0.00   4.36     4.36NA  0.02   4.38  4.381ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93897  Emboli detcj wo iv mbubb njx                      A   0.71   6.32     6.32NA  0.08   7.11  7.111ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9389726Emboli detcj wo iv mbubb njx                      A   0.71   0.36     0.36    0.05   1.12  1.121ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93897TCEmboli detcj wo iv mbubb njx                      A   0.00   5.96     5.96NA  0.03   5.99  5.991ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93898  Ven-artl shunt det mbubb njx                      A   0.83   6.95     6.95NA  0.08   7.86  7.861ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9389826Ven-artl shunt det mbubb njx                      A   0.83   0.43     0.43    0.06   1.32  1.321ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
93898TCVen-artl shunt det mbubb njx                      A   0.00   6.52     6.52NA  0.02   6.54  6.541ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
93922  Upr/l xtremity art 2 levels                       A   0.24   2.20     2.20NA  0.05   2.49  2.491XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
9392226Upr/l xtremity art 2 levels                       A   0.24   0.08     0.08    0.03   0.35  0.351XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93922TCUpr/l xtremity art 2 levels                       A   0.00   2.12     2.12NA  0.02   2.14  2.141XXX.00.00.00620001            33.5675 010 99      0.00   0.00   0.00
93923  Upr/lxtr art stdy 3+ lvls                         A   0.44   3.47     3.47NA  0.09   4.00  4.001XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
9392326Upr/lxtr art stdy 3+ lvls                         A   0.44   0.14     0.14    0.06   0.64  0.641XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93923TCUpr/lxtr art stdy 3+ lvls                         A   0.00   3.33     3.33NA  0.03   3.36  3.361XXX.00.00.00620001            33.5675 010 99      0.00   0.00   0.00
93924  Lwr xtr vasc stdy bilat                           A   0.49   4.37     4.37NA  0.09   4.95  4.951XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
9392426Lwr xtr vasc stdy bilat                           A   0.49   0.16     0.16    0.06   0.71  0.711XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93924TCLwr xtr vasc stdy bilat                           A   0.00   4.21     4.21NA  0.03   4.24  4.241XXX.00.00.00620001            33.5675 010 99      0.00   0.00   0.00
93925  Lower extremity study                             A   0.78   6.22     6.22NA  0.11   7.11  7.111XXX.00.00.00620001            33.5675 090 99      7.46   7.46   0.12
9392526Lower extremity study                             A   0.78   0.25     0.25    0.07   1.10  1.101XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93925TCLower extremity study                             A   0.00   5.97     5.97NA  0.04   6.01  6.011XXX.00.00.00620001            33.5675 010 99      7.21   7.21   0.05
93926  Lower extremity study                             A   0.49   3.62     3.62NA  0.08   4.19  4.191XXX.00.00.00600001            33.5675 090 99      3.28   3.28   0.08
9392626Lower extremity study                             A   0.49   0.13     0.13    0.05   0.67  0.671XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93926TCLower extremity study                             A   0.00   3.49     3.49NA  0.03   3.52  3.521XXX.00.00.00600001            33.5675 010 99      3.15   3.15   0.03
93930  Upper extremity study                             A   0.78   5.07     5.07NA  0.10   5.95  5.951XXX.00.00.00620001            33.5675 090 99      7.48   7.48   0.12
9393026Upper extremity study                             A   0.78   0.26     0.26    0.07   1.11  1.111XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93930TCUpper extremity study                             A   0.00   4.81     4.81NA  0.03   4.84  4.841XXX.00.00.00620001            33.5675 010 99      7.22   7.22   0.05
93931  Upper extremity study                             A   0.49   3.06     3.06NA  0.07   3.62  3.621XXX.00.00.00600001            33.5675 090 99      3.30   3.30   0.07
9393126Upper extremity study                             A   0.49   0.14     0.14    0.05   0.68  0.681XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93931TCUpper extremity study                             A   0.00   2.92     2.92NA  0.02   2.94  2.941XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93970  Extremity study                                   A   0.68   4.74     4.74NA  0.09   5.51  5.511XXX.00.00.00620001            33.5675 090 99      7.43   7.43   0.11
9397026Extremity study                                   A   0.68   0.22     0.22    0.06   0.96  0.961XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93970TCExtremity study                                   A   0.00   4.52     4.52NA  0.03   4.55  4.551XXX.00.00.00620001            33.5675 010 99      7.21   7.21   0.05
93971  Extremity study                                   A   0.44   2.99     2.99NA  0.05   3.48  3.481XXX.00.00.00600001            33.5675 090 99      3.30   3.30   0.05
9397126Extremity study                                   A   0.44   0.14     0.14    0.03   0.61  0.611XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93971TCExtremity study                                   A   0.00   2.85     2.85NA  0.02   2.87  2.871XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93975  Vascular study                                    A   1.13   6.50     6.50NA  0.13   7.76  7.761XXX.00.00.00600001            33.5675 090 99      7.58   7.58   0.14
9397526Vascular study                                    A   1.13   0.37     0.37    0.09   1.59  1.591XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93975TCVascular study                                    A   0.00   6.13     6.13NA  0.04   6.17  6.171XXX.00.00.00600001            33.5675 010 99      7.21   7.21   0.05
93976  Vascular study                                    A   0.78   3.82     3.82NA  0.07   4.67  4.671XXX.00.00.00600001            33.5675 090 99      3.44   3.44   0.07
9397626Vascular study                                    A   0.78   0.28     0.28    0.05   1.11  1.111XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93976TCVascular study                                    A   0.00   3.54     3.54NA  0.02   3.56  3.561XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93978  Vascular study                                    A   0.78   4.48     4.48NA  0.14   5.40  5.401XXX.00.00.00600001            33.5675 090 99      7.44   7.44   0.16
9397826Vascular study                                    A   0.78   0.23     0.23    0.11   1.12  1.121XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93978TCVascular study                                    A   0.00   4.25     4.25NA  0.03   4.28  4.281XXX.00.00.00600001            33.5675 010 99      7.21   7.21   0.05
93979  Vascular study                                    A   0.49   2.92     2.92NA  0.08   3.49  3.491XXX.00.00.00600001            33.5675 090 99      3.30   3.30   0.08
9397926Vascular study                                    A   0.49   0.14     0.14    0.06   0.69  0.691XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93979TCVascular study                                    A   0.00   2.78     2.78NA  0.02   2.80  2.801XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93980  Penile vascular study                             A   1.22   2.34     2.34NA  0.06   3.62  3.621XXX.00.00.00600001            33.5675 090 99      3.68   3.68   0.07
9398026Penile vascular study                             A   1.22   0.52     0.52    0.05   1.79  1.791XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93980TCPenile vascular study                             A   0.00   1.82     1.82NA  0.01   1.83  1.831XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93981  Penile vascular study                             A   0.43   1.73     1.73NA  0.04   2.20  2.201XXX.00.00.00600001            33.5675 090 99      3.33   3.33   0.05
9398126Penile vascular study                             A   0.43   0.17     0.17    0.03   0.63  0.631XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93981TCPenile vascular study                             A   0.00   1.56     1.56NA  0.01   1.57  1.571XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.02
93985  Dup-scan hemo compl bi std                        A   0.78   6.51     6.51NA  0.17   7.46  7.461XXX.00.00.00620001            33.5675 090 99      7.41   7.41   0.18
9398526Dup-scan hemo compl bi std                        A   0.78   0.21     0.21    0.12   1.11  1.111XXX.00.00.00620001            33.5675 090 99      0.00   0.00   0.00
93985TCDup-scan hemo compl bi std                        A   0.00   6.30     6.30NA  0.05   6.35  6.351XXX.00.00.00620001            33.5675 010 99      7.20   7.20   0.06
93986  Dup-scan hemo compl uni std                       A   0.49   3.85     3.85NA  0.10   4.44  4.441XXX.00.00.00600001            33.5675 090 99      3.29   3.29   0.10
9398626Dup-scan hemo compl uni std                       A   0.49   0.13     0.13    0.07   0.69  0.691XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93986TCDup-scan hemo compl uni std                       A   0.00   3.72     3.72NA  0.03   3.75  3.751XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.03
93990  Doppler flow testing                              A   0.49   3.73     3.73NA  0.10   4.32  4.321XXX.00.00.00600001            33.5675 090 99      3.27   3.27   0.10
9399026Doppler flow testing                              A   0.49   0.11     0.11    0.07   0.67  0.671XXX.00.00.00600001            33.5675 090 99      0.00   0.00   0.00
93990TCDoppler flow testing                              A   0.00   3.62     3.62NA  0.03   3.65  3.651XXX.00.00.00600001            33.5675 010 99      3.16   3.16   0.03
93998  Unlistd noninvas vasc dx std                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000111            33.5675 090 99      0.00   0.00   0.00
94002  Vent mgmt inpat init day                          A   1.99   0.40NA   0.40    0.18   2.57  2.570XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94003  Vent mgmt inpat subq day                          A   1.37   0.28NA   0.28    0.12   1.77  1.770XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94004  Vent mgmt nf per day                              A   1.00   0.24NA   0.24    0.07   1.31  1.310XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94010  Breathing capacity test                           A   0.17   0.70     0.70NA  0.02   0.89  0.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9401026Breathing capacity test                           A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94010TCBreathing capacity test                           A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94011  Spirometry up to 2 yrs old                        A   1.71   0.35NA   0.35    0.09   2.15  2.150XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94012  Spirmtry w/brnchdil inf-2 yr                      A   2.78   0.56NA   0.56    0.17   3.51  3.510XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94013  Meas lung vol thru 2 yrs                          A   0.40   0.07NA   0.07    0.03   0.50  0.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94014  Patient recorded spirometry                       A   0.51   1.25     1.25NA  0.03   1.79  1.794XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94015  Patient recorded spirometry                       A   0.00   1.04     1.04NA  0.01   1.05  1.053XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94016  Review patient spirometry                         A   0.51   0.21     0.21    0.02   0.74  0.742XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94060  Evaluation of wheezing                            A   0.21   1.07     1.07NA  0.02   1.30  1.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9406026Evaluation of wheezing                            A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94060TCEvaluation of wheezing                            A   0.00   0.98     0.98NA  0.01   0.99  0.991XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94070  Evaluation of wheezing                            A   0.59   1.45     1.45NA  0.05   2.09  2.091XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9407026Evaluation of wheezing                            A   0.59   0.24     0.24    0.03   0.86  0.861XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94070TCEvaluation of wheezing                            A   0.00   1.21     1.21NA  0.02   1.23  1.231XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94200  Lung function test (mbc/mvv)                      A   0.05   0.42     0.42NA  0.02   0.49  0.491XXX.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94200TCLung function test (mbc/mvv)                      A   0.00   0.40     0.40NA  0.01   0.41  0.411XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94375  Respiratory flow volume loop                      A   0.30   0.94     0.94NA  0.02   1.26  1.261XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9437526Respiratory flow volume loop                      A   0.30   0.12     0.12    0.01   0.43  0.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94375TCRespiratory flow volume loop                      A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94450  Breathing response hypoxia                        A   0.39   2.97     2.97NA  0.04   3.40  3.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9445026Breathing response hypoxia                        A   0.39   0.27     0.27    0.02   0.68  0.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94450TCBreathing response hypoxia                        A   0.00   2.70     2.70NA  0.02   2.72  2.721XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94452  Hast w/i&r phys/qhp                               A   0.30   1.40     1.40NA  0.02   1.72  1.721XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9445226Hast w/i&r phys/qhp                               A   0.30   0.13     0.13    0.01   0.44  0.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94452TCHast w/i&r phys/qhp                               A   0.00   1.27     1.27NA  0.01   1.28  1.281XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94453  Hast w/suppl oxygen titrj                         A   0.39   1.84     1.84NA  0.04   2.27  2.271XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9445326Hast w/suppl oxygen titrj                         A   0.39   0.16     0.16    0.02   0.57  0.571XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94453TCHast w/suppl oxygen titrj                         A   0.00   1.68     1.68NA  0.02   1.70  1.701XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94610  Intrapulm surfactant admn                         A   1.13   0.23NA   0.23    0.07   1.43  1.430XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94617  Exercise tst brncspsm w/ecg                       A   0.68   2.07     2.07NA  0.04   2.79  2.791XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9461726Exercise tst brncspsm w/ecg                       A   0.68   0.25     0.25    0.01   0.94  0.941XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94617TCExercise tst brncspsm w/ecg                       A   0.00   1.82     1.82NA  0.03   1.85  1.851XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94618  Pulmonary stress testing                          A   0.47   0.61     0.61NA  0.03   1.11  1.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9461826Pulmonary stress testing                          A   0.47   0.19     0.19    0.02   0.68  0.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94618TCPulmonary stress testing                          A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94619  Exercise tst brncspsm wo ecg                      A   0.48   1.49     1.49NA  0.03   2.00  2.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9461926Exercise tst brncspsm wo ecg                      A   0.48   0.15     0.15    0.01   0.64  0.641XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94619TCExercise tst brncspsm wo ecg                      A   0.00   1.34     1.34NA  0.02   1.36  1.361XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94621  Cardiopulm exercise testing                       A   1.38   3.49     3.49NA  0.09   4.96  4.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9462126Cardiopulm exercise testing                       A   1.38   0.59     0.59    0.06   2.03  2.031XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94621TCCardiopulm exercise testing                       A   0.00   2.90     2.90NA  0.03   2.93  2.931XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94625  Phy/qhp op pulm rhb w/o mntr                      A   0.36   2.20     0.08    0.05   2.61  0.490XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94626  Phy/qhp op pulm rhb w/mntr                        A   0.56   2.64     0.10    0.07   3.27  0.730XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94640  Airway inhalation treatment                       A   0.00   0.25     0.25NA  0.01   0.26  0.265XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94644  Cont inhlj tx 1st hour                            A   0.00   1.85     1.85NA  0.02   1.87  1.875XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94645  Cont inhlj tx each addl hour                      A   0.00   0.49     0.49NA  0.01   0.50  0.505XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94660  Cpap initiation&mgmt                              A   0.74   1.27     0.17    0.06   2.07  0.970XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94664  Demo&/eval pt use inhaler                         A   0.00   0.58     0.58NA  0.02   0.60  0.605XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94667  Mnpj chest wall 1st                               A   0.00   0.80     0.80NA  0.02   0.82  0.825XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94668  Mnpj chest wall sbsq                              A   0.00   1.15     1.15NA  0.02   1.17  1.175XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94669  Mechanical chest wall oscill                      A   0.00   0.75     0.75NA  0.02   0.77  0.775XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94680  O2 uptk rst&xers dir simple                       A   0.25   1.45     1.45NA  0.03   1.73  1.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9468026O2 uptk rst&xers dir simple                       A   0.25   0.11     0.11    0.01   0.37  0.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94680TCO2 uptk rst&xers dir simple                       A   0.00   1.34     1.34NA  0.02   1.36  1.361XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94681  O2 uptk co2 outp % o2 xtrc                        A   0.20   1.27     1.27NA  0.03   1.50  1.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9468126O2 uptk co2 outp % o2 xtrc                        A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94681TCO2 uptk co2 outp % o2 xtrc                        A   0.00   1.19     1.19NA  0.02   1.21  1.211XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
94690  O2 uptk rest indirect                             A   0.07   1.48     1.48NA  0.02   1.57  1.571XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9469026O2 uptk rest indirect                             A   0.07   0.03     0.03    0.01   0.11  0.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94690TCO2 uptk rest indirect                             A   0.00   1.45     1.45NA  0.01   1.46  1.461XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94726  Plethysmography lung volumes                      A   0.25   1.63     1.63NA  0.03   1.91  1.911XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9472626Plethysmography lung volumes                      A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94726TCPlethysmography lung volumes                      A   0.00   1.53     1.53NA  0.02   1.55  1.551XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94727  Gas dil/wshot deter lng vol                       A   0.25   1.22     1.22NA  0.02   1.49  1.491XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9472726Gas dil/wshot deter lng vol                       A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94727TCGas dil/wshot deter lng vol                       A   0.00   1.12     1.12NA  0.01   1.13  1.131XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94728  Airwy resist by oscillometry                      A   0.25   1.17     1.17NA  0.02   1.44  1.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9472826Airwy resist by oscillometry                      A   0.25   0.11     0.11    0.01   0.37  0.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94728TCAirwy resist by oscillometry                      A   0.00   1.06     1.06NA  0.01   1.07  1.071XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94729  Diffusing capacity                                A   0.19   1.69     1.69NA  0.02   1.90  1.901ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9472926Diffusing capacity                                A   0.19   0.08     0.08    0.01   0.28  0.281ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94729TCDiffusing capacity                                A   0.00   1.61     1.61NA  0.01   1.62  1.621ZZZ.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94760  N-invas ear/pls oximetry 1                        T   0.00   0.11     0.11NA  0.01   0.12  0.123XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94761  N-invas ear/pls oximetry mlt                      T   0.00   0.12     0.12NA  0.01   0.13  0.133XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94762  N-invas ear/pls oximtry cont                      A   0.00   0.71     0.71NA  0.01   0.72  0.723XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94772  Circadian respir pattern rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9477226Circadian respir pattern rec                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94772TCCircadian respir pattern rec                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
94774  Ped home apnea mntr evnt rec                      C   0.00   0.00     0.00    0.00   0.00  0.004YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94775  Ped home apnea mntr att only                      C   0.00   0.00     0.00    0.00   0.00  0.003YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94776  Ped home apnea mntr dl&alys                       C   0.00   0.00     0.00    0.00   0.00  0.003YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94777  Ped home apnea mntr rvw i&r                       C   0.00   0.00     0.00    0.00   0.00  0.002YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
94780  Cars/bd tst inft-12mo 60 min                      A   0.48   1.14     0.10    0.03   1.65  0.610XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
