"Nonexcepted Off-Campus PBDs, CY 2017
OPPS Payment Rates and Units by HCPCS Code and OPPS Status Indicator "				
HCPCS Code	HCPCS_Description	OPPS Status Indicator	"Total Units, CY 2017"	OPPS Rate CY 2017 ($)
0191T	Insert ant segment drain int	J	29	3418.76
0230T	Njx tfrml eprl w/us lumb/sac	T	1	638.93
0232T	Njx platelet plasma	Q	5	263.61
0296T	Ext ecg recording	S	85	100.02
0296T	Ext ecg recording	N	70	100.02
0296T	Ext ecg recording	Q	1	100.02
0297T	Ext ecg scan w/report	N	8	100.02
0297T	Ext ecg scan w/report	Q	1	100.02
0389T	Prog eval inper leadls pm	N	1	35.15
0389T	Prog eval inper leadls pm	S	1	35.15
0391T	Intergt eval inper leadls pm	N	1	35.15
0391T	Intergt eval inper leadls pm	S	1	35.15
0438T	Tprnl plmt biodegrdabl matrl	T	28	2542.56
10021	Fna w/o image	T	27	292.62
10022	Fna w/image	T	319	539.11
10022	Fna w/image	N	3	539.11
10030	Guide cathet fluid drainage	T	1	539.11
10035	Perq dev soft tiss 1st imag	N	3	539.11
10035	Perq dev soft tiss 1st imag	T	3	539.11
10040	Acne surgery	N	13	153.12
10040	Acne surgery	T	2	153.12
10060	Drainage of skin abscess	T	400	153.12
10061	Drainage of skin abscess	T	57	292.62
10080	Drainage of pilonidal cyst	T	3	539.11
10120	Remove foreign body	T	80	292.62
10120	Remove foreign body	N	1	292.62
10121	Remove foreign body	J	1	1236.62
10140	Drainage of hematoma/fluid	J	51	1236.62
10140	Drainage of hematoma/fluid	N	4	1236.62
10160	Puncture drainage of lesion	T	54	292.62
10160	Puncture drainage of lesion	N	1	292.62
10180	Complex drainage wound	J	2	2148.91
11000	Debride infected skin	T	6	453.1
11012	Deb skin bone at fx site	N	2	2148.91
11012	Deb skin bone at fx site	J	1	2148.91
11042	Deb subq tissue 20 sq cm/<	T	5892	292.62
11042	Deb subq tissue 20 sq cm/<	N	66	292.62
11043	Deb musc/fascia 20 sq cm/<	T	242	453.1
11043	Deb musc/fascia 20 sq cm/<	N	14	453.1
11044	Deb bone 20 sq cm/<	J	73	1236.62
11044	Deb bone 20 sq cm/<	N	13	1236.62
11055	Trim skin lesion	T	155	153.12
11055	Trim skin lesion	N	125	153.12
11055	Trim skin lesion	Q	67	153.12
11056	Trim skin lesions 2 to 4	T	563	153.12
11056	Trim skin lesions 2 to 4	N	206	153.12
11056	Trim skin lesions 2 to 4	Q	57	153.12
11057	Trim skin lesions over 4	T	81	153.12
11100	Biopsy skin lesion	T	966	292.62
11100	Biopsy skin lesion	N	7	292.62
11200	Removal of skin tags <w/15	N	100	153.12
11200	Removal of skin tags <w/15	T	36	153.12
11200	Removal of skin tags <w/15	Q	9	153.12
11300	Shave skin lesion 0.5 cm/<	N	49	153.12
11300	Shave skin lesion 0.5 cm/<	T	15	153.12
11300	Shave skin lesion 0.5 cm/<	Q	1	153.12
11301	Shave skin lesion 0.6-1.0 cm	N	114	153.12
11301	Shave skin lesion 0.6-1.0 cm	T	17	153.12
11301	Shave skin lesion 0.6-1.0 cm	Q	1	153.12
11302	Shave skin lesion 1.1-2.0 cm	N	101	153.12
11302	Shave skin lesion 1.1-2.0 cm	T	14	153.12
11302	Shave skin lesion 1.1-2.0 cm	Q	2	153.12
11303	Shave skin lesion >2.0 cm	N	34	292.62