94781  Cars/bd tst inft-12mo +30min                      A   0.17   0.48     0.03    0.01   0.66  0.210ZZZ.00.00.00001001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95004  Perq tests w/alrgnc xtrcs                         A   0.01   0.09     0.09NA  0.01   0.11  0.110XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95012  Nitric oxide exp gas deter                        A   0.00   0.58     0.58NA  0.01   0.59  0.595XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95017  All tstg perq&iq w/venoms                         A   0.07   0.16     0.01    0.01   0.24  0.090XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95018  All tstg perq&iq drugs/biol                       A   0.14   0.42     0.03    0.01   0.57  0.180XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95024  Iq tests w/allergenic xtrcs                       A   0.01   0.21     0.01    0.01   0.23  0.030XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95027  Iq tsts seql&incrl airborne                       A   0.01   0.12     0.12NA  0.01   0.14  0.140XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95028  Iq tsts allergy delayed rxn                       A   0.00   0.36     0.36NA  0.01   0.37  0.373XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95044  Patch/application tests                           A   0.00   0.14     0.14NA  0.01   0.15  0.155XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95052  Photo patch tests                                 A   0.00   0.17     0.17NA  0.01   0.18  0.185XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95056  Photo tests                                       A   0.00   1.53     1.53NA  0.02   1.55  1.555XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95060  Oph mucous membrane tests                         A   0.00   1.21     1.21NA  0.01   1.22  1.223XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95065  Dir nsl mucous membrane test                      A   0.00   0.83     0.83NA  0.01   0.84  0.843XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95070  Inhlj brncl challenge tstg                        A   0.00   1.16     1.16NA  0.03   1.19  1.193XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95076  Ingest challenge ini 120 min                      A   1.50   2.13     0.31    0.06   3.69  1.870XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95079  Ingest challenge addl 60 min                      A   1.38   1.11     0.29    0.05   2.54  1.720ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95117  Immunotherapy injections                          A   0.00   0.36     0.36NA  0.01   0.37  0.375XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95144  Antigen therapy services                          A   0.06   0.56     0.01    0.01   0.63  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95145  Antigen therapy services                          A   0.06   0.95     0.01    0.01   1.02  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95146  Antigen therapy services                          A   0.06   1.80     0.01    0.01   1.87  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95147  Antigen therapy services                          A   0.06   1.73     0.01    0.01   1.80  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95148  Antigen therapy services                          A   0.06   2.60     0.01    0.01   2.67  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95149  Antigen therapy services                          A   0.06   3.48     0.01    0.01   3.55  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95165  Antigen therapy services                          A   0.06   0.45     0.01    0.01   0.52  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95170  Antigen therapy services                          A   0.06   0.25     0.01    0.01   0.32  0.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95180  Rapid desensitization                             A   2.01   2.04     0.52    0.07   4.12  2.600XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95249  Cont gluc mntr pt prov eqp                        A   0.00   2.05     2.05NA  0.04   2.09  2.093XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95250  Cont gluc mntr phys/qhp eqp                       A   0.00   4.52     4.52NA  0.05   4.57  4.573XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95251  Cont gluc mntr analysis i&r                       A   0.68   0.32     0.32    0.05   1.05  1.052XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95717  Eeg phys/qhp 2-12 hr w/o vid                      A   1.95   1.18     0.56    0.16   3.29  2.670XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95718  Eeg phys/qhp 2-12 hr w/veeg                       A   2.44   1.49     0.70    0.20   4.13  3.340XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95719  Eeg phys/qhp ea incr w/o vid                      A   2.93   1.78     0.85    0.23   4.94  4.010XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95720  Eeg phy/qhp ea incr w/veeg                        A   3.76   2.29     1.08    0.30   6.35  5.140XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95721  Eeg phy/qhp>36<60 hr w/o vid                      A   3.86   2.35     1.10    0.33   6.54  5.290XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95722  Eeg phy/qhp>36<60 hr w/veeg                       A   4.70   2.81     1.33    0.38   7.89  6.410XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95723  Eeg phy/qhp>60<84 hr w/o vid                      A   4.75   2.81     1.33    0.36   7.92  6.440XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95724  Eeg phy/qhp>60<84 hr w/veeg                       A   6.00   3.54     1.68    0.46  10.00  8.140XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95725  Eeg phy/qhp>84 hr w/o vid                         A   5.40   3.30     1.56    0.43   9.13  7.390XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95726  Eeg phy/qhp>84 hr w/veeg                          A   7.58   4.59     2.17    0.60  12.77 10.350XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95782  Polysom <6 yrs 4/> paramtrs                       A   2.54  27.36    27.36NA  0.33  30.23 30.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9578226Polysom <6 yrs 4/> paramtrs                       A   2.54   1.02     1.02    0.06   3.62  3.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95782TCPolysom <6 yrs 4/> paramtrs                       A   0.00  26.34    26.34NA  0.27  26.61 26.611XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95783  Polysom <6 yrs cpap/bilvl                         A   2.76  28.90    28.90NA  0.35  32.01 32.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9578326Polysom <6 yrs cpap/bilvl                         A   2.76   1.10     1.10    0.07   3.93  3.931XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95783TCPolysom <6 yrs cpap/bilvl                         A   0.00  27.80    27.80NA  0.28  28.08 28.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95800  Slp stdy unattended                               A   0.83   3.34     3.34NA  0.06   4.23  4.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9580026Slp stdy unattended                               A   0.83   0.29     0.29    0.04   1.16  1.161XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95800TCSlp stdy unattended                               A   0.00   3.05     3.05NA  0.02   3.07  3.071XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95801  Slp stdy unatnd w/anal                            A   0.83   2.22     2.22NA  0.06   3.11  3.111XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9580126Slp stdy unatnd w/anal                            A   0.83   0.36     0.36    0.04   1.23  1.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95801TCSlp stdy unatnd w/anal                            A   0.00   1.86     1.86NA  0.02   1.88  1.881XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95803  Actigraphy testing                                A   0.88   3.12     3.12NA  0.05   4.05  4.051XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9580326Actigraphy testing                                A   0.88   0.36     0.36    0.04   1.28  1.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95803TCActigraphy testing                                A   0.00   2.76     2.76NA  0.01   2.77  2.771XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95805  Multiple sleep latency test                       A   1.17  13.02    13.02NA  0.17  14.36 14.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9580526Multiple sleep latency test                       A   1.17   0.51     0.51    0.05   1.73  1.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95805TCMultiple sleep latency test                       A   0.00  12.51    12.51NA  0.12  12.63 12.631XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95806  Sleep study unatt&resp efft                       A   0.91   2.12     2.12NA  0.06   3.09  3.091XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9580626Sleep study unatt&resp efft                       A   0.91   0.39     0.39    0.04   1.34  1.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95806TCSleep study unatt&resp efft                       A   0.00   1.73     1.73NA  0.02   1.75  1.751XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95807  Sleep study attended                              A   1.25  11.86    11.86NA  0.17  13.28 13.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9580726Sleep study attended                              A   1.25   0.47     0.47    0.06   1.78  1.781XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95807TCSleep study attended                              A   0.00  11.39    11.39NA  0.11  11.50 11.501XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95808  Polysom any age 1-3> param                        A   1.70  13.44    13.44NA  0.20  15.34 15.341XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9580826Polysom any age 1-3> param                        A   1.70   0.67     0.67    0.07   2.44  2.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95808TCPolysom any age 1-3> param                        A   0.00  12.77    12.77NA  0.13  12.90 12.901XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95810  Polysom 6/> yrs 4/> param                         A   2.44  17.47    17.47NA  0.26  20.17 20.171XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9581026Polysom 6/> yrs 4/> param                         A   2.44   1.03     1.03    0.11   3.58  3.581XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95810TCPolysom 6/> yrs 4/> param                         A   0.00  16.44    16.44NA  0.15  16.59 16.591XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95811  Polysom 6/>yrs cpap 4/> parm                      A   2.54  18.37    18.37NA  0.28  21.19 21.191XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9581126Polysom 6/>yrs cpap 4/> parm                      A   2.54   1.06     1.06    0.11   3.71  3.711XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95811TCPolysom 6/>yrs cpap 4/> parm                      A   0.00  17.31    17.31NA  0.17  17.48 17.481XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95812  Eeg 41-60 minutes                                 A   1.08  10.30    10.30NA  0.09  11.47 11.471XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9581226Eeg 41-60 minutes                                 A   1.08   0.62     0.62    0.05   1.75  1.751XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95812TCEeg 41-60 minutes                                 A   0.00   9.68     9.68NA  0.04   9.72  9.721XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95813  Eeg extnd mntr 61-119 min                         A   1.63  12.61    12.61NA  0.12  14.36 14.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9581326Eeg extnd mntr 61-119 min                         A   1.63   0.94     0.94    0.07   2.64  2.641XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95813TCEeg extnd mntr 61-119 min                         A   0.00  11.67    11.67NA  0.05  11.72 11.721XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95816  Eeg awake and drowsy                              A   1.05  11.23    11.23NA  0.10  12.38 12.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9581626Eeg awake and drowsy                              A   1.05   0.59     0.59    0.05   1.69  1.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95816TCEeg awake and drowsy                              A   0.00  10.64    10.64NA  0.05  10.69 10.691XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95819  Eeg awake and asleep                              A   1.05  13.28    13.28NA  0.11  14.44 14.441XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9581926Eeg awake and asleep                              A   1.05   0.60     0.60    0.05   1.70  1.701XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95819TCEeg awake and asleep                              A   0.00  12.68    12.68NA  0.06  12.74 12.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95822  Eeg coma or sleep only                            A   1.05  12.23    12.23NA  0.10  13.38 13.381XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9582226Eeg coma or sleep only                            A   1.05   0.60     0.60    0.05   1.70  1.701XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95822TCEeg coma or sleep only                            A   0.00  11.63    11.63NA  0.05  11.68 11.681XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9582426Eeg cerebral death only                           A   0.72   0.40     0.40    0.03   1.15  1.151XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95829  Surgery electrocorticogram                        A   6.05  52.61    52.61NA  0.42  59.08 59.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9582926Surgery electrocorticogram                        A   6.05   3.72     3.72    0.33  10.10 10.101XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95829TCSurgery electrocorticogram                        A   0.00  48.89    48.89NA  0.09  48.98 48.981XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95830  Insert electrodes for eeg                         A   1.66  19.68     0.48    0.14  21.48  2.280XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95836  Ecog impltd brn npgt <30 d                        A   1.93   1.12     0.56    0.16   3.21  2.650XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95851  Range of motion measurements                      A   0.16   0.61     0.03    0.01   0.78  0.200XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95852  Range of motion measurements                      A   0.11   0.52     0.03    0.01   0.64  0.150XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95857  Cholinesterase challenge                          A   0.52   1.46     0.15    0.04   2.02  0.710XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95860  Needle emg 1 extremity                            A   0.94   2.59     2.59NA  0.05   3.58  3.581XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9586026Needle emg 1 extremity                            A   0.94   0.56     0.56    0.04   1.54  1.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95860TCNeedle emg 1 extremity                            A   0.00   2.03     2.03NA  0.01   2.04  2.041XXX.00.00.00000001            33.5675 6A0 99      0.00   0.00   0.00
95861  Needle emg 2 extremities                          A   1.50   3.27     3.27NA  0.08   4.85  4.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9586126Needle emg 2 extremities                          A   1.50   0.86     0.86    0.07   2.43  2.431XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95861TCNeedle emg 2 extremities                          A   0.00   2.41     2.41NA  0.01   2.42  2.421XXX.00.00.00000001            33.5675 6A0 99      0.00   0.00   0.00
95863  Needle emg 3 extremities                          A   1.82   4.69     4.69NA  0.09   6.60  6.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9586326Needle emg 3 extremities                          A   1.82   1.06     1.06    0.08   2.96  2.961XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95863TCNeedle emg 3 extremities                          A   0.00   3.63     3.63NA  0.01   3.64  3.641XXX.00.00.00000001            33.5675 6A0 99      0.00   0.00   0.00
95864  Needle emg 4 extremities                          A   1.94   5.17     5.17NA  0.09   7.20  7.201XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9586426Needle emg 4 extremities                          A   1.94   1.12     1.12    0.08   3.14  3.141XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95864TCNeedle emg 4 extremities                          A   0.00   4.05     4.05NA  0.01   4.06  4.061XXX.00.00.00000001            33.5675 6A0 99      0.00   0.00   0.00
95865  Needle emg larynx                                 A   1.53   2.99     2.99NA  0.08   4.60  4.601XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9586526Needle emg larynx                                 A   1.53   0.89     0.89    0.07   2.49  2.491XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95865TCNeedle emg larynx                                 A   0.00   2.10     2.10NA  0.01   2.11  2.111XXX.00.00.00020001            33.5675 6A0 99      0.00   0.00   0.00
95866  Needle emg hemidiaphragm                          A   1.22   2.81     2.81NA  0.05   4.08  4.081XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
9586626Needle emg hemidiaphragm                          A   1.22   0.73     0.73    0.04   1.99  1.991XXX.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
95866TCNeedle emg hemidiaphragm                          A   0.00   2.08     2.08NA  0.01   2.09  2.091XXX.00.00.00030001            33.5675 6A0 99      0.00   0.00   0.00
95867  Ndl emg cranial nrv musc uni                      A   0.77   2.40     2.40NA  0.04   3.21  3.211XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9586726Ndl emg cranial nrv musc uni                      A   0.77   0.43     0.43    0.03   1.23  1.231XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95867TCNdl emg cranial nrv musc uni                      A   0.00   1.97     1.97NA  0.01   1.98  1.981XXX.00.00.00000001            33.5675 6A0 99      0.00   0.00   0.00
95868  Ndl emg cranial nrv musc bi                       A   1.15   2.66     2.66NA  0.06   3.87  3.871XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9586826Ndl emg cranial nrv musc bi                       A   1.15   0.65     0.65    0.05   1.85  1.851XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95868TCNdl emg cranial nrv musc bi                       A   0.00   2.01     2.01NA  0.01   2.02  2.021XXX.00.00.00020001            33.5675 6A0 99      0.00   0.00   0.00
95869  Ndl emg thrc paraspinal musc                      A   0.36   2.46     2.46NA  0.03   2.85  2.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9586926Ndl emg thrc paraspinal musc                      A   0.36   0.21     0.21    0.02   0.59  0.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95869TCNdl emg thrc paraspinal musc                      A   0.00   2.25     2.25NA  0.01   2.26  2.261XXX.00.00.00000001            33.5675 6A0 99      0.00   0.00   0.00
95870  Ndl emg lmtd std musc 1 xtr                       A   0.36   2.20     2.20NA  0.03   2.59  2.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9587026Ndl emg lmtd std musc 1 xtr                       A   0.36   0.21     0.21    0.02   0.59  0.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95870TCNdl emg lmtd std musc 1 xtr                       A   0.00   1.99     1.99NA  0.01   2.00  2.001XXX.00.00.00000001            33.5675 6A0 99      0.00   0.00   0.00
95872  Ndl emg single fiber eltrd                        A   2.81   3.48     3.48NA  0.16   6.45  6.451XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9587226Ndl emg single fiber eltrd                        A   2.81   1.64     1.64    0.15   4.60  4.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95872TCNdl emg single fiber eltrd                        A   0.00   1.84     1.84NA  0.01   1.85  1.851XXX.00.00.00000001            33.5675 660 99      0.00   0.00   0.00
95873  Guide nerv destr elec stim                        A   0.36   1.91     1.91NA  0.01   2.28  2.281ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9587326Guide nerv destr elec stim                        A   0.36   0.23     0.23    0.01   0.60  0.601ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95873TCGuide nerv destr elec stim                        A   0.00   1.68     1.68NA  0.00   1.68  1.681ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95874  Guide nerv destr needle emg                       A   0.36   2.04     2.04NA  0.01   2.41  2.411ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9587426Guide nerv destr needle emg                       A   0.36   0.22     0.22    0.01   0.59  0.591ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95874TCGuide nerv destr needle emg                       A   0.00   1.82     1.82NA  0.00   1.82  1.821ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95875  Limb exercise test                                A   1.07   2.73     2.73NA  0.05   3.85  3.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9587526Limb exercise test                                A   1.07   0.68     0.68    0.04   1.79  1.791XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95875TCLimb exercise test                                A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95885  Musc tst done w/nerv tst lim                      A   0.34   1.58     1.58NA  0.01   1.93  1.931ZZZ.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
9588526Musc tst done w/nerv tst lim                      A   0.34   0.20     0.20    0.01   0.55  0.551ZZZ.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
95885TCMusc tst done w/nerv tst lim                      A   0.00   1.38     1.38NA  0.00   1.38  1.381ZZZ.00.00.00030001            33.5675 6A0 99      0.00   0.00   0.00
95886  Musc test done w/n test comp                      A   0.84   2.12     2.12NA  0.03   2.99  2.991ZZZ.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
9588626Musc test done w/n test comp                      A   0.84   0.49     0.49    0.03   1.36  1.361ZZZ.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
95886TCMusc test done w/n test comp                      A   0.00   1.63     1.63NA  0.00   1.63  1.631ZZZ.00.00.00030001            33.5675 6A0 99      0.00   0.00   0.00
95887  Musc tst done w/n tst nonext                      A   0.69   1.92     1.92NA  0.03   2.64  2.641ZZZ.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
9588726Musc tst done w/n tst nonext                      A   0.69   0.39     0.39    0.03   1.11  1.111ZZZ.00.00.00030001            33.5675 090 99      0.00   0.00   0.00
95887TCMusc tst done w/n tst nonext                      A   0.00   1.53     1.53NA  0.00   1.53  1.531ZZZ.00.00.00030001            33.5675 6A0 99      0.00   0.00   0.00
95905  Motor &/ sens nrve cndj test                      A   0.05   0.93     0.93NA  0.02   1.00  1.001XXX.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95905TCMotor &/ sens nrve cndj test                      A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95907  Nvr cndj tst 1-2 studies                          A   0.98   1.79     1.79NA  0.05   2.82  2.821XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9590726Nvr cndj tst 1-2 studies                          A   0.98   0.58     0.58    0.04   1.60  1.601XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95907TCNvr cndj tst 1-2 studies                          A   0.00   1.21     1.21NA  0.01   1.22  1.221XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95908  Nrv cndj tst 3-4 studies                          A   1.22   2.26     2.26NA  0.06   3.54  3.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9590826Nrv cndj tst 3-4 studies                          A   1.22   0.74     0.74    0.05   2.01  2.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95908TCNrv cndj tst 3-4 studies                          A   0.00   1.52     1.52NA  0.01   1.53  1.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95909  Nrv cndj tst 5-6 studies                          A   1.46   2.72     2.72NA  0.07   4.25  4.251XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9590926Nrv cndj tst 5-6 studies                          A   1.46   0.88     0.88    0.06   2.40  2.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95909TCNrv cndj tst 5-6 studies                          A   0.00   1.84     1.84NA  0.01   1.85  1.851XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95910  Nrv cndj test 7-8 studies                         A   1.95   3.50     3.50NA  0.08   5.53  5.531XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9591026Nrv cndj test 7-8 studies                         A   1.95   1.16     1.16    0.07   3.18  3.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95910TCNrv cndj test 7-8 studies                         A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95911  Nrv cndj test 9-10 studies                        A   2.44   4.05     4.05NA  0.10   6.59  6.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9591126Nrv cndj test 9-10 studies                        A   2.44   1.44     1.44    0.09   3.97  3.971XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95911TCNrv cndj test 9-10 studies                        A   0.00   2.61     2.61NA  0.01   2.62  2.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95912  Nrv cndj test 11-12 studies                       A   2.93   4.56     4.56NA  0.14   7.63  7.631XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9591226Nrv cndj test 11-12 studies                       A   2.93   1.69     1.69    0.12   4.74  4.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95912TCNrv cndj test 11-12 studies                       A   0.00   2.87     2.87NA  0.02   2.89  2.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95913  Nrv cndj test 13/> studies                        A   3.47   5.35     5.35NA  0.16   8.98  8.981XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9591326Nrv cndj test 13/> studies                        A   3.47   2.01     2.01    0.14   5.62  5.621XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95913TCNrv cndj test 13/> studies                        A   0.00   3.34     3.34NA  0.02   3.36  3.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95919  Quan puplmtry phy/qhp uni/bi                      A   0.18   0.30     0.30NA  0.02   0.50  0.501XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9591926Quan puplmtry phy/qhp uni/bi                      A   0.18   0.11     0.11    0.01   0.30  0.301XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95919TCQuan puplmtry phy/qhp uni/bi                      A   0.00   0.19     0.19NA  0.01   0.20  0.201XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95921  Autonomic nrv parasym inervj                      A   0.88   1.78     1.78NA  0.04   2.70  2.701XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9592126Autonomic nrv parasym inervj                      A   0.88   0.41     0.41    0.03   1.32  1.321XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95921TCAutonomic nrv parasym inervj                      A   0.00   1.37     1.37NA  0.01   1.38  1.381XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95922  Autonomic nrv adrenrg inervj                      A   0.96   1.72     1.72NA  0.05   2.73  2.731XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9592226Autonomic nrv adrenrg inervj                      A   0.96   0.37     0.37    0.04   1.37  1.371XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95922TCAutonomic nrv adrenrg inervj                      A   0.00   1.35     1.35NA  0.01   1.36  1.361XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95923  Autonomic nrv syst funj test                      A   0.88   2.74     2.74NA  0.05   3.67  3.671XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9592326Autonomic nrv syst funj test                      A   0.88   0.39     0.39    0.04   1.31  1.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95923TCAutonomic nrv syst funj test                      A   0.00   2.35     2.35NA  0.01   2.36  2.361XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95924  Ans parasymp & symp w/tilt                        A   1.73   2.80     2.80NA  0.10   4.63  4.631XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9592426Ans parasymp & symp w/tilt                        A   1.73   0.82     0.82    0.08   2.63  2.631XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95924TCAns parasymp & symp w/tilt                        A   0.00   1.98     1.98NA  0.02   2.00  2.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95925  Somatosensory testing                             A   0.53   3.95     3.95NA  0.06   4.54  4.541XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9592526Somatosensory testing                             A   0.53   0.26     0.26    0.03   0.82  0.821XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95925TCSomatosensory testing                             A   0.00   3.69     3.69NA  0.03   3.72  3.721XXX.00.00.00020001            33.5675 210 99      0.00   0.00   0.00
95926  Somatosensory testing                             A   0.53   3.49     3.49NA  0.05   4.07  4.071XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9592626Somatosensory testing                             A   0.53   0.23     0.23    0.02   0.78  0.781XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95926TCSomatosensory testing                             A   0.00   3.26     3.26NA  0.03   3.29  3.291XXX.00.00.00020001            33.5675 210 99      0.00   0.00   0.00
95927  Somatosensory testing                             A   0.53   4.50     4.50NA  0.06   5.09  5.091XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9592726Somatosensory testing                             A   0.53   0.26     0.26    0.02   0.81  0.811XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95927TCSomatosensory testing                             A   0.00   4.24     4.24NA  0.04   4.28  4.281XXX.00.00.00000001            33.5675 210 99      0.00   0.00   0.00
95928  C motor evoked uppr limbs                         A   1.46   6.12     6.12NA  0.09   7.67  7.671XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9592826C motor evoked uppr limbs                         A   1.46   0.84     0.84    0.07   2.37  2.371XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95928TCC motor evoked uppr limbs                         A   0.00   5.28     5.28NA  0.02   5.30  5.301XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95929  C motor evoked lwr limbs                          A   1.46   5.94     5.94NA  0.09   7.49  7.491XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9592926C motor evoked lwr limbs                          A   1.46   0.82     0.82    0.07   2.35  2.351XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95929TCC motor evoked lwr limbs                          A   0.00   5.12     5.12NA  0.02   5.14  5.141XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95930  Visual ep test cns w/i&r                          A   0.34   1.67     1.67NA  0.02   2.03  2.031XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9593026Visual ep test cns w/i&r                          A   0.34   0.19     0.19    0.01   0.54  0.541XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95930TCVisual ep test cns w/i&r                          A   0.00   1.48     1.48NA  0.01   1.49  1.491XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95933  Blink reflex test                                 A   0.58   1.94     1.94NA  0.04   2.56  2.561XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9593326Blink reflex test                                 A   0.58   0.34     0.34    0.03   0.95  0.951XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95933TCBlink reflex test                                 A   0.00   1.60     1.60NA  0.01   1.61  1.611XXX.00.00.00000001            33.5675 7A0 99      0.00   0.00   0.00
95937  Neuromuscular junction test                       A   0.63   2.52     2.52NA  0.04   3.19  3.191XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9593726Neuromuscular junction test                       A   0.63   0.36     0.36    0.03   1.02  1.021XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95937TCNeuromuscular junction test                       A   0.00   2.16     2.16NA  0.01   2.17  2.171XXX.00.00.00000001            33.5675 7A0 99      0.00   0.00   0.00
95938  Somatosensory testing                             A   0.84  11.05    11.05NA  0.09  11.98 11.981XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9593826Somatosensory testing                             A   0.84   0.47     0.47    0.04   1.35  1.351XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95938TCSomatosensory testing                             A   0.00  10.58    10.58NA  0.05  10.63 10.631XXX.00.00.00020001            33.5675 210 99      0.00   0.00   0.00
95939  C motor evoked upr&lwr limbs                      A   2.19  15.30    15.30NA  0.15  17.64 17.641XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
9593926C motor evoked upr&lwr limbs                      A   2.19   1.24     1.24    0.09   3.52  3.521XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
95939TCC motor evoked upr&lwr limbs                      A   0.00  14.06    14.06NA  0.06  14.12 14.121XXX.00.00.00020001            33.5675 210 99      0.00   0.00   0.00
95940  Ionm in operatng room 15 min                      A   0.60   0.17NA   0.17    0.03   0.80  0.800XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95954  Eeg monitoring/giving drugs                       A   2.39   8.82     8.82NA  0.15  11.36 11.361XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9595426Eeg monitoring/giving drugs                       A   2.39   0.71     0.71    0.08   3.18  3.181XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95954TCEeg monitoring/giving drugs                       A   0.00   8.11     8.11NA  0.07   8.18  8.181XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95955  Eeg during surgery                                A   0.98   4.89     4.89NA  0.05   5.92  5.921XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9595526Eeg during surgery                                A   0.98   0.57     0.57    0.04   1.59  1.591XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95955TCEeg during surgery                                A   0.00   4.32     4.32NA  0.01   4.33  4.331XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
95957  Eeg digital analysis                              A   1.93   7.24     7.24NA  0.11   9.28  9.281XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9595726Eeg digital analysis                              A   1.93   1.04     1.04    0.07   3.04  3.041XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95957TCEeg digital analysis                              A   0.00   6.20     6.20NA  0.04   6.24  6.241XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
95958  Eeg monitoring/function test                      A   4.13  18.48    18.48NA  0.28  22.89 22.891XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9595826Eeg monitoring/function test                      A   4.13   2.41     2.41    0.20   6.74  6.741XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95958TCEeg monitoring/function test                      A   0.00  16.07    16.07NA  0.08  16.15 16.151XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95961  Electrode stimulation brain                       A   2.97   7.59     7.59NA  0.37  10.93 10.931XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9596126Electrode stimulation brain                       A   2.97   1.76     1.76    0.35   5.08  5.081XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95961TCElectrode stimulation brain                       A   0.00   5.83     5.83NA  0.02   5.85  5.851XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95962  Electrode stim brain add-on                       A   3.21   5.65     5.65NA  0.36   9.22  9.221ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9596226Electrode stim brain add-on                       A   3.21   1.89     1.89    0.34   5.44  5.441ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95962TCElectrode stim brain add-on                       A   0.00   3.76     3.76NA  0.02   3.78  3.781ZZZ.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
95965  Meg spontaneous                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9596526Meg spontaneous                                   A   7.79   4.39     4.39    0.36  12.54 12.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95965TCMeg spontaneous                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9596626Meg evoked single                                 A   3.89   2.26     2.26    0.18   6.33  6.331XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95966TCMeg evoked single                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9596726Meg evoked each addl                              A   3.40   1.98     1.98    0.16   5.54  5.541ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95970  Alys npgt w/o prgrmg                              A   0.35   0.21     0.10    0.03   0.59  0.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95971  Alys smpl sp/pn npgt w/prgrm                      A   0.78   0.66     0.18    0.07   1.51  1.030XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95972  Alys cplx sp/pn npgt w/prgrm                      A   0.80   0.92     0.18    0.07   1.79  1.050XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95976  Alys smpl cn npgt prgrmg                          A   0.71   0.37     0.18    0.06   1.14  0.950XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95977  Alys cplx cn npgt prgrmg                          A   0.95   0.49     0.24    0.08   1.52  1.270XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95980  Io anal gast n-stim init                          A   0.78   0.27NA   0.27    0.19   1.24  1.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95981  Io anal gast n-stim subsq                         A   0.29   0.96     0.15    0.06   1.31  0.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95982  Io ga n-stim subsq w/reprog                       A   0.63   1.17     0.23    0.13   1.93  0.990XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95983  Alys brn npgt prgrmg 15 min                       A   0.91   0.56     0.27    0.08   1.55  1.260XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95984  Alys brn npgt prgrmg addl 15                      A   0.80   0.48     0.24    0.07   1.35  1.110ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95990  Spin/brain pump refil & main                      A   0.00   2.89     2.89NA  0.05   2.94  2.945XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95991  Spin/brain pump refil & main                      A   0.75   2.65     0.19    0.07   3.47  1.010XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
95992  Canalith repositioning proc                       A   0.73   0.47     0.14    0.02   1.22  0.890XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96000  Motion analysis video/3d                          A   1.76   0.30NA   0.30    0.05   2.11  2.117XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
96001  Motion test w/ft press meas                       A   2.10   0.41NA   0.41    0.09   2.60  2.607XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
96002  Dynamic surface emg                               A   0.40   0.11NA   0.11    0.03   0.54  0.540XXX.00.00.00020001            33.5675 090 99      0.00   0.00   0.00
96004  Phys review of motion tests                       A   2.09   0.95     0.95    0.14   3.18  3.182XXX.00.00.00020001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
9602026Functional brain mapping                          A   3.34   1.05     1.05    0.15   4.54  4.541XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96020TCFunctional brain mapping                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 030 99      0.00   0.00   0.00
96105  Assessment of aphasia                             A   1.75   1.11     1.11NA  0.05   2.91  2.910XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96112  Devel tst phys/qhp 1st hr                         A   2.56   1.05     0.50    0.14   3.75  3.200XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96113  Devel tst phys/qhp ea addl                        A   1.16   0.49     0.16    0.03   1.68  1.350ZZZ.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96116  Nubhvl xm phys/qhp 1st hr                         A   1.86   0.90     0.24    0.06   2.82  2.160XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96121  Nubhvl xm phy/qhp ea addl hr                      A   1.71   0.54     0.12    0.01   2.26  1.840ZZZ.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96125  Cognitive test by hc pro                          A   1.70   1.34     1.34NA  0.04   3.08  3.087XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
96127  Brief emotional/behav assmt                       A   0.00   0.14     0.14NA  0.01   0.15  0.153XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96130  Psycl tst eval phys/qhp 1st                       A   2.56   1.06     0.33    0.09   3.71  2.980XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96131  Psycl tst eval phys/qhp ea                        A   1.96   0.62     0.13    0.01   2.59  2.100ZZZ.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96132  Nrpsyc tst eval phys/qhp 1st                      A   2.56   1.03     0.32    0.07   3.66  2.950XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96133  Nrpsyc tst eval phys/qhp ea                       A   1.96   0.95     0.13    0.02   2.93  2.110ZZZ.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96136  Psycl/nrpsyc tst phy/qhp 1st                      A   0.55   0.74     0.07    0.02   1.31  0.640XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96137  Psycl/nrpsyc tst phy/qhp ea                       A   0.46   0.65     0.03    0.00   1.11  0.490ZZZ.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96138  Psycl/nrpsyc tech 1st                             A   0.00   1.12     1.12NA  0.01   1.13  1.130XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96139  Psycl/nrpsyc tst tech ea                          A   0.00   1.06     1.06NA  0.00   1.06  1.060ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
96156  Hlth bhv assmt/reassessment                       A   2.40   0.80     0.18    0.02   3.22  2.600XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96158  Hlth bhv ivntj indiv 1st 30                       A   1.66   0.54     0.12    0.01   2.21  1.790XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96159  Hlth bhv ivntj indiv ea addl                      A   0.57   0.19     0.04    0.00   0.76  0.610ZZZ.00.00.00000001            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
96161  Caregiver health risk assmt                       A   0.00   0.10     0.10NA  0.00   0.10  0.105ZZZ.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
96164  Hlth bhv ivntj grp 1st 30                         A   0.24   0.10     0.03    0.01   0.35  0.280XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96165  Hlth bhv ivntj grp ea addl                        A   0.11   0.04     0.01    0.00   0.15  0.120ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96167  Hlth bhv ivntj fam 1st 30                         A   1.77   0.56     0.11    0.01   2.34  1.890XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96168  Hlth bhv ivntj fam ea addl                        A   0.63   0.21     0.04    0.01   0.85  0.680ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96202  Mlt fam grp bhv train 1st 60                      A   0.43   0.16     0.08    0.01   0.60  0.520XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96203  Mlt fam grp bhv train ea add                      A   0.12   0.03     0.02    0.01   0.16  0.150ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96360  Hydration iv infusion init                        A   0.17   0.82     0.82NA  0.01   1.00  1.005XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96361  Hydrate iv infusion add-on                        A   0.09   0.29     0.29NA  0.01   0.39  0.395ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96365  Ther/proph/diag iv inf init                       A   0.21   1.76     1.76NA  0.04   2.01  2.015XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96366  Ther/proph/diag iv inf addon                      A   0.18   0.45     0.45NA  0.01   0.64  0.645ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96367  Tx/proph/dg addl seq iv inf                       A   0.19   0.69     0.69NA  0.01   0.89  0.895ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96368  Ther/diag concurrent inf                          A   0.17   0.44     0.44NA  0.01   0.62  0.625ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96369  Sc ther infusion up to 1 hr                       A   0.21   4.10     4.10NA  0.03   4.34  4.345XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96370  Sc ther infusion addl hr                          A   0.18   0.32     0.32NA  0.01   0.51  0.515ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96371  Sc ther infusion reset pump                       A   0.00   1.69     1.69NA  0.00   1.69  1.695ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96372  Ther/proph/diag inj sc/im                         A   0.17   0.28     0.28NA  0.01   0.46  0.465XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96373  Ther/proph/diag inj ia                            A   0.17   0.41     0.41NA  0.01   0.59  0.595XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96374  Ther/proph/diag inj iv push                       A   0.18   0.93     0.93NA  0.02   1.13  1.135XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96375  Tx/pro/dx inj new drug addon                      A   0.10   0.36     0.36NA  0.01   0.47  0.475ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96377  Applicaton on-body injector                       A   0.17   0.39     0.39NA  0.01   0.57  0.575XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96380  Admn rsv monoc antb im cnsl                       A   0.28   0.60     0.60NA  0.02   0.90  0.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96381  Admn rsv monoc antb im njx                        A   0.17   0.55     0.55NA  0.01   0.73  0.730XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96402  Chemo hormon antineopl sq/im                      A   0.19   0.95     0.95NA  0.02   1.16  1.165XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96405  Chemo intralesional up to 7                       A   0.52   1.98     0.16    0.03   2.53  0.710000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
96406  Chemo intralesional over 7                        A   0.80   3.09     0.26    0.06   3.95  1.120000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
96409  Chemo iv push sngl drug                           A   0.24   2.83     2.83NA  0.06   3.13  3.135XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96411  Chemo iv push addl drug                           A   0.20   1.48     1.48NA  0.03   1.71  1.715ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96413  Chemo iv infusion 1 hr                            A   0.28   3.64     3.64NA  0.07   3.99  3.995XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96415  Chemo iv infusion addl hr                         A   0.19   0.64     0.64NA  0.02   0.85  0.855ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96416  Chemo prolong infuse w/pump                       A   0.21   3.71     3.71NA  0.07   3.99  3.995XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96417  Chemo iv infus each addl seq                      A   0.21   1.75     1.75NA  0.03   1.99  1.995ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96420  Chemo ia push tecnique                            A   0.17   2.92     2.92NA  0.06   3.15  3.155XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96422  Chemo ia infusion up to 1 hr                      A   0.17   3.96     3.96NA  0.07   4.20  4.205XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96423  Chemo ia infuse each addl hr                      A   0.17   2.04     2.04NA  0.05   2.26  2.265ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96425  Chemotherapy infusion method                      A   0.17   4.93     4.93NA  0.11   5.21  5.215XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96440  Chmotx admn plrl cav thrcnts                      A   2.12  20.72     1.22    0.14  22.98  3.480000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96446  Chemotx admn pertl cav impl                       A   0.37   4.21     0.08    0.12   4.70  0.575XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96450  Chemotherapy into cns                             A   1.53   3.15     0.32    0.14   4.82  1.990000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96521  Refill/maint portable pump                        A   0.21   4.02     4.02NA  0.07   4.30  4.305XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96522  Refill/maint pump/resvr syst                      A   0.21   3.47     3.47NA  0.07   3.75  3.755XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96523  Irrig drug delivery device                        T   0.04   0.73     0.73NA  0.01   0.78  0.785XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96542  Chemotherapy injection                            A   0.75   3.21     0.26    0.06   4.02  1.070XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96547  Intraop hipec px 1st 60 min                       A   6.53   1.82NA   1.82    1.52   9.87  9.870ZZZ.00.00.00002101            33.5675 090 99      0.00   0.00   0.00