11303	Shave skin lesion >2.0 cm	T	7	292.62
11303	Shave skin lesion >2.0 cm	Q	1	292.62
11305	Shave skin lesion 0.5 cm/<	N	18	153.12
11305	Shave skin lesion 0.5 cm/<	T	4	153.12
11306	Shave skin lesion 0.6-1.0 cm	N	35	153.12
11306	Shave skin lesion 0.6-1.0 cm	T	7	153.12
11306	Shave skin lesion 0.6-1.0 cm	Q	1	153.12
11307	Shave skin lesion 1.1-2.0 cm	T	32	153.12
11308	Shave skin lesion >2.0 cm	N	9	292.62
11308	Shave skin lesion >2.0 cm	T	1	292.62
11310	Shave skin lesion 0.5 cm/<	T	54	153.12
11310	Shave skin lesion 0.5 cm/<	N	2	153.12
11311	Shave skin lesion 0.6-1.0 cm	T	76	153.12
11311	Shave skin lesion 0.6-1.0 cm	N	1	153.12
11312	Shave skin lesion 1.1-2.0 cm	T	55	292.62
11313	Shave skin lesion >2.0 cm	T	20	292.62
11313	Shave skin lesion >2.0 cm	N	2	292.62
11400	Exc tr-ext b9+marg 0.5 cm<	T	63	539.11
11400	Exc tr-ext b9+marg 0.5 cm<	N	7	539.11
11401	Exc tr-ext b9+marg 0.6-1 cm	T	56	292.62
11401	Exc tr-ext b9+marg 0.6-1 cm	N	4	292.62
11402	Exc tr-ext b9+marg 1.1-2 cm	T	63	539.11
11402	Exc tr-ext b9+marg 1.1-2 cm	N	3	539.11
11403	Exc tr-ext b9+marg 2.1-3cm/<	T	36	539.11
11403	Exc tr-ext b9+marg 2.1-3cm/<	N	2	539.11
11404	Exc tr-ext b9+marg 3.1-4 cm	J	11	1236.62
11404	Exc tr-ext b9+marg 3.1-4 cm	N	3	1236.62
11406	Exc tr-ext b9+marg >4.0 cm	J	16	1236.62
11420	Exc h-f-nk-sp b9+marg 0.5/<	J	28	1236.62
11420	Exc h-f-nk-sp b9+marg 0.5/<	N	3	1236.62
11421	Exc h-f-nk-sp b9+marg 0.6-1	T	23	539.11
11421	Exc h-f-nk-sp b9+marg 0.6-1	N	2	539.11
11422	Exc h-f-nk-sp b9+marg 1.1-2	J	32	1236.62
11422	Exc h-f-nk-sp b9+marg 1.1-2	N	4	1236.62
11423	Exc h-f-nk-sp b9+marg 2.1-3	J	15	1236.62
11423	Exc h-f-nk-sp b9+marg 2.1-3	N	1	1236.62
11424	Exc h-f-nk-sp b9+marg 3.1-4	J	3	1236.62
11426	Exc h-f-nk-sp b9+marg >4 cm	J	4	2148.91
11440	Exc face-mm b9+marg 0.5 cm/<	T	51	539.11
11440	Exc face-mm b9+marg 0.5 cm/<	N	1	539.11
11441	Exc face-mm b9+marg 0.6-1 cm	T	34	539.11
11442	Exc face-mm b9+marg 1.1-2 cm	T	17	539.11
11442	Exc face-mm b9+marg 1.1-2 cm	N	1	539.11
11443	Exc face-mm b9+marg 2.1-3 cm	J	10	1236.62
11444	Exc face-mm b9+marg 3.1-4 cm	J	2	1236.62
11446	Exc face-mm b9+marg >4 cm	J	1	2148.91
11600	Exc tr-ext mal+marg 0.5 cm/<	T	15	539.11
11600	Exc tr-ext mal+marg 0.5 cm/<	N	2	539.11
11601	Exc tr-ext mal+marg 0.6-1 cm	T	16	539.11
11602	Exc tr-ext mal+marg 1.1-2 cm	T	39	292.62
11603	Exc tr-ext mal+marg 2.1-3 cm	T	27	539.11
11603	Exc tr-ext mal+marg 2.1-3 cm	N	2	539.11
11604	Exc tr-ext mal+marg 3.1-4 cm	T	9	539.11
11604	Exc tr-ext mal+marg 3.1-4 cm	N	5	539.11
11606	Exc tr-ext mal+marg >4 cm	J	16	1236.62
11606	Exc tr-ext mal+marg >4 cm	N	1	1236.62
11620	Exc h-f-nk-sp mal+marg 0.5/<	J	1	1236.62
11621	Exc s/n/h/f/g mal+mrg 0.6-1	T	3	539.11
11622	Exc s/n/h/f/g mal+mrg 1.1-2	T	20	539.11
11622	Exc s/n/h/f/g mal+mrg 1.1-2	N	1	539.11
11623	Exc s/n/h/f/g mal+mrg 2.1-3	J	15	1236.62
11623	Exc s/n/h/f/g mal+mrg 2.1-3	N	1	1236.62