96548  Ntraop hipec px ea add 30min                      A   3.00   0.85NA   0.85    0.69   4.54  4.540ZZZ.00.00.00002101            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96567  Pdt dstr prmlg les skn                            A   0.00   3.86     3.86NA  0.01   3.87  3.875XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96570  Photodynmc tx 30 min add-on                       A   1.10   0.39     0.20    0.08   1.57  1.380ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
96571  Photodynamic tx addl 15 min                       A   0.55   0.20     0.10    0.05   0.80  0.700ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
96573  Pdt dstr prmlg les phys/qhp                       A   0.47   6.02     6.02NA  0.02   6.51  6.510000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96574  Dbrdmt prmlg les w/pdt                            A   0.98   6.97     6.97NA  0.04   7.99  7.990000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96900  Actinotherapy uv light                            A   0.00   0.70     0.70NA  0.01   0.71  0.715XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96904  Whole body photography                            R   0.00   1.97     1.97NA  0.01   1.98  1.985XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96910  Photchmtx tar&uvb/ptrltm&uvb                      A   0.00   3.42     3.42NA  0.02   3.44  3.445XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96912  Photochemotherapy puva                            A   0.00   2.89     2.89NA  0.02   2.91  2.915XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96913  Photochemotx sev dermatoses                       A   0.00   4.38     4.38NA  0.03   4.41  4.415XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96920  Excimer lsr psriasis<250sqcm                      A   0.81   3.28     0.38    0.04   4.13  1.230000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
96921  Excimer lsr psriasis 250-500                      A   0.88   3.51     0.48    0.04   4.43  1.400000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
96922  Excimer lsr psriasis>500sqcm                      A   1.12   4.10     1.08    0.05   5.27  2.250000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
96931  Rcm img acquisj&i&r 1st les                       A   0.78   4.11     4.11NA  0.04   4.93  4.934XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
96932  Rcm img acquisj only 1st les                      A   0.00   3.66     3.66NA  0.01   3.67  3.673XXX.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
96933  Rcm i&r only 1st lesion                           A   0.78   0.45     0.45NA  0.03   1.26  1.262XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
96934  Rcm img acquisj&i&r ea addl                       A   0.74   2.69     2.69NA  0.03   3.46  3.464ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
96935  Rcm img acquisj only ea addl                      A   0.00   2.28     2.28NA  0.00   2.28  2.283ZZZ.00.00.00000001            33.5675 020 99      0.00   0.00   0.00
96936  Rcm i&r only ea addl lesion                       A   0.74   0.41     0.41NA  0.03   1.18  1.182ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97007  Mchnl sclp cool meas fitg                         A   0.00  50.72    50.72NA  0.03  50.75 50.750XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97008  Mchnl sclp cool prep plmt                         A   0.00   0.29     0.29NA  0.01   0.30  0.300XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97009  Mchnl sclp cool after chemo                       A   0.00   0.19     0.19NA  0.00   0.19  0.190ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97012  Mechanical traction therapy                       A   0.24   0.18     0.18NA  0.01   0.43  0.437XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97016  Vasopneumatic device therapy                      A   0.18   0.17     0.17NA  0.01   0.36  0.367XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97018  Paraffin bath therapy                             A   0.06   0.11     0.11NA  0.01   0.18  0.187XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97022  Whirlpool therapy                                 A   0.17   0.29     0.29NA  0.01   0.47  0.477XXX.00.00.00500001            33.5675 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.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97026  Infrared therapy                                  R   0.06   0.13     0.13NA  0.01   0.20  0.207XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97028  Ultraviolet therapy                               A   0.08   0.16     0.16NA  0.01   0.25  0.257XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97032  Appl modality 1+estim ea 15                       A   0.25   0.18     0.18NA  0.01   0.44  0.447XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97033  App mdlty 1+iontphrsis ea 15                      A   0.26   0.30     0.30NA  0.01   0.57  0.577XXX.00.00.00500001            33.5675 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.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97035  App mdlty 1+ultrasound ea 15                      A   0.21   0.21     0.21NA  0.01   0.43  0.437XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97036  App mdlty 1+hubbrd tnk ea 15                      A   0.28   0.75     0.75NA  0.01   1.04  1.047XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97039  Unlisted modality                                 C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97110  Therapeutic exercises                             A   0.45   0.41     0.41NA  0.01   0.87  0.877XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97112  Neuromuscular reeducation                         A   0.50   0.47     0.47NA  0.01   0.98  0.987XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97113  Aquatic therapy/exercises                         A   0.48   0.62     0.62NA  0.01   1.11  1.117XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97116  Gait training therapy                             A   0.45   0.41     0.41NA  0.01   0.87  0.877XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97124  Massage therapy                                   A   0.35   0.53     0.53NA  0.01   0.89  0.897XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97129  Ther ivntj 1st 15 min                             A   0.50   0.16     0.08    0.01   0.67  0.590XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97130  Ther ivntj ea addl 15 min                         A   0.48   0.15     0.07    0.00   0.63  0.550ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97140  Manual therapy 1/> regions                        A   0.43   0.39     0.39NA  0.01   0.83  0.837XXX.00.00.00500001            33.5675 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.00.00.00500001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97161  Pt eval low complex 20 min                        A   1.54   1.38     1.38NA  0.01   2.93  2.937XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97162  Pt eval mod complex 30 min                        A   1.54   1.38     1.38NA  0.01   2.93  2.937XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97163  Pt eval high complex 45 min                       A   1.54   1.38     1.38NA  0.01   2.93  2.937XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97164  Pt re-eval est plan care                          A   0.96   1.05     1.05NA  0.01   2.02  2.027XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97165  Ot eval low complex 30 min                        A   1.54   1.46     1.46NA  0.01   3.01  3.017XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97166  Ot eval mod complex 45 min                        A   1.54   1.46     1.46NA  0.01   3.01  3.017XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97167  Ot eval high complex 60 min                       A   1.54   1.46     1.46NA  0.01   3.01  3.017XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97168  Ot re-eval est plan care                          A   0.96   1.08     1.08NA  0.01   2.05  2.057XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97530  Therapeutic activities                            A   0.44   0.60     0.60NA  0.01   1.05  1.057XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97533  Sensory integration                               A   0.48   1.33     1.33NA  0.01   1.82  1.827XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97535  Self care mngment training                        A   0.45   0.51     0.51NA  0.01   0.97  0.977XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97537  Community/work reintegration                      A   0.48   0.47     0.47NA  0.01   0.96  0.967XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97542  Wheelchair mngment training                       A   0.48   0.44     0.44NA  0.01   0.93  0.937XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97545  Work hardening                                    R   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97550  Caregiver traing 1st 30 min                       A   1.00   0.57     0.18    0.01   1.58  1.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97551  Caregiver traing ea addl 15                       A   0.54   0.24     0.09    0.00   0.78  0.630ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97552  Group caregiver training                          A   0.23   0.42     0.04    0.01   0.66  0.280XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97597  Dbrdmt opn wnd 1st 20 cm/<                        A   0.75   2.24     0.13    0.05   3.04  0.930000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97598  Dbrdmt opn wnd addl 20cm/<                        A   0.49   0.88     0.10    0.06   1.43  0.650ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97605  Neg prs wnd ther dme<=50sqcm                      A   0.54   0.71     0.08    0.01   1.26  0.630XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97606  Neg prs wnd ther dme>50 sqcm                      A   0.59   0.91     0.09    0.01   1.51  0.690XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97607  Neg prs wnd thr ndme<=50sqcm                      A   0.40  10.54     0.10    0.06  11.00  0.560XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97608  Neg prs wnd ther ndme>50sqcm                      A   0.45  11.35     0.12    0.08  11.88  0.650XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97610  Low frequency non-thermal us                      A   0.39  11.50     0.06    0.01  11.90  0.460XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97750  Physical performance test                         A   0.45   0.55     0.55NA  0.01   1.01  1.017XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97755  Assistive technology assess                       A   0.62   0.50     0.50NA  0.01   1.13  1.137XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97760  Orthotic mgmt&traing 1st enc                      A   0.50   0.87     0.87NA  0.01   1.38  1.387XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97761  Prosthetic traing 1st enc                         A   0.50   0.70     0.70NA  0.01   1.21  1.217XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
97763  Orthc/prostc mgmt sbsq enc                        A   0.48   1.01     1.01NA  0.01   1.50  1.507XXX.00.00.00500001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97802  Medical nutrition indiv in                        A   0.53   0.56     0.25    0.01   1.10  0.790XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97803  Med nutrition indiv subseq                        A   0.45   0.49     0.20    0.01   0.95  0.660XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97804  Medical nutrition group                           A   0.25   0.25     0.11    0.01   0.51  0.370XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
97810  Acup 1/> wo estim 1st 15 min                      A   0.61   0.79     0.17    0.04   1.44  0.820XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
97811  Acup 1/> w/o estim ea add 15                      A   0.46   0.36     0.13    0.03   0.85  0.620ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
97813  Acup 1/> w/estim 1st 15 min                       A   0.74   0.90     0.21    0.05   1.69  1.000XXX.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
97814  Acup 1/> w/estim ea addl 15                       A   0.47   0.36     0.13    0.03   0.86  0.630ZZZ.00.00.00001001            33.5675 090 99      0.00   0.00   0.00
98016  Brief comunicaj tech-bsd svc                      A   0.30   0.20     0.07    0.02   0.52  0.390XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98925  Osteopath manj 1-2 regions                        A   0.45   0.49     0.11    0.03   0.97  0.590000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98926  Osteopath manj 3-4 regions                        A   0.69   0.65     0.16    0.04   1.38  0.890000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98927  Osteopath manj 5-6 regions                        A   0.94   0.82     0.20    0.06   1.82  1.200000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98928  Osteopath manj 7-8 regions                        A   1.18   0.95     0.25    0.07   2.20  1.500000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98929  Osteopath manj 9-10 regions                       A   1.42   1.08     0.29    0.07   2.57  1.780000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98940  Chiropract manj 1-2 regions                       A   0.45   0.34     0.09    0.01   0.80  0.550000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98941  Chiropract manj 3-4 regions                       A   0.69   0.45     0.14    0.01   1.15  0.840000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98942  Chiropractic manj 5 regions                       A   0.94   0.54     0.19    0.01   1.49  1.140000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98966  Ph1 assmt&mgmt nqhp 5-10                          A   0.25   0.15     0.05    0.01   0.41  0.310XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98967  Ph1 assmt&mgmt nqhp 11-20                         A   0.50   0.23     0.08    0.02   0.75  0.600XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98968  Ph1 assmt&mgmt nqhp 21-30                         A   0.75   0.27     0.10    0.02   1.04  0.870XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98970  Nqhp ol dig assmt&mgmt 5-10                       A   0.25   0.11     0.05    0.01   0.37  0.310XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98971  Nqhp ol dig assmt&mgmt 11-20                      A   0.44   0.23     0.11    0.02   0.69  0.570XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98972  Nqhp ol dig assmt&mgmt 21+                        A   0.69   0.31     0.15    0.03   1.03  0.870XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98975  Rtm 1st set-up&pt educaj eqp                      A   0.00   0.63     0.63NA  0.02   0.65  0.650XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98976  Rtm dev sply resp sys 16-30d                      A   0.00   1.55     1.55NA  0.01   1.56  1.560XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98977  Rtm dev sply mscskl 16-30 d                       A   0.00   1.53     1.53NA  0.01   1.54  1.540XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98978  Rtm dev sply cbt 16-30 d                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98979  Rtm tx mgmt 1st 10 min                            A   0.31   0.47     0.02    0.01   0.79  0.340XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98980  Rtm tx mgmt 1st 20 min                            A   0.62   0.97     0.12    0.03   1.62  0.770XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98981  Rtm tx mgmt ea addl 20 min                        A   0.61   0.60     0.12    0.03   1.24  0.760ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98984  Rtm dev sply resp sys 2-15 d                      A   0.00   1.55     1.55NA  0.01   1.56  1.560XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98985  Rtm dev sply mscsk sys 2-15d                      A   0.00   1.53     1.53NA  0.01   1.54  1.540XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
98986  Rtm dev sply cbt 2-15 d                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99091  Collj & interpj data ea 30 d                      A   1.10   0.49     0.25    0.07   1.66  1.420XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99151  Mod sed same phys/qhp <5 yrs                      A   0.50   1.33     0.10    0.03   1.86  0.639XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
99152  Mod sed same phys/qhp 5/>yrs                      A   0.25   1.26     0.05    0.03   1.54  0.339XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
99153  Mod sed same phys/qhp ea                          A   0.00   0.35     0.35NA  0.02   0.37  0.373ZZZ.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
99155  Mod sed oth phys/qhp <5 yrs                       A   1.90   0.30NA   0.30    0.24   2.44  2.449XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
99156  Mod sed oth phys/qhp 5/>yrs                       A   1.65   0.29NA   0.29    0.19   2.13  2.139XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
99157  Mod sed other phys/qhp ea                         A   1.25   0.23NA   0.23    0.14   1.62  1.629ZZZ.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
99170  Anogenital exam child w imag                      A   1.71   3.18     0.35    0.09   4.98  2.150000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
99175  Induction of vomiting                             A   0.00   1.36     1.36NA  0.01   1.37  1.375XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99183  Hyperbaric oxygen therapy                         A   2.06   0.96     0.96    0.26   3.28  3.282XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99184  Hypothermia ill neonate                           A   4.39   0.82NA   0.82    0.30   5.51  5.510XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99195  Phlebotomy                                        A   0.00   2.89     2.89NA  0.05   2.94  2.945XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99202  Office o/p new sf 15 min                          A   0.93   1.25     0.23    0.07   2.25  1.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99203  Office o/p new low 30 min                         A   1.60   1.76     0.38    0.16   3.52  2.140XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99204  Office o/p new mod 45 min                         A   2.60   2.47     0.66    0.24   5.31  3.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99205  Office o/p new hi 60 min                          A   3.50   3.23     0.94    0.36   7.09  4.800XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99211  Off/op est may x req phy/qhp                      A   0.18   0.54     0.04    0.01   0.73  0.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99212  Office o/p est sf 10 min                          A   0.70   1.02     0.17    0.06   1.78  0.930XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99213  Office o/p est low 20 min                         A   1.30   1.46     0.33    0.09   2.85  1.720XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99214  Office o/p est mod 30 min                         A   1.92   2.00     0.47    0.14   4.06  2.530XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99215  Office o/p est hi 40 min                          A   2.80   2.75     0.75    0.21   5.76  3.760XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99221  1st hosp ip/obs sf/low 40                         A   1.63   0.41NA   0.41    0.19   2.23  2.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99222  1st hosp ip/obs moderate 55                       A   2.60   0.67NA   0.67    0.23   3.50  3.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99223  1st hosp ip/obs high 75                           A   3.50   0.90NA   0.90    0.28   4.68  4.680XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99231  Sbsq hosp ip/obs sf/low 25                        A   1.00   0.24NA   0.24    0.08   1.32  1.320XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99232  Sbsq hosp ip/obs moderate 35                      A   1.59   0.40NA   0.40    0.12   2.11  2.110XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99233  Sbsq hosp ip/obs high 50                          A   2.40   0.62NA   0.62    0.18   3.20  3.200XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99234  Hosp ip/obs sm dt sf/low 45                       A   2.00   0.46NA   0.46    0.18   2.64  2.640XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99235  Hosp ip/obs same date mod 70                      A   3.24   0.79NA   0.79    0.25   4.28  4.280XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99236  Hosp ip/obs same date hi 85                       A   4.30   1.02NA   1.02    0.36   5.68  5.680XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99238  Hosp ip/obs dschrg mgmt 30/<                      A   1.50   0.62NA   0.62    0.12   2.24  2.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99239  Hosp ip/obs dschrg mgmt >30                       A   2.15   0.88NA   0.88    0.16   3.19  3.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99281  Emr dpt vst mayx req phy/qhp                      A   0.25   0.05NA   0.05    0.03   0.33  0.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99282  Emergency dept visit sf mdm                       A   0.93   0.17NA   0.17    0.11   1.21  1.210XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99283  Emergency dept visit low mdm                      A   1.60   0.28NA   0.28    0.20   2.08  2.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99284  Emergency dept visit mod mdm                      A   2.74   0.45NA   0.45    0.35   3.54  3.540XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99285  Emergency dept visit hi mdm                       A   4.00   0.65NA   0.65    0.48   5.13  5.130XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99291  Critical care first hour                          A   4.50   4.29     1.00    0.46   9.25  5.960XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99292  Critical care addl 30 min                         A   2.25   1.53     0.52    0.23   4.01  3.000ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99304  1st nf care sf/low mdm 25                         A   1.50   0.84     0.54    0.09   2.43  2.130XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99305  1st nf care moderate mdm 35                       A   2.50   1.54     0.91    0.18   4.22  3.590XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99306  1st nf care high mdm 50                           A   3.50   2.05     1.16    0.23   5.78  4.890XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99307  Sbsq nf care sf mdm 10                            A   0.70   0.51     0.36    0.05   1.26  1.110XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99308  Sbsq nf care low mdm 20                           A   1.30   0.98     0.65    0.08   2.36  2.030XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99309  Sbsq nf care moderate mdm 30                      A   1.92   1.37     0.89    0.14   3.43  2.950XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99310  Sbsq nf care high mdm 45                          A   2.80   1.88     1.19    0.21   4.89  4.200XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99315  Nf dschrg mgmt 30 min/less                        A   1.50   0.98     0.60    0.09   2.57  2.