11624	Exc s/n/h/f/g mal+mrg 3.1-4	J	7	1236.62
11626	Exc s/n/h/f/g mal+mrg >4 cm	J	7	2148.91
11640	Exc f/e/e/n/l mal+mrg 0.5cm<	T	11	539.11
11640	Exc f/e/e/n/l mal+mrg 0.5cm<	N	1	539.11
11641	Exc f/e/e/n/l mal+mrg 0.6-1	T	13	539.11
11642	Exc f/e/e/n/l mal+mrg 1.1-2	T	41	539.11
11642	Exc f/e/e/n/l mal+mrg 1.1-2	N	8	539.11
11643	Exc f/e/e/n/l mal+mrg 2.1-3	J	24	1236.62
11643	Exc f/e/e/n/l mal+mrg 2.1-3	N	2	1236.62
11644	Exc f/e/e/n/l mal+mrg 3.1-4	J	20	1236.62
11646	Exc f/e/e/n/l mal+mrg >4 cm	J	8	2148.91
11719	Trim nail(s) any number	N	105	54.55
11719	Trim nail(s) any number	S	52	54.55
11719	Trim nail(s) any number	Q	51	54.55
11720	Debride nail 1-5	N	348	54.55
11720	Debride nail 1-5	S	308	54.55
11720	Debride nail 1-5	Q	18	54.55
11721	Debride nail 6 or more	S	2601	54.55
11721	Debride nail 6 or more	N	1343	54.55
11721	Debride nail 6 or more	Q	51	54.55
11730	Removal of nail plate	N	95	153.12
11730	Removal of nail plate	T	48	153.12
11730	Removal of nail plate	Q	2	153.12
11740	Drain blood from under nail	N	5	54.55
11750	Removal of nail bed	T	150	292.62
11755	Biopsy nail unit	T	9	539.11
11760	Repair of nail bed	N	3	453.1
11760	Repair of nail bed	T	1	453.1
11765	Excision of nail fold toe	N	5	292.62
11765	Excision of nail fold toe	T	1	292.62
11900	Inject skin lesions </w 7	N	96	153.12
11900	Inject skin lesions </w 7	T	38	153.12
11900	Inject skin lesions </w 7	Q	1	153.12
11901	Inject skin lesions >7	N	78	153.12
11901	Inject skin lesions >7	T	4	153.12
11970	Replace tissue expander	J	2	5221.57
11976	Remove contraceptive capsule	T	1	539.11
11980	Implant hormone pellet(s)	S	5	263.61
11980	Implant hormone pellet(s)	N	4	263.61
11981	Insert drug implant device	N	2	100.02
11981	Insert drug implant device	S	1	100.02
11983	Remove/insert drug implant	S	4	263.61
12001	Rpr s/n/ax/gen/trnk 2.5cm/<	N	222	153.12
12001	Rpr s/n/ax/gen/trnk 2.5cm/<	T	27	153.12
12002	Rpr s/n/ax/gen/trnk2.6-7.5cm	N	110	153.12
12002	Rpr s/n/ax/gen/trnk2.6-7.5cm	T	7	153.12
12002	Rpr s/n/ax/gen/trnk2.6-7.5cm	Q	1	153.12
12004	Rpr s/n/ax/gen/trk7.6-12.5cm	N	9	153.12
12005	Rpr s/n/a/gen/trk12.6-20.0cm	N	1	292.62
12006	Rpr s/n/a/gen/trk20.1-30.0cm	N	1	292.62
12006	Rpr s/n/a/gen/trk20.1-30.0cm	T	1	292.62
12011	Rpr f/e/e/n/l/m 2.5 cm/<	N	54	153.12
12011	Rpr f/e/e/n/l/m 2.5 cm/<	T	9	153.12
12013	Rpr f/e/e/n/l/m 2.6-5.0 cm	N	15	153.12
12013	Rpr f/e/e/n/l/m 2.6-5.0 cm	T	1	153.12
12014	Rpr f/e/e/n/l/m 5.1-7.5 cm	N	4	153.12
12020	Closure of split wound	T	2	453.1
12020	Closure of split wound	N	1	453.1
12021	Closure of split wound	T	2	292.62
12031	Intmd rpr s/a/t/ext 2.5 cm/<	T	22	292.62
12032	Intmd rpr s/a/t/ext 2.6-7.5	T	42	292.62
12032	Intmd rpr s/a/t/ext 2.6-7.5	N	12	292.62
12034	Intmd rpr s/tr/ext 7.6-12.5	T	7	292.62
12034	Intmd rpr s/tr/ext 7.6-12.5	N	5	292.62
12035	Intmd rpr s/a/t/ext 12.6-20	T	2	292.62
12035	Intmd rpr s/a/t/ext 12.6-20	N	1	292.62