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99316  Nf dschrg mgmt 30 min+                            A   2.50   1.47     0.85    0.17   4.14  3.520XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99341  Home/res vst new sf mdm 15                        A   1.00   0.43     0.43NA  0.04   1.47  1.470XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99342  Home/res vst new low mdm 30                       A   1.65   0.64     0.64NA  0.07   2.36  2.360XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99344  Home/res vst new mod mdm 60                       A   2.87   1.36     1.36NA  0.16   4.39  4.390XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99345  Home/res vst new high mdm 75                      A   3.88   2.16     2.16NA  0.25   6.29  6.290XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99347  Home/res vst est sf mdm 20                        A   0.90   0.44     0.44NA  0.04   1.38  1.380XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99348  Home/res vst est low mdm 30                       A   1.50   0.79     0.79NA  0.07   2.36  2.360XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99349  Home/res vst est mod mdm 40                       A   2.44   1.36     1.36NA  0.16   3.96  3.960XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99350  Home/res vst est high mdm 60                      A   3.60   1.94     1.94NA  0.24   5.78  5.780XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99406  Behav chng smoking 3-10 min                       A   0.24   0.20     0.06    0.02   0.46  0.320XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99407  Behav chng smoking > 10 min                       A   0.50   0.33     0.12    0.04   0.87  0.660XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99415  Prolng clin staff svc 1st hr                      A   0.00   0.68     0.68NA  0.01   0.69  0.693ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99416  Prolng clin staff svc ea add                      A   0.00   0.37     0.37NA  0.01   0.38  0.383ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99421  Ol dig e/m svc 5-10 min                           A   0.25   0.20     0.06    0.02   0.47  0.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99422  Ol dig e/m svc 11-20 min                          A   0.50   0.38     0.13    0.04   0.92  0.670XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99423  Ol dig e/m svc 21+ min                            A   0.80   0.61     0.20    0.05   1.46  1.050XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99424  Prin care mgmt phys 1st 30                        A   1.45   1.06     0.38    0.11   2.62  1.940XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99425  Prin care mgmt phys ea addl                       A   1.00   0.77     0.25    0.07   1.84  1.320ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99426  Prin care mgmt staff 1st 30                       A   1.00   0.96     0.25    0.07   2.03  1.320XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99427  Prin care mgmt staff ea addl                      A   0.71   0.86     0.18    0.05   1.62  0.940ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99437  Chrnc care mgmt phys ea addl                      A   1.00   0.82     0.24    0.07   1.89  1.310ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99439  Chrnc care mgmt staf ea addl                      A   0.70   0.76     0.17    0.05   1.51  0.920ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99445  Rem mntr physiol param 2-15                       A   0.00   1.55     1.55NA  0.01   1.56  1.560XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99446  Ntrprof ph1/ntrnet/ehr 5-10                       A   0.35   0.18     0.09    0.04   0.57  0.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99447  Ntrprof ph1/ntrnet/ehr 11-20                      A   0.70   0.37     0.19    0.07   1.14  0.960XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99448  Ntrprof ph1/ntrnet/ehr 21-30                      A   1.05   0.56     0.29    0.09   1.70  1.430XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99449  Ntrprof ph1/ntrnet/ehr 31/>                       A   1.40   0.76     0.38    0.12   2.28  1.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99451  Ntrprof ph1/ntrnet/ehr 5/>                        A   0.70   0.31     0.15    0.05   1.06  0.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99452  Ntrprof ph1/ntrnet/ehr rfrl                       A   0.70   0.36     0.18    0.05   1.11  0.930XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99453  Rem mntr physiol param setup                      A   0.00   0.63     0.63NA  0.02   0.65  0.650XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99454  Rem mntr physiol param 16-30                      A   0.00   1.55     1.55NA  0.01   1.56  1.560XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99456  Disability examination                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99457  Rpm tx mgmt 1st 20 min                            A   0.61   0.90     0.14    0.04   1.55  0.790XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99458  Rpm tx mgmt ea addl 20 min                        A   0.61   0.59     0.14    0.04   1.24  0.790ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99459  Pelvic examination                                A   0.00   0.52     0.52NA  0.00   0.52  0.520ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99460  Init nb em per day hosp                           A   1.92   0.38NA   0.38    0.12   2.42  2.420XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99461  Init nb em per day non-fac                        A   1.26   1.48     0.26    0.07   2.81  1.590XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99462  Sbsq nb em per day hosp                           A   0.84   0.17NA   0.17    0.05   1.06  1.060XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99463  Same day nb discharge                             A   2.13   0.58NA   0.58    0.13   2.84  2.840XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99464  Attendance at delivery                            A   1.50   0.31NA   0.31    0.08   1.89  1.890XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99465  Nb resuscitation                                  A   2.93   0.59NA   0.59    0.18   3.70  3.700XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99466  Ped crit care transport                           A   4.79   0.97NA   0.97    0.28   6.04  6.040XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99467  Ped crit care transport addl                      A   2.40   0.48NA   0.48    0.15   3.03  3.030ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99468  Neonate crit care initial                         A  18.46   3.71NA   3.71    1.14  23.31 23.310XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99469  Neonate crit care subsq                           A   7.99   1.61NA   1.61    0.48  10.08 10.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99470  Rpm tx mgmt 1st 10 min                            A   0.31   0.45     0.07    0.02   0.78  0.400XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99471  Ped critical care initial                         A  15.98   3.22NA   3.22    0.99  20.19 20.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99472  Ped critical care subsq                           A   7.99   1.96NA   1.96    0.58  10.53 10.530XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99473  Self-meas bp pt educaj/train                      A   0.00   0.45     0.45NA  0.01   0.46  0.460XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99474  Self-meas bp 2 readg bid 30d                      A   0.18   0.36     0.05    0.01   0.55  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99475  Ped crit care age 2-5 init                        A  11.25   2.26NA   2.26    0.68  14.19 14.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99476  Ped crit care age 2-5 subsq                       A   6.75   1.87NA   1.87    0.55   9.17  9.170XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99477  Init day hosp neonate care                        A   7.00   1.41NA   1.41    0.43   8.84  8.840XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99478  Sbsq ic vlbw inf<1,500 gm                         A   2.75   0.55NA   0.55    0.17   3.47  3.470XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99479  Sbsq ic lbw inf 1,500-2,500                       A   2.50   0.50NA   0.50    0.15   3.15  3.150XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99480  Sbsq ic inf pbw 2,501-5,000                       A   2.40   0.48NA   0.48    0.15   3.03  3.030XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99483  Assmt & care pln pt cog imp                       A   3.84   4.66     0.97    0.27   8.77  5.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99484  Care mgmt svc bhvl hlth cond                      A   0.93   0.73     0.17    0.06   1.72  1.160XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99487  Cplx chrnc care 1st 60 min                        A   1.81   2.38     0.43    0.13   4.32  2.370XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99489  Cplx chrnc care ea addl 30                        A   1.00   1.27     0.24    0.07   2.34  1.310ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99490  Chrnc care mgmt staff 1st 20                      A   1.00   0.91     0.24    0.07   1.98  1.310XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99491  Chrnc care mgmt phys 1st 30                       A   1.50   1.08     0.37    0.09   2.67  1.960XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99492  1st psyc collab care mgmt                         A   1.88   2.78     0.44    0.14   4.80  2.460XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99493  Sbsq psyc collab care mgmt                        A   2.05   2.15     0.49    0.14   4.34  2.680XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99494  1st/sbsq psyc collab care                         A   0.82   0.96     0.20    0.06   1.84  1.080ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99495  Transj care mgmt mod f2f 14d                      A   2.78   3.62     0.69    0.19   6.59  3.660XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99496  Transj care mgmt high f2f 7d                      A   3.79   4.91     0.95    0.24   8.94  4.980XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99497  Advncd care plan 30 min                           A   1.50   1.01     0.38    0.09   2.60  1.970XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
99498  Advncd care plan addl 30 min                      A   1.40   0.85     0.41    0.09   2.34  1.900ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2001  Innovamatrix ac, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2002  Mirragen adv wnd mat per sq                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2004  Xcellistem, 1 mg                                  C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2005  Microlyte matrix, per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2006  Novosorb synpath per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2007  Restrata, per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2008  Theragenesis, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2009  Symphony, per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2010  Apis, per square centimeter                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2011  Supra sdrm, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2012  Suprathel, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2013  Innovamatrix fs, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 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  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2015  Phoenix wnd mtrx, per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2016  Permeaderm b, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2017  Permeaderm glove, each                            C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2018  Permeaderm c, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2019  Kerecis marigen shld sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2020  Ac5 wound system                                  C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2021  Neomatrix per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2022  Innovabrn/innovamatx xl sqcm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2023  Innovamatrix pd, 1 mg                             C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2024  Resolve or xenopatch sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2025  Miro3d per cubic cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2026  Restrata minimatrix, 5 mg                         C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2027  Matriderm per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2028  Micromatrix flex per mg                           C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2029  Mirotract matrix sheet                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2030  Miro3d fibers, per mg                             C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2031  Mirodry, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2032  Myriad matrix, per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2033  Myriad morcells, 4 mg                             C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2034  Found drs solo, per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2035  Corpl p therac p allac p mg                       C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2036  Cohealyx col dml mx pr sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2037  G4derm plus, per ml                               C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A2038  Marigen pacto, per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A2039  Innovamatrix fd, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A4100  Nosht skin sub fda clrd nos                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A4642  In111 satumomab                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9500  Tc99m sestamibi                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9502  Tc99m tetrofosmin                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9503  Tc99m medronate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9504  Tc99m apcitide                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9505  Tl201 thallium                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9507  In111 capromab                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9510  Tc99m disofenin                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9512  Tc99m pertechnetate                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9521  Tc99m exametazime                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9536  Tc99m depreotide                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9537  Tc99m mebrofenin                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9538  Tc99m pyrophosphate                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9539  Tc99m pentetate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9540  Tc99m maa                                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9546  Co57/58                                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9547  In111 oxyquinoline                                C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9548  In111 pentetate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9550  Tc99m gluceptate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9551  Tc99m succimer                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9552  F18 fdg                                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9553  Cr51 chromate                                     C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9555  Rb82 rubidium                                     C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9556  Ga67 gallium                                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9557  Tc99m bicisate                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9559  Co57 cyano                                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9561  Tc99m oxidronate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9562  Tc99m mertiatide                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9566  Tc99m fanolesomab                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
A9586  Florbetapir f18                                   C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
A9600  Sr89 strontium                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D021026Intraor comprehensive series                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0210TCIntraor comprehensive series                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0220  Intraoral periapical first                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D022026Intraoral periapical first                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0220TCIntraoral periapical first                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D023026Intraoral periapical ea add                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0240  Intraoral occlusal film                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D024026Intraoral occlusal film                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0240TCIntraoral occlusal film                           R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D025026Extraoral 2d project image                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0251  Extraoral posterior image                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D025126Extraoral posterior image                         R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0251TCExtraoral posterior image                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D027026Dental bitewing single image                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D027226Dental bitewings two images                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0273  Bitewings - three images                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D027326Bitewings - three images                          R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0273TCBitewings - three images                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0274  Bitewings four images                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D027426Bitewings four images                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0274TCBitewings four images                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0310  Dental saliography                                R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D031026Dental saliography                                R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0310TCDental saliography                                R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0322  Dental tomographic survey                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
D032226Dental tomographic survey                         R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
D0322TCDental tomographic survey                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00400001            33.5675 010 88      0.00   0.00   0.00
D0330  Panoramic image                                   R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D033026Panoramic image                                   R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0330TCPanoramic image                                   R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0340  2d cephalometric image                            R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0340262d cephalometric image                            R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0340TC2d cephalometric image                            R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D035026Oral/facial photo images                          R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D036926Max mri capture & interprete                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D037026Max ultrasound capt & interp                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0371  Sialoendoscopy capt & interp                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D037126Sialoendoscopy capt & interp                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0371TCSialoendoscopy capt & interp                      R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D037226Tomo comp series images                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0373  Tomo bitewing image                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D037326Tomo bitewing image                               R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0373TCTomo bitewing image                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0374  Tomo periapical image                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D037426Tomo periapical image                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0374TCTomo periapical image                             R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00400001            33.5675 090 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.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 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.00.00.00400001            33.5675 090 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.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 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.00.00.00400001            33.5675 090 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.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 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.00.00.00400001            33.5675 090 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.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 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.00.00.00400001            33.5675 090 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.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 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.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
D038526Max mri image capture                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 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.00.00.00400001            33.5675 090 88      0.00   0.00   0.00