12037	Intmd rpr s/tr/ext >30.0 cm	N	1	2504.69
12041	Intmd rpr n-hf/genit 2.5cm/<	T	8	292.62
12041	Intmd rpr n-hf/genit 2.5cm/<	N	4	292.62
12042	Intmd rpr n-hf/genit2.6-7.5	N	16	292.62
12042	Intmd rpr n-hf/genit2.6-7.5	T	14	292.62
12044	Intmd rpr n-hf/genit7.6-12.5	N	1	453.1
12051	Intmd rpr face/mm 2.5 cm/<	T	22	153.12
12051	Intmd rpr face/mm 2.5 cm/<	N	5	153.12
12052	Intmd rpr face/mm 2.6-5.0 cm	T	12	292.62
12052	Intmd rpr face/mm 2.6-5.0 cm	N	8	292.62
12053	Intmd rpr face/mm 5.1-7.5 cm	N	4	292.62
12053	Intmd rpr face/mm 5.1-7.5 cm	T	2	292.62
12054	Intmd rpr face/mm 7.6-12.5cm	N	2	292.62
13100	Cmplx rpr trunk 1.1-2.5 cm	T	3	453.1
13100	Cmplx rpr trunk 1.1-2.5 cm	N	1	453.1
13101	Cmplx rpr trunk 2.6-7.5 cm	N	2	453.1
13101	Cmplx rpr trunk 2.6-7.5 cm	T	1	453.1
13120	Cmplx rpr s/a/l 1.1-2.5 cm	T	3	453.1
13121	Cmplx rpr s/a/l 2.6-7.5 cm	N	5	453.1
13121	Cmplx rpr s/a/l 2.6-7.5 cm	T	5	453.1
13131	Cmplx rpr f/c/c/m/n/ax/g/h/f	N	7	292.62
13131	Cmplx rpr f/c/c/m/n/ax/g/h/f	T	3	292.62
13132	Cmplx rpr f/c/c/m/n/ax/g/h/f	N	4	453.1
13132	Cmplx rpr f/c/c/m/n/ax/g/h/f	T	3	453.1
13151	Cmplx rpr e/n/e/l 1.1-2.5 cm	T	7	453.1
13151	Cmplx rpr e/n/e/l 1.1-2.5 cm	N	3	453.1
13152	Cmplx rpr e/n/e/l 2.6-7.5 cm	T	7	453.1
13152	Cmplx rpr e/n/e/l 2.6-7.5 cm	N	3	453.1
13160	Late closure of wound	T	4	1427.77
14000	Tis trnfr trunk 10 sq cm/<	T	3	1427.77
14001	Tis trnfr trunk 10.1-30sqcm	N	2	1427.77
14001	Tis trnfr trunk 10.1-30sqcm	T	1	1427.77
14020	Tis trnfr s/a/l 10 sq cm/<	T	4	1427.77
14021	Tis trnfr s/a/l 10.1-30 sqcm	N	1	1427.77
14040	Tis trnfr f/c/c/m/n/a/g/h/f	T	20	1427.77
14041	Tis trnfr f/c/c/m/n/a/g/h/f	T	16	1427.77
14041	Tis trnfr f/c/c/m/n/a/g/h/f	N	2	1427.77
14060	Tis trnfr e/n/e/l 10 sq cm/<	T	41	1427.77
14060	Tis trnfr e/n/e/l 10 sq cm/<	N	6	1427.77
14061	Tis trnfr e/n/e/l10.1-30sqcm	T	13	1427.77
14061	Tis trnfr e/n/e/l10.1-30sqcm	N	2	1427.77
14301	Tis trnfr any 30.1-60 sq cm	T	14	2504.69
14301	Tis trnfr any 30.1-60 sq cm	N	4	2504.69
15002	Wound prep trk/arm/leg	T	21	1427.77
15004	Wound prep f/n/hf/g	T	9	453.1
15004	Wound prep f/n/hf/g	N	1	453.1
15100	Skin splt grft trnk/arm/leg	T	3	1427.77
15100	Skin splt grft trnk/arm/leg	N	1	1427.77
15110	Epidrm autogrft trnk/arm/leg	T	10	1427.77
15115	Epidrm a-grft face/nck/hf/g	T	1	1427.77
15120	Skn splt a-grft fac/nck/hf/g	T	8	2504.69
15120	Skn splt a-grft fac/nck/hf/g	N	7	2504.69
15220	Skin full graft sclp/arm/leg	T	2	1427.77
15240	Skin full grft face/genit/hf	N	2	1427.77
15240	Skin full grft face/genit/hf	T	2	1427.77
15260	Skin full graft een & lips	T	15	1427.77
15260	Skin full graft een & lips	N	6	1427.77
15271	Skin sub graft trnk/arm/leg	T	465	1427.77
15271	Skin sub graft trnk/arm/leg	N	6	1427.77
15275	Skin sub graft face/nk/hf/g	T	230	1427.77
15275	Skin sub graft face/nk/hf/g	N	1	1427.77
15574	Pedcle fh/ch/ch/m/n/ax/g/h/f	T	1	1427.77
15576	Pedicle e/n/e/l/ntroral	T	3	1427.77
15620	Delay flap f/c/c/n/ax/g/h/f	T	1	1427.77
15630	Delay flap eye/nos/ear/lip	T	2	1427.77
15630	Delay flap eye/nos/ear/lip	N	1	1427.77
15731	Forehead flap w/vasc pedicle	T	4	2504.69
15732	Muscle-skin graft head/neck	T	11	2504.69
15732	Muscle-skin graft head/neck	N	2	2504.69
15734	Muscle-skin graft trunk	N	2	2504.69
15734	Muscle-skin graft trunk	T	1	2504.69
15736	Muscle-skin graft arm	T	1	2504.69
15738	Muscle-skin graft leg	T	1	2504.69
15760	Composite skin graft	T	2	1427.77
15820	Revision of lower eyelid	N	2	1427.77
15820	Revision of lower eyelid	T	1	1427.77
15821	Revision of lower eyelid	T	1	2504.69
15822	Revision of upper eyelid	T	13	1427.77
15822	Revision of upper eyelid	N	2	1427.77
15823	Revision of upper eyelid	T	52	1427.77
15823	Revision of upper eyelid	N	10	1427.77
15824	Removal of forehead wrinkles	T	1	1427.77
15839	Excise excess skin & tissue	J	1	2148.91
15850	Remove sutures same surgeon	T	2	453.1
15851	Remove sutures diff surgeon	T	3	1427.77
15852	Dressing change not for burn	N	1	263.61
16000	Initial treatment of burn(s)	N	1	153.12
16020	Dress/debrid p-thick burn s	T	48	153.12
16020	Dress/debrid p-thick burn s	N	17	153.12
16025	Dress/debrid p-thick burn m	T	1	153.12
17000	Destruct premalg lesion	N	1990	153.12
17000	Destruct premalg lesion	T	135	153.12
17000	Destruct premalg lesion	Q	17	153.12
17004	Destroy premal lesions 15/>	T	191	292.62
17004	Destroy premal lesions 15/>	N	1	292.62
17106	Destruction of skin lesions	T	1	292.62
17110	Destruct b9 lesion 1-14	N	1123	153.12
17110	Destruct b9 lesion 1-14	T	167	153.12
17110	Destruct b9 lesion 1-14	Q	32	153.12
17111	Destruct lesion 15 or more	N	44	153.12
17111	Destruct lesion 15 or more	T	5	153.12
17111	Destruct lesion 15 or more	Q	1	153.12
17250	Chemical cautery tissue	N	198	153.12
17250	Chemical cautery tissue	T	70	153.12
17250	Chemical cautery tissue	Q	3	153.12
17260	Destruction of skin lesions	N	1	153.12
17260	Destruction of skin lesions	T	1	153.12
17261	Destruction of skin lesions	N	11	153.12
17261	Destruction of skin lesions	T	4	153.12
17262	Destruction of skin lesions	N	18	153.12
17262	Destruction of skin lesions	T	6	153.12
17263	Destruction of skin lesions	N	12	153.12
17263	Destruction of skin lesions	T	1	153.12
17264	Destruction of skin lesions	T	3	292.62
17264	Destruction of skin lesions	N	1	292.62
17271	Destruction of skin lesions	T	2	153.12
17272	Destruction of skin lesions	N	8	153.12
17272	Destruction of skin lesions	T	1	153.12
17273	Destruction of skin lesions	T	7	292.62
17280	Destruction of skin lesions	N	3	153.12
17281	Destruction of skin lesions	T	12	292.62
17282	Destruction of skin lesions	T	15	292.62
17283	Destruction of skin lesions	T	4	292.62
17311	Mohs 1 stage h/n/hf/g	T	9	453.1
17311	Mohs 1 stage h/n/hf/g	N	5	453.1
17340	Cryotherapy of skin	N	1	28.38
17999	Skin tissue procedure	T	4	153.12
19000	Drainage of breast lesion	T	18	539.11