D038626Max ultrasound image capture                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00400001            33.5675 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.00.00.00400001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D038726Comp image capture only                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D038826Bitewing image capture only                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D038926Periopic image capture only                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0391  Imterprete diagnostic image                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D039126Imterprete diagnostic image                       R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0391TCImterprete diagnostic image                       R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D039326Trtmnt simulation 3d image                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0416  Viral culture                                     R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0426  Coll, analys of saliva                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0461  Testing for cracked tooth                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D0470  Diagnostic casts                                  R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0475  Decalcification procedure                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D047526Decalcification procedure                         R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0475TCDecalcification procedure                         R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0478  Immunohistochemical stains                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D047826Immunohistochemical stains                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0478TCImmunohistochemical stains                        R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0481  Electron microscopy                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D048126Electron microscopy                               R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0481TCElectron microscopy                               R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0482  Direct immunofluorescence                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0483  Indirect immunofluorescence                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D070126Pano radio image                                  R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0701TCPano radio image                                  R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0702262d cephal radio image                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D070626Intraoral occlus radio image                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D070726Intraoral periap radio image                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D070826Intraoral bite radio image                        R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D070926Intraoral comp image capture                      R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0801  3d intraoral scan direct                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0801263d intraoral scan direct                          R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0801TC3d intraoral scan direct                          R   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0802263d dental scan indirect                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0803263d facial scan direct                             R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D0804263d facial scan indirect                           R   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
D0999  Unspecified diagnostic proce                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D1301  Immunization counseling                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D1320  Tobacco counseling                                R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D1330  Oral hygiene instructions                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2794  Crown-titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2799  Interim crown                                     R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D2940  Place direct restoration                          R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D2949  Restorative foundation                            R   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2955  Post removal                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2956  Indirect rest remov                               R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2975  Coping                                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2980  Crown repair                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2981  Inlay repair                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2982  Onlay repair                                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D2983  Veneer repair                                     R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3220  Therapeutic pulpotomy                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3410  Apicoectomy - anterior                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3430  Retrograde filling                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3431  Biological materials                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3450  Root amputation                                   R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3470  Intentional replantation                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3911  Intraorifice barrier                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3920  Tooth splitting                                   R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D3999  Endodontic procedure                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5862  Precision attachment                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5875  Prosthesis modification                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5877  Dup of complt dent-maxill                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5878  Dup of complt dent-mandib                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5909  Max guid prothes w/ flange                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00010001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5913  Nasal prosthesis                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5914  Auricular prosthesis                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5915  Orbital prosthesis                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5916  Ocular prosthesis                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5919  Facial prosthesis                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5924  Cranial prosthesis                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5927  Auricular replacement                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5928  Orbital replacement                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5929  Facial replacement                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5930  Max guid prothes w/o flange                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5931  Surgical obturator                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5932  Postsurgical obturator                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5937  Trismus appliance                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5938  Resct proth max comp remov                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5939  Resct proth mand comp remov                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5940  Resct proth max part remov                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5941  Resct proth mand part remov                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5942  Proth max implt sup remv                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5943  Proth mandib implt sup remv                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5944  Max implt sup remv part                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5945  Mand implt sup remv part                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5946  Max implt sup fix                                 R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5947  Mand implt sup fix                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5948  Max implt sup fix part                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5949  Mand implt sup fix part                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D5951  Feeding aid                                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5954  Superimposed prosthesis                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5982  Surgical stent                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5983  Radiation applicator                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5984  Radiation shield                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5986  Fluoride applicator                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5987  Commissure splint                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5988  Surgical splint                                   R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D5999  Maxillofacial prosthesis                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6012  Endosteal implant                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6049  Scale implt peri-implt inflm                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6056  Prefabricated abutment                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6057  Custom abutment                                   R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6080  Implant maintenance                               R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6090  Repair implant                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6102  Debridement & contouring                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6180  Implnt maint proced                               R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6193  Replace implnt screw                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6196  Remv of ind rest on implt                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6199  Implant procedure                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6214  Pontic titanium                                   R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6253  Interim pontic                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6280  Implt maint procd remv implt                      R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6549  Resin retainer                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6624  Inlay titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6634  Onlay titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D6794  Crown titanium                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6940  Stress breaker                                    R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D6950  Precision attachment                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7251  Coronectomy                                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7252  Part extract for implant                          R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7259  Nerve dissection                                  R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7270  Tooth reimplantation                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7272  Tooth transplantation                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7288  Brush biopsy                                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7291  Transseptal fiberotomy                            R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7465  Lesion destruction                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7560  Maxillary sinusotomy                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7850  Tmj meniscectomy                                  R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7858  Tmj reconstruction                                R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D7950  Mandible graft                                    R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7962  Lingual frenectomy                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7963  Frenuloplasty                                     R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7980  Surgical sialolithotomy                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7982  Sialodochoplasty                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7990  Emergency tracheotomy                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7991  Dental coronoidectomy                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D7997  Appliance removal                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D8091  Compre ortho treat w surg                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D8671  Periodic orth treat w surg                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D8680  Orthodontic retention                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D8999  Orthodontic procedure                             R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D9215  Local anesthesia                                  R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D9224  Gen anes adv air-15 min                           R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9225  Gen anes adv air-sub 15 min                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9230  Analgesia                                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D9244  Office min sed drug enteral                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9245  Admin mod sedation-enteral                        R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9246  Mod sedation noniv-15 min                         R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9247  Mod sedation noniv-sub15min                       R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9310  Dental consultation                               R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D9913  Admin of neuromod                                 R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9914  Admin of dermal fill                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9920  Behavior management                               R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D9950  Occlusion analysis                                R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
D9959  Unspec sleep ap proc                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D9970  Enamel microabrasion                              R   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
D9999  Adjunctive procedure                              R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0011  Hiv prep counsel, md 15-30m                       A   0.45   0.39     0.16    0.04   0.88  0.650XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0012  Injection of hiv prep drug                        A   0.17   0.28     0.28NA  0.01   0.46  0.465XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0013  Hiv prep counsel, clin staff                      A   0.18   0.54     0.04    0.01   0.73  0.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0017  Crisis psychotherapy 60m                          A   4.70   1.79     0.40    0.05   6.54  5.150XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0018  Crisis psychotherapy add 30m                      A   2.25   0.87     0.21    0.03   3.15  2.490ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0019  Comm hlth intg svs sdoh 60mn                      A   1.00   1.51     0.25    0.07   2.58  1.320XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0022  Comm hlth intg svs add 30 m                       A   0.70   0.87     0.17    0.05   1.62  0.920ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0023  Pin service 60m per month                         A   1.00   1.54     0.26    0.07   2.61  1.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0024  Pin srv add 30 min pr m                           A   0.70   0.88     0.18    0.05   1.63  0.930ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0076  Care manag h vst new pt 20 m                      A   1.01   0.43     0.43NA  0.04   1.48  1.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0077  Care manag h vst new pt 30 m                      A   1.52   0.64     0.64NA  0.07   2.23  2.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0078  Care manag h vst new pt 45 m                      A   2.53   0.95     0.95NA  0.12   3.60  3.600XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0079  Care manag h vst new pt 60 m                      A   3.38   1.36     1.36NA  0.16   4.90  4.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0080  Care manag h vst new pt 75 m                      A   4.09   2.16     2.16NA  0.25   6.50  6.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0081  Care man h v ext pt 20 mi                         A   1.00   0.44     0.44NA  0.04   1.48  1.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0082  Care man h v ext pt 30 m                          A   1.56   0.79     0.79NA  0.07   2.42  2.420XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0083  Care man h v ext pt 45 m                          A   2.33   1.36     1.36NA  0.16   3.85  3.850XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0084  Care man h v ext pt 60 m                          A   3.28   1.94     1.94NA  0.24   5.46  5.460XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0085  Care man h v ext pt 75 m                          A   4.09   2.16     2.16NA  0.25   6.50  6.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0086  Care man home care plan 30 m                      A   1.25   0.86     0.86NA  0.10   2.21  2.210XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0087  Care man home care plan 60 m                      A   1.80   1.15     1.15NA  0.14   3.09  3.090XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0101  Ca screen;pelvic/breast exam                      A   0.44   0.68     0.23    0.07   1.19  0.740XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0102  Prostate ca screening; dre                        A   0.18   0.54     0.04    0.01   0.73  0.230XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
G0104  Ca screen;flexi sigmoidscope                      A   0.82   5.50     0.67    0.11   6.43  1.600000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G0105  Colorectal scrn; hi risk ind                      A   3.18   7.73     1.34    0.41  11.32  4.930000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G010553Colorectal scrn; hi risk ind                      A   1.59   3.87     0.67    0.20   5.66  2.460000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G0108  Diab manage trn  per indiv                        A   0.90   0.73     0.73NA  0.04   1.67  1.670XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0109  Diab manage trn ind/group                         A   0.25   0.22     0.22NA  0.01   0.48  0.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0117  Glaucoma scrn hgh risk direc                      T   0.44   1.47     1.47NA  0.02   1.93  1.930XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0118  Glaucoma scrn hgh risk direc                      T   0.17   1.03     1.03NA  0.01   1.21  1.210XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0121  Colon ca scrn not hi rsk ind                      A   3.18   7.73     1.34    0.42  11.33  4.940000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G012153Colon ca scrn not hi rsk ind                      A   1.59   3.87     0.67    0.21   5.67  2.470000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G0124  Screen c/v thin layer by md                       A   0.25   0.46     0.46    0.01   0.72  0.720XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0127  Trim nail(s)                                      R   0.17   0.53     0.02    0.01   0.71  0.200000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G0128  Corf skilled nursing service                      R   0.00   0.32     0.32NA  0.01   0.33  0.333XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0130  Single energy x-ray study                         A   0.21   0.96     0.96NA  0.02   1.19  1.191XXX.00.00.00000001            33.5675 090 99      3.25   3.25   0.05
G013026Single energy x-ray study                         A   0.21   0.11     0.11    0.01   0.33  0.331XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0130TCSingle energy x-ray study                         A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.00000001            33.5675 010 99      3.14   3.14   0.04
G0136  Adm of pa/n assess 5-15 m                         A   0.18   0.41     0.05    0.01   0.60  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0138  Iv cipaglucosidase alfa-atga                      A   0.21   5.62     5.62NA  0.05   5.88  5.880XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0140  Nav srv peer sup 60 min pr m                      A   1.00   1.60     0.26    0.07   2.67  1.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0141  Scr c/v cyto,autosys and md                       A   0.25   0.46     0.46    0.01   0.72  0.720XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0146  Nav srv peer sup add 30 pr m                      A   0.70   0.86     0.17    0.04   1.60  0.910ZZZ.00.00.00000001            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
G0168  Wound closure by adhesive                         A   0.30   2.79     0.05    0.07   3.16  0.420000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G0179  Md recertification hha pt                         A   0.44   0.86     0.86NA  0.03   1.33  1.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0180  Md certification hha patient                      A   0.65   1.00     1.00NA  0.05   1.70  1.700XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0181  Home health care supervision                      A   1.73   1.44     1.44NA  0.12   3.29  3.290XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0182  Hospice care supervision                          A   1.73   1.40     1.40NA  0.12   3.25  3.250XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0183  Software meas of cardiac vol                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 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.00.00.00210111            33.5675 090 99      0.00   0.00   0.00
G0237  Therapeutic procd strg endur                      A   0.00   0.37     0.37NA  0.01   0.38  0.385XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0238  Oth resp proc, indiv                              A   0.00   0.33     0.33NA  0.01   0.34  0.345XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0239  Oth resp proc, group                              A   0.00   0.42     0.42NA  0.01   0.43  0.435XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0245  Initial foot exam pt lops                         R   0.86   1.06     0.14    0.04   1.96  1.040XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0246  Followup eval of foot pt lop                      R   0.44   0.70     0.06    0.02   1.16  0.520XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0247  Routine footcare pt w lops                        R   0.49   1.91     0.06    0.02   2.42  0.570ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0248  Demonstrate use home inr mon                      R   0.00   3.11     3.11NA  0.05   3.16  3.163XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
G0250  Md inr test revie inter mgmt                      R   0.18   0.08     0.08NA  0.01   0.27  0.272XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0268  Removal of impacted wax md                        A   0.59   0.84     0.15    0.08   1.51  0.820000.00.00.00221001            33.5675 090 99      0.00   0.00   0.00