19000	Drainage of breast lesion	N	6	539.11
19020	Incision of breast lesion	N	2	1236.62
19081	Bx breast 1st lesion strtctc	J	162	1236.62
19081	Bx breast 1st lesion strtctc	N	1	1236.62
19083	Bx breast 1st lesion us imag	J	243	1236.62
19083	Bx breast 1st lesion us imag	N	9	1236.62
19085	Bx breast 1st lesion mr imag	J	9	1236.62
19100	Bx breast percut w/o image	J	6	1236.62
19101	Biopsy of breast open	J	3	2499.48
19110	Nipple exploration	N	1	2499.48
19120	Removal of breast lesion	J	7	2499.48
19125	Excision breast lesion	J	2	2499.48
19125	Excision breast lesion	N	1	2499.48
19281	Perq device breast 1st imag	T	8	539.11
19281	Perq device breast 1st imag	N	5	539.11
19283	Perq dev breast 1st strtctc	T	4	539.11
19285	Perq dev breast 1st us imag	N	17	539.11
19285	Perq dev breast 1st us imag	T	11	539.11
19296	Place po breast cath for rad	J	2	6486.35
19301	Partial mastectomy	N	23	2499.48
19301	Partial mastectomy	J	9	2499.48
19303	Mast simple complete	J	1	4419.46
19307	Mast mod rad	A	1	4419.46
19316	Suspension of breast	N	3	4419.46
19318	Reduction of large breast	J	2	4419.46
19328	Removal of breast implant	N	1	2499.48
19340	Immediate breast prosthesis	J	3	4419.46
19342	Delayed breast prosthesis	J	2	6486.35
19357	Breast reconstruction	J	2	10037.05
19366	Breast reconstruction	N	1	4419.46
19370	Surgery of breast capsule	J	1	2499.48
19371	Removal of breast capsule	N	2	2499.48
19380	Revise breast reconstruction	N	1	4419.46
19380	Revise breast reconstruction	J	1	4419.46
19499	Breast surgery procedure	J	1	2499.48
20103	Explore wound extremity	T	2	539.11
20205	Deep muscle biopsy	J	1	2148.91
20206	Needle biopsy muscle	J	4	1236.62
20206	Needle biopsy muscle	N	2	1236.62
20220	Bone biopsy trocar/needle	J	3	1236.62
20240	Bone biopsy open superficial	J	1	2148.91
20245	Bone biopsy open deep	N	1	2148.91
20520	Removal of foreign body	J	4	1236.62
20525	Removal of foreign body	J	2	2148.91
20526	Ther injection carp tunnel	T	308	231
20527	Inj dupuytren cord w/enzyme	T	76	231
20550	Inj tendon sheath/ligament	T	1778	231
20550	Inj tendon sheath/ligament	N	17	231
20551	Inj tendon origin/insertion	T	252	231
20552	Inj trigger point 1/2 muscl	T	683	231
20553	Inject trigger points 3/>	T	1849	231
20553	Inject trigger points 3/>	N	3	231
20600	Drain/inj joint/bursa w/o us	T	1042	231
20600	Drain/inj joint/bursa w/o us	N	17	231
20604	Drain/inj joint/bursa w/us	T	65	231
20605	Drain/inj joint/bursa w/o us	T	1206	231
20606	Drain/inj joint/bursa w/us	T	90	507.19
20610	Drain/inj joint/bursa w/o us	T	23021	231
20610	Drain/inj joint/bursa w/o us	N	5	231
20611	Drain/inj joint/bursa w/us	T	1729	231
20612	Aspirate/inj ganglion cyst	T	44	231
20615	Treatment of bone cyst	T	2	539.11
20670	Removal of support implant	J	13	1236.62
20680	Removal of support implant	J	22	2148.91
20680	Removal of support implant	N	10	2148.91
20694	Remove bone fixation device	N	3	1217.42
20694	Remove bone fixation device	J	1	1217.42
20902	Removal of bone for graft	N	1	5221.57
20926	Removal of tissue for graft	N	2	2504.69
20926	Removal of tissue for graft	T	1	2504.69
20950	Fluid pressure muscle	T	3	539.11
20999	Musculoskeletal surgery	N	1	199.83
21011	Exc face les sc <2 cm	J	2	1236.62
21012	Exc face les sbq 2 cm/>	J	2	1236.62
21014	Exc face tum deep 2 cm/>	J	1	2148.91
21030	Excise max/zygoma b9 tumor	J	1	4130.94
21040	Excise mandible lesion	J	1	2173.69
21210	Face bone graft	J	1	4130.94
21235	Ear cartilage graft	J	4	4130.94
21235	Ear cartilage graft	N	2	4130.94
21282	Revision of eyelid	J	1	2173.69
21315	Closed tx nose fx w/o stablj	T	1	1038.55
21320	Closed tx nose fx w/ stablj	N	1	2173.69
21320	Closed tx nose fx w/ stablj	J	1	2173.69
21335	Open tx nose & septal fx	J	1	2173.69
21480	Reset dislocated jaw	T	2	199.83
21499	Head surgery procedure	T	1	177.09
21501	Drain neck/chest lesion	J	1	2148.91
21550	Biopsy of neck/chest	J	3	1236.62
21552	Exc neck les sc 3 cm/>	J	4	2148.91
21552	Exc neck les sc 3 cm/>	N	1	2148.91
21555	Exc neck les sc < 3 cm	J	3	1236.62
21556	Exc neck tum deep < 5 cm	J	6	2148.91
21820	Treat sternum fracture	T	1	199.83
21920	Biopsy soft tissue of back	J	1	1236.62
21930	Exc back les sc < 3 cm	J	1	1236.62
21931	Exc back les sc 3 cm/>	J	3	1236.62
21932	Exc back tum deep < 5 cm	J	2	2148.91
21933	Exc back tum deep 5 cm/>	J	1	2148.91
22310	Closed tx vert fx w/o manj	T	1	199.83
22511	Perq lumbosacral injection	J	1	2438.34
22513	Perq vertebral augmentation	J	4	5221.57
22514	Perq vertebral augmentation	J	13	5221.57
22902	Exc abd les sc < 3 cm	J	1	1236.62
22903	Exc abd les sc 3 cm/>	J	4	2148.91
23071	Exc shoulder les sc 3 cm/>	J	5	1236.62
23075	Exc shoulder les sc < 3 cm	N	1	1236.62
23076	Exc shoulder tum deep < 5 cm	J	1	2148.91
23120	Partial removal collar bone	J	1	2438.34
23410	Repair rotator cuff acute	J	2	5221.57
23412	Repair rotator cuff chronic	J	1	5221.57
23430	Repair biceps tendon	N	7	5221.57
23430	Repair biceps tendon	J	1	5221.57
23466	Repair shoulder capsule	J	1	5221.57
23500	Treat clavicle fracture	T	38	199.83
23520	Treat clavicle dislocation	J	1	1217.42
23540	Treat clavicle dislocation	T	2	199.83
23570	Treat shoulder blade fx	T	10	199.83
23570	Treat shoulder blade fx	N	1	199.83
23600	Treat humerus fracture	T	84	199.83
23620	Treat humerus fracture	T	10	199.83
23650	Treat shoulder dislocation	T	8	199.83
23655	Treat shoulder dislocation	J	1	1217.42
23675	Treat dislocation/fracture	J	1	1217.42
23700	Fixation of shoulder	N	1	1217.42
24071	Exc arm/elbow les sc 3 cm/>	J	1	2148.91
24073	Ex arm/elbow tum deep 5 cm/>	J	1	2148.91
24075	Exc arm/elbow les sc < 3 cm	J	2	1236.62
24075	Exc arm/elbow les sc < 3 cm	N	1	1236.62
24101	Explore/treat elbow joint	J	2	2438.34
24105	Removal of elbow bursa	J	7	2438.34
24147	Partial removal of elbow	J	1	2438.34