G0270  Mnt subs tx for change dx                         A   0.45   0.49     0.20    0.01   0.95  0.660XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0271  Group mnt 2 or more 30 mins                       A   0.25   0.25     0.11    0.01   0.51  0.370XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0276  Pild/placebo control clin tr                      R   6.99   3.03NA   3.03    0.72  10.74 10.740000.00.00.00222101            33.5675 090 99      0.00   0.00   0.00
G0277  Hbot, full body chamber, 30m                      A   0.00   5.76     5.76NA  0.04   5.80  5.803XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0278  Iliac art angio,cardiac cath                      A   0.24   0.05NA   0.05    0.06   0.35  0.350ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0279  Tomosynthesis, mammo                              A   0.59   0.59     0.59NA  0.03   1.21  1.211ZZZ.00.00.00029001            33.5675 090 99      0.00   0.00   0.00
G027926Tomosynthesis, mammo                              A   0.59   0.21     0.21    0.03   0.83  0.831ZZZ.00.00.00029001            33.5675 090 99      0.00   0.00   0.00
G0279TCTomosynthesis, mammo                              A   0.00   0.38     0.38NA  0.00   0.38  0.381ZZZ.00.00.00029001            33.5675 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.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
G0283  Elec stim other than wound                        A   0.18   0.19     0.19NA  0.01   0.38  0.387XXX.00.00.00500001            33.5675 090 99      0.00   0.00   0.00
G0288  Recon, cta for surg plan                          A   0.00   1.31     1.31NA  0.07   1.38  1.383XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
G0289  Arthro, loose body + chondro                      A   1.44   0.45NA   0.45    0.29   2.18  2.180ZZZ.00.00.00010001            33.5675 090 99      0.00   0.00   0.00
G0296  Visit to determ ldct elig                         A   0.52   0.31     0.12    0.03   0.86  0.670XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0316  Prolong inpt eval add15 m                         A   0.61   0.38     0.17    0.05   1.04  0.830ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0317  Prolong nursin fac eval 15m                       A   0.61   0.36     0.16    0.04   1.01  0.810ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0318  Prolong home eval add 15m                         A   0.61   0.36     0.16    0.05   1.02  0.820ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0323  Care manage beh svs 20mins                        A   0.93   0.76     0.16    0.04   1.73  1.130XXX.00.00.00000001            33.5675 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.00.00.00500001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0341  Percutaneous islet celltrans                      A   6.81  39.52     0.80    0.89  47.22  8.500000.00.00.00200101            33.5675 090 99      0.00   0.00   0.00
G0342  Laparoscopy islet cell trans                      A  11.62   6.79NA   6.79    3.10  21.51 21.510090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
G0343  Laparotomy islet cell transp                      A  19.35  10.38NA  10.38    5.15  34.88 34.880090.09.81.10202101            33.5675 090 99      0.00   0.00   0.00
G0372  Md service required for pmd                       A   0.17   0.10     0.05    0.01   0.28  0.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0396  Alcohol/subs interv 15-30mn                       A   0.65   0.40     0.16    0.06   1.11  0.870XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0397  Alcohol/subs interv >30 min                       A   1.30   0.65     0.28    0.07   2.02  1.650XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0402  Initial preventive exam                           A   2.60   2.46     0.65    0.17   5.23  3.420XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0403  Ekg for initial prevent exam                      A   0.17   0.27     0.27NA  0.02   0.46  0.464XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0404  Ekg tracing for initial prev                      A   0.00   0.20     0.20NA  0.01   0.21  0.213XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0405  Ekg interpret & report preve                      A   0.17   0.07     0.07    0.01   0.25  0.252XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0406  Inpt/tele follow up 15                            A   0.76   0.24NA   0.24    0.08   1.08  1.080XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0407  Inpt/tele follow up 25                            A   1.39   0.40NA   0.40    0.12   1.91  1.910XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0408  Inpt/tele follow up 35                            A   2.00   0.62NA   0.62    0.18   2.80  2.800XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0409  Corf related serv 15 mins ea                      R   0.00   0.71     0.71NA  0.01   0.72  0.729XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0412  Open tx iliac spine uni/bil                       A  10.19   7.67NA   7.67    2.17  20.03 20.030090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
G0413  Pelvic ring fracture uni/bil                      A  15.34  10.68NA  10.68    3.26  29.28 29.280090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
G0414  Pelvic ring fx treat int fix                      A  14.28  10.35NA  10.35    3.04  27.67 27.670090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
G0415  Open tx post pelvic fxcture                       A  20.41  12.26NA  12.26    4.43  37.10 37.100090.10.69.21202201            33.5675 090 99      0.00   0.00   0.00
G0416  Prostate biopsy, any mthd                         A   3.51   7.06     7.06NA  0.11  10.68 10.681XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G041626Prostate biopsy, any mthd                         A   3.51   1.44     1.44    0.06   5.01  5.011XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0416TCProstate biopsy, any mthd                         A   0.00   5.62     5.62NA  0.05   5.67  5.671XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0420  Ed svc ckd ind per session                        A   2.12   1.15     1.15NA  0.13   3.40  3.400XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0421  Ed svc ckd grp per session                        A   0.50   0.29     0.29NA  0.03   0.82  0.820XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0422  Intens cardiac rehab w/exerc                      A   2.05   1.77     1.77    0.12   3.94  3.940XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0423  Intens cardiac rehab no exer                      A   2.05   1.77     1.77    0.12   3.94  3.940XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0425  Inpt/ed teleconsult30                             A   1.92   0.41NA   0.41    0.19   2.52  2.520XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0426  Inpt/ed teleconsult50                             A   2.61   0.67NA   0.67    0.23   3.51  3.510XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0427  Inpt/ed teleconsult70                             A   3.86   0.90NA   0.90    0.28   5.04  5.040XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0429  Dermal filler injection(s)                        A   1.16   1.69     0.39    0.13   2.98  1.680000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
G0438  Ppps, initial visit                               A   2.60   2.45     2.45NA  0.17   5.22  5.220XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0439  Ppps, subseq visit                                A   1.92   2.07     2.07NA  0.13   4.12  4.120XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0442  Annual alcohol screen 15 min                      A   0.18   0.37     0.05    0.01   0.56  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0443  Brief alcohol misuse counsel                      A   0.60   0.39     0.15    0.04   1.03  0.790XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0444  Depression screen annual                          A   0.18   0.37     0.05    0.01   0.56  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0445  High inten beh couns std 30m                      A   0.60   0.39     0.16    0.04   1.03  0.800XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0446  Intens behave ther cardio dx                      A   0.60   0.38     0.15    0.04   1.02  0.790XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0447  Behavior counsel obesity 15m                      A   0.60   0.38     0.15    0.04   1.02  0.790XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0451  Devlopment test interpt&rep                       A   0.00   0.36     0.36NA  0.01   0.37  0.375XXX.00.00.00000001            33.5675 040 99      0.00   0.00   0.00
G0452  Molecular pathology interpr                       A   0.91   0.47     0.47NA  0.02   1.40  1.401XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G045226Molecular pathology interpr                       A   0.91   0.39     0.39    0.01   1.31  1.311XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0452TCMolecular pathology interpr                       A   0.00   0.08     0.08NA  0.01   0.09  0.091XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0453  Cont intraop neuro monitor                        A   0.60   0.17NA   0.17    0.05   0.82  0.820XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0454  Md document visit by npp                          A   0.18   0.08     0.04    0.01   0.27  0.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0455  Fecal microbiota prep instil                      A   1.31   2.93     0.39    0.14   4.38  1.840000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0459  Telehealth inpt pharm mgmt                        A   0.95   0.18NA   0.18    0.06   1.19  1.190XXX.00.00.00009001            33.5675 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.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G0465  Autolog prp diab wound ulcer                      A   1.78  29.91     0.58    0.15  31.84  2.510000.00.00.00201001            33.5675 090 99      0.00   0.00   0.00
G0473  Group behave couns 2-10                           A   0.23   0.14     0.06    0.01   0.38  0.309XXX.00.00.00999991            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0500  Mod sedat endo service >5yrs                      A   0.10   1.86     0.03    0.03   1.99  0.169XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
G0506  Comp asses care plan ccm svc                      A   0.87   1.06     0.22    0.06   1.99  1.150ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0508  Crit care telehea consult 60                      A   4.00   1.17NA   1.17    0.36   5.53  5.530XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
G0509  Crit care telehea consult 50                      A   3.86   1.06NA   1.06    0.36   5.28  5.280XXX.00.00.00009001            33.5675 090 99      0.00   0.00   0.00
G0513  Prolong prev svcs, first 30m                      A   1.17   0.70     0.28    0.07   1.94  1.520ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0514  Prolong prev svcs, addl 30m                       A   1.17   0.70     0.28    0.07   1.94  1.520ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0516  Insert drug del implant, >=4                      A   1.77   3.32     0.62    0.15   5.24  2.540000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
G0517  Remove drug implant                               A   2.05   3.71     0.68    0.18   5.94  2.910000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
G0518  Remove w insert drug implant                      A   3.46   5.68     0.98    0.29   9.43  4.730000.00.00.00200001            33.5675 090 99      0.00   0.00   0.00
G0537  Risk ascvd tst once pr 12 mo                      A   0.18   0.41     0.05    0.01   0.60  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0538  Ascvd rsk mng clin stf pr mo                      A   0.18   0.32     0.05    0.01   0.51  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0539  Initial care training 30 m                        A   1.00   0.58     0.18    0.01   1.59  1.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0540  Train for caregiver add 15                        A   0.54   0.24     0.09    0.00   0.78  0.630ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0541  No pt prsnt train initial 30                      A   1.00   0.58     0.18    0.01   1.59  1.190XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0542  No pt prsnt train add 15                          A   0.54   0.24     0.09    0.00   0.78  0.630ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0543  Group train w/o patient                           A   0.23   0.42     0.04    0.01   0.66  0.280XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0544  Post d/c phone follow up                          A   0.98   0.95     0.24    0.07   2.00  1.290XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0545  Inherent visit to inpt                            A   0.89   0.49     0.25    0.07   1.45  1.210ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0546  Phone/internet ehr assess                         A   0.35   0.18     0.09    0.04   0.57  0.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0547  Phone/internet svs 11-20 m                        A   0.70   0.36     0.19    0.07   1.13  0.960XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0548  Phone/inter svs 21-30 m                           A   1.05   0.56     0.29    0.09   1.70  1.430XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0549  Phone/inter for treat>31m                         A   1.40   0.77     0.38    0.12   2.29  1.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0550  Phone/inter for dx/treat >5m                      A   0.70   0.30     0.15    0.05   1.05  0.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0551  Phn/intr svs fr dx treat 30m                      A   0.70   0.35     0.18    0.05   1.10  0.930XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0552  Supply of digital device                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0553  Monthly tx for dmht 20mins                        A   0.62   0.97     0.13    0.03   1.62  0.780XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0554  Add 20 m of monthly tx                            A   0.61   0.60     0.12    0.03   1.24  0.760ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0555  Replacment pt electronic sys                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00001001            33.5675 010 99      0.00   0.00   0.00
G0556  Adv prim care mgmt lvl 1                          A   0.25   0.22     0.06    0.02   0.49  0.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0557  Adv prim care mgmt lvl 2                          A   0.77   0.79     0.19    0.05   1.61  1.010XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0558  Adv prim care mgmt lvl 3                          A   1.67   1.72     0.39    0.12   3.51  2.180XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0559  Unrelat prac follow up visit                      A   0.16   0.10     0.05    0.03   0.29  0.240ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0560  Safety plan interven                              A   1.09   0.17     0.08    0.01   1.27  1.180XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0561  Temp tube delivery, unil                          C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.00011001            33.5675 090 99      0.00   0.00   0.00
G0562  Complex simulation w/pet-ct                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G056226Complex simulation w/pet-ct                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0562TCComplex simulation w/pet-ct                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0563  Sbrt w/positron emission del                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0566  3d bn img algor drvd fr mri                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0566263d bn img algor drvd fr mri                       C   0.00   0.00     0.00    0.00   0.00  0.001000.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0566TC3d bn img algor drvd fr mri                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
G0568  Int psych care mng, 1 cal mo                      A   1.88   2.81     0.42    0.15   4.84  2.450ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0569  Subs psych care mng, subs mo                      A   2.05   2.17     0.49    0.15   4.37  2.690ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0570  Care manage serv, pr cal mo                       A   0.93   0.74     0.17    0.06   1.73  1.160ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G0571  Intraop nerve cryoablation                        A   1.36   0.40     0.21    0.20   1.96  1.770ZZZ.00.00.00001001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2001  Post d/c h vst new pt 20 m                        A   1.01   0.43     0.43NA  0.04   1.48  1.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2002  Post-d/c h vst new pt 30 m                        A   1.52   0.64     0.64NA  0.07   2.23  2.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2003  Post-d/c h vst new pt 45 m                        A   2.53   0.95     0.95NA  0.12   3.60  3.600XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2004  Post-d/c h vst new pt 60 m                        A   3.38   1.36     1.36NA  0.16   4.90  4.900XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2005  Post-d/c h vst new pt 75 m                        A   4.09   2.16     2.16NA  0.25   6.50  6.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2006  Post-d/c h vst ext pt 20 m                        A   1.00   0.44     0.44NA  0.04   1.48  1.480XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2007  Post-d/c h vst ext pt 30 m                        A   1.56   0.79     0.79NA  0.07   2.42  2.420XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2008  Post-d/c h vst ext pt 45 m                        A   2.33   1.36     1.36NA  0.16   3.85  3.850XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2009  Post-d/c h vst ext pt 60 m                        A   3.28   1.94     1.94NA  0.24   5.46  5.460XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2010  Remot image submit by pt                          A   0.18   0.20     0.05    0.01   0.39  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2011  Alcohol/sub misuse assess                         A   0.33   0.16     0.08    0.03   0.52  0.440XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2013  Post-d/c h vst ext pt 75 m                        A   4.09   2.16     2.16NA  0.25   6.50  6.500XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2014  Post-d/c care plan overs 30m                      A   1.25   0.86     0.86NA  0.10   2.21  2.210XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2015  Post-d/c care plan overs 60m                      A   1.80   1.15     1.15NA  0.14   3.09  3.090XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2082  Visit esketamine 56m or less                      A   0.70  27.75     0.16    0.07  28.52  0.930XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2083  Visit esketamine, > 56m                           A   0.70  39.83     0.16    0.07  40.60  0.930XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2086  Off base opioid tx 70min                          A   8.36   5.73     1.88    0.62  14.71 10.860XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2087  Off base opioid tx, 60 m                          A   8.19   4.53     1.59    0.55  13.27 10.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2088  Off base opioid tx, add30                         A   0.82   0.95     0.15    0.05   1.82  1.020ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2211  Complex e/m visit add on                          A   0.33   0.17     0.08    0.02   0.52  0.430ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2212  Prolong outpt/office vis                          A   0.61   0.36     0.16    0.05   1.02  0.820XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2213  Initiat med assist tx in er                       A   1.27   0.58     0.22    0.14   1.99  1.630ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2214  Init/sub psych care m 1st 30                      A   0.77   0.99     0.18    0.06   1.82  1.010XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2250  Remot img sub by pt, non e/m                      A   0.18   0.20     0.05    0.01   0.39  0.240XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2251  Brief chkin, 5-10, non-e/m                        A   0.25   0.16     0.06    0.01   0.42  0.320XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G2252  Brief chkin by md/qhp, 11-20                      A   0.50   0.31     0.13    0.04   0.85  0.670XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G3002  Chronic pain mgmt 30 mins                         A   1.45   1.01     0.36    0.12   2.58  1.930XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G3003  Chronic pain mgmt addl 15m                        A   0.50   0.40     0.13    0.05   0.95  0.680ZZZ.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
G9157  Transesoph doppl cardiac mon                      A   2.15   0.32NA   0.32    0.18   2.65  2.652XXX.00.00.00999001            33.5675 090 99      0.00   0.00   0.00
G9187  Bpci home visit                                   A   0.18   1.32     1.32NA  0.03   1.53  1.530XXX.00.00.00009991            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9482  Remote e/m new pt 20mins                          A   0.93   0.00     0.00    0.07   1.00  1.000XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9485  Remote e/m new pt 60mins                          A   3.17   0.00     0.00    0.36   3.53  3.530XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9487  Remote e/m est. pt 15mins                         A   0.97   0.00     0.00    0.09   1.06  1.060XXX.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9489  Remote e/m est. pt 40mins                         A   2.11   0.00     0.00    0.21   2.32  2.320XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9490  Cmmi mod home visit                               A   0.18   1.32     1.32NA  0.03   1.53  1.530XXX.00.00.00009991            33.5675 090 99      0.00   0.00   0.00
G9685  Acute nursing facility care                       A   3.50   0.90     0.90    0.29   4.69  4.690XXX.00.00.00000001            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 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.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
G9978  Remote e/m new pt 10mins                          A   0.48   1.02     0.17    0.06   1.56  0.710XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9979  Remote e/m new pt 20mins                          A   0.93   1.25     0.23    0.07   2.25  1.230XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9980  Remote e/m new pt 30 mins                         A   1.42   1.76     0.38    0.16   3.34  1.960XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9981  Remote e/m new pt 45mins                          A   2.43   2.47     0.66    0.24   5.14  3.330XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9982  Remote e/m new pt 60mins                          A   3.17   3.23     0.94    0.36   6.76  4.470XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9983  Remote e/m est. pt 10mins                         A   0.48   1.02     0.17    0.06   1.56  0.710XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9984  Remote e/m est. pt  15mins                        A   0.97   1.46     0.33    0.09   2.52  1.390XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9985  Remote e/m est. pt 25mins                         A   1.50   2.00     0.47    0.14   3.64  2.110XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9986  Remote e/m est. pt 40mins                         A   2.11   2.75     0.75    0.21   5.07  3.070XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
G9987  Bpci advanced in home visit                       A   0.18   1.32     1.32    0.03   1.53  1.530XXX.00.00.00009991            33.5675 090 99      0.00   0.00   0.00
P3001  Screening pap smear by phys                       A   0.25   0.46     0.46    0.01   0.72  0.720XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q0035  Cardiokymography                                  A   0.17   0.38     0.38NA  0.02   0.57  0.571XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q003526Cardiokymography                                  A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q0035TCCardiokymography                                  A   0.00   0.32     0.32NA  0.01   0.33  0.331XXX.00.00.00000001            33.5675 010 99      0.00   0.00   0.00
Q0091  Obtaining screen pap smear                        A   0.36   0.99     0.08    0.03   1.38  0.470XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q0092  Set up port xray equipment                        A   0.00   0.76     0.76    0.01   0.77  0.773XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q3001  Brachytherapy radioelements                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4101  Apligraf                                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4102  Oasis wound matrix                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4103  Oasis burn matrix                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4104  Integra bmwd                                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4105  Integra drt or omnigraft                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4107  Graftjacket                                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4108  Integra matrix                                    A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4110  Primatrix                                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4111  Gammagraft                                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4115  Alloskin                                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4116  Alloderm                                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4117  Hyalomatrix                                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4121  Theraskin                                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4122  Dermacell, awm, porous sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4123  Alloskin                                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4124  Oasis tri-layer wound matrix                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4125  Arthroflex                                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4126  Memoderm/derma/tranz/integup                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4127  Talymed                                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4128  Flexhd/allopatchhd/sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4130  Strattice tm                                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4132  Grafix core, grafixpl core                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4133  Grafix stravix prime pl sqcm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4134  Hmatrix                                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4135  Mediskin                                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4136  Ezderm                                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4137  Amnioexcel biodexcel 1sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4138  Biodfence dryflex, 1cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4140  Biodfence 1cm                                     A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4141  Alloskin ac, 1 cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4142  Xcm biologic tiss matrix 1cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4143  Repriza, 1cm                                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4146  Tensix, 1cm                                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4147  Architect ecm px fx 1 sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4148  Neox neox rt or clarix cord                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4150  Allowrap ds or dry 1 sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4151  Amnioband, guardian 1 sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4152  Dermapure 1 square cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4153  Dermavest, plurivest sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4154  Biovance 1 square cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4156  Neox 100 or clarix 100                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4157  Revitalon 1 square cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4158  Kerecis omega3, per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4159  Affinity1 square cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4160  Nushield 1 square cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4161  Bio-connekt per square cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4163  Woundex, bioskin, per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4164  Helicoll, per square cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4165  Keramatrix, kerasorb sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4166  Cytal, per square centimeter                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4167  Truskin, per sq centimeter                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4169  Artacent wound, per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4170  Cygnus, per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4173  Palingen or palingen xplus                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4175  Miroderm                                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4176  Neopatch or therion, 1 sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4178  Floweramniopatch, per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4179  Flowerderm, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4180  Revita, per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4181  Amnio wound, per square cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4182  Transcyte, per sq centimeter                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4183  Surgigraft, 1 sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4184  Cellesta or duo per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4186  Epifix 1 sq cm                                    A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4187  Epicord 1 sq cm                                   A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4188  Amnioarmor 1 sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4190  Artacent ac 1 sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4191  Restorigin 1 sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4193  Coll-e-derm 1 sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4194  Novachor 1 sq cm                                  A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4195  Puraply 1 sq cm                                   A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4196  Puraply am 1 sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4197  Puraply xt 1 sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4198  Genesis amnio membrane 1sqcm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4199  Cygnus matrix, per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4200  Skin te 1 sq cm                                   A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4201  Matrion 1 sq cm                                   A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4203  Derma-gide, 1 sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4204  Xwrap 1 sq cm                                     A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4205  Membrane graft or wrap sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4208  Novafix per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4209  Surgraft per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4211  Amnion bio or axobio sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4214  Cellesta cord per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4216  Artacent cord per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4217  Woundfix biowound plus xplus                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4218  Surgicord per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4219  Surgigraft dual per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4220  Bellacell hd, surederm sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4221  Amniowrap2 per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4222  Progenamatrix, per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4224  Hhf10-p per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4225  Amnio or derma tl, per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4227  Amniocore per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4229  Cogenex amnio memb per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4232  Corplex, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4234  Xcellerate, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4235  Amniorepair or altiply sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4236  Carepatch per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4237  Cryo-cord, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4238  Derm-maxx, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4239  Amnio-maxx or lite per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4247  Amniotext patch, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4248  Dermacyte amn mem allo sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4249  Amniply, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4250  Amnioamp-mp per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4251  Vim, per square centimeter                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4252  Vendaje, per square centimet                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4253  Zenith amniotic membrane psc                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4254  Novafix dl per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4255  Reguard, topical use per sq                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4256  Mlg complet, per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4257  Relese, per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4258  Enverse, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4259  Celera per sq cm                                  A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4260  Signature apatch, per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4261  Tag, per square centimeter                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4262  Dual layer impax, per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4263  Surgraft tl, per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4264  Cocoon membrane, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4265  Neostim tl per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4266  Neostim per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4267  Neostim dl per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4268  Surgraft ft per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4269  Surgraft xt per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4270  Complete sl per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4271  Complete ft per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4272  Esano a, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4273  Esano aaa, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4274  Esano ac, per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4275  Esano aca, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4276  Orion, per sq cm                                  A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4278  Epieffect, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4279  Vendaje ac, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4280  Xcell amnio matrix per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4281  Barrera slor dl per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4282  Cygnus dual per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4283  Biovance tri or 3l, sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4284  Dermabind sl, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4285  Nudyn dl or dl mesh pr sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4286  Nudyn sl or slw, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4287  Dermabind dl, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4288  Dermabind ch, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4289  Revoshield+ amnio, per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4290  Membrane wrap hydr per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4291  Lamellas xt, per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4292  Lamellas, per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4293  Acesso dl, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4294  Amnio quad-core, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4295  Amnio tri-core, per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4296  Rebound matrix, per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4297  Emerge matrix, per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4298  Amniocore pro, per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4299  Amniocore pro+, per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4300  Acesso tl, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4301  Activate matrix, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4302  Complete aca, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4303  Complete aa, per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4304  Grafix plus, per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4305  Amer am ac tri-lay per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4306  Americ amnion ac per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4307  American amnion, per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4308  Sanopellis, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4309  Via matrix, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4311  Acesso, per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4312  Acesso ac, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4313  Dermabind fm, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4314  Reeva, per sq cm                                  A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4315  Regenelink amniotic mem allo                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4316  Amchoplast, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4317  Vitograft, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4318  E-graft, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4319  Sanograft, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4320  Pellograft, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4321  Renograft, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4322  Caregraft, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4323  Alloply, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4324  Amniotx, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4325  Acapatch, per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4326  Woundplus, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4327  Duoamnion, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4328  Most, per sq cm                                   A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4329  Singlay, per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4330  Total, per sq cm                                  A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4331  Axolotl graft, per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4332  Axolotl dualgraft, per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4333  Ardeograft, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4334  Amnioplast 1, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4335  Amnioplast 2, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4336  Artecent c, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4337  Artecent trident, per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4338  Artacent velos, per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4339  Artacent vericlen, per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4340  Simpligraft, per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4341  Simplimax, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4342  Theramend, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4343  Dermacyte ac matrx per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4344  Tri membrane wrap, per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4345  Matrix hd allogrft per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4346  Shelter dm matrix per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4347  Rampart dl matrix per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4348  Sentry sl matrix per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4349  Mantle dl matrix per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4350  Palisade dm matrix per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4351  Enclose tl matrix, per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4352  Overlay sl matrix, per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4353  Xceed tl matrix per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4354  Palingen dl-palingen dl-x                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4355  Abio xpl abio xpl hy p sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4356  Abio mem abio hyd per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4357  Xwrap plus, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4358  Xwrap dual, per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4359  Choriply, per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4360  Amchoplast fd per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4361  Epixpress, per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4362  Cygnus disk, per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4363  Am bur mem hydro per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4364  Am bur xp mem xpl hy p sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4365  Amnio bur dl mem per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4366  Dl amnio bur x-mem per sq cm                      A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4367  Amniocore sl, per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4368  Amchothick per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4369  Amnioplast 3 per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4370  Aeroguard per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4371  Neoguard per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4372  Amchoplast excl per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4373  Membrane wrp lt per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4375  Duograft ac per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4376  Duograft aa per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4377  Trigraft ft per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4378  Renew ft matrix per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4379  Amniodefend ft per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4380  Advograft one per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4382  Advograft dual per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4383  Axolotl graft ult per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4384  Axolotl dual ult per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4385  Apollo ft per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4386  Acesso trifaca per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4387  Neothelium ft per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4388  Neothelium 4l per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4389  Neothelium 4l+ per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4390  Ascendion per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4391  Amnioplast double per sq cm                       A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4392  Grafix duo per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4393  Surgraft ac per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4394  Surgraft aca per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4395  Acelagraft per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4396  Natalin per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4397  Summit aaa per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4398  Summit ac per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4399  Summit fx per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4400  Polygon3 per sq cm                                A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4401  Absolv3 per sq cm                                 A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4402  Xwrap 2.0 per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4403  Xwrap dual plus per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4404  Xwrap hydro plus per sq cm                        A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4405  Xwrap fenestra plus sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4406  Xwrap fenestra per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4407  Xwrap tribus per sq cm                            A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4408  Xwrap hydro per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4409  Amniomatrixf3x per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4410  Amchomatrixdl per sq cm                           A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4411  Amniomatrixf4x per sq cm                          A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4412  Choriofix per sq cm                               A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4413  Cygnus solo per sq cm                             A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4414  Simplichor per sq cm                              A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4415  Alexiguard st-l per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4416  Alexiguard tl-t per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4417  Alexiguard dl-t per sq cm                         A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4420  Nuform per sq cm                                  A   0.00   3.81     3.81NA  0.00   3.81  3.813ZZZ.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
Q4431  Pma skin substitute, nos                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
Q4432  510(k) skin subs, nos                             C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 090 99      0.00   0.00   0.00
Q4433  361 hct/p skin subs, nos                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.00999991            33.5675 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.00.00.00000001            33.5675 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.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
V5299  Hearing service                                   R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.00000001            33.5675 090 99      0.00   0.00   0.00