24340	Repair of biceps tendon	J	1	5221.57
24341	Repair arm tendon/muscle	J	1	5221.57
24342	Repair of ruptured tendon	J	2	5221.57
24357	Repair elbow perc	J	4	2438.34
24359	Repair elbow deb/attch open	J	1	2438.34
24500	Treat humerus fracture	T	11	199.83
24505	Treat humerus fracture	J	1	1217.42
24530	Treat humerus fracture	T	4	199.83
24560	Treat humerus fracture	T	1	199.83
24576	Treat humerus fracture	T	2	199.83
24600	Treat elbow dislocation	T	2	199.83
24605	Treat elbow dislocation	J	1	1217.42
24650	Treat radius fracture	T	31	199.83
24650	Treat radius fracture	N	1	199.83
24670	Treat ulnar fracture	T	8	199.83
24685	Treat ulnar fracture	J	1	5221.57
25000	Incision of tendon sheath	J	7	1217.42
25000	Incision of tendon sheath	N	4	1217.42
25071	Exc forearm les sc 3 cm/>	J	1	1236.62
25075	Exc forearm les sc < 3 cm	J	4	1236.62
25076	Exc forearm tum deep < 3 cm	J	1	1236.62
25111	Remove wrist tendon lesion	J	5	1217.42
25111	Remove wrist tendon lesion	N	2	1217.42
25115	Remove wrist/forearm lesion	N	1	1217.42
25210	Removal of wrist bone	N	1	2438.34
25230	Partial removal of radius	N	1	2438.34
25240	Partial removal of ulna	J	1	2438.34
25280	Revise wrist/forearm tendon	J	1	2438.34
25310	Transplant forearm tendon	N	1	2438.34
25310	Transplant forearm tendon	J	1	2438.34
25332	Revise wrist joint	J	1	2438.34
25440	Repair/graft wrist bone	J	1	5221.57
25447	Repair wrist joints	J	19	2438.34
25500	Treat fracture of radius	T	5	199.83
25515	Treat fracture of radius	J	2	5221.57
25530	Treat fracture of ulna	T	10	199.83
25535	Treat fracture of ulna	T	1	199.83
25545	Treat fracture of ulna	J	3	5221.57
25545	Treat fracture of ulna	N	1	5221.57
25560	Treat fracture radius & ulna	T	3	199.83
25600	Treat fracture radius/ulna	T	167	199.83
25605	Treat fracture radius/ulna	J	23	1217.42
25606	Treat fx distal radial	J	2	2438.34
25607	Treat fx rad extra-articul	J	3	5221.57
25608	Treat fx rad intra-articul	J	3	5221.57
25609	Treat fx radial 3+ frag	J	3	5221.57
25622	Treat wrist bone fracture	T	15	199.83
25628	Treat wrist bone fracture	J	1	5221.57
25630	Treat wrist bone fracture	T	15	199.83
25650	Treat wrist bone fracture	T	9	199.83
25652	Treat fracture ulnar styloid	N	1	5221.57
25825	Fuse hand bones with graft	J	1	5221.57
26010	Drainage of finger abscess	T	8	153.12
26011	Drainage of finger abscess	N	1	1236.62
26011	Drainage of finger abscess	J	1	1236.62
26020	Drain hand tendon sheath	J	1	2438.34
26040	Release palm contracture	J	19	1217.42
26045	Release palm contracture	J	4	2438.34
26055	Incise finger tendon sheath	J	148	1217.42
26055	Incise finger tendon sheath	N	43	1217.42
26080	Explore/treat finger joint	J	1	1217.42
26110	Biopsy finger joint lining	J	1	1217.42
26111	Exc hand les sc 1.5 cm/>	J	1	1236.62
26113	Exc hand tum deep 1.5 cm/>	J	1	1236.62
26115	Exc hand les sc < 1.5 cm	J	9	1236.62
26115	Exc hand les sc < 1.5 cm	N	1	1236.62
26116	Exc hand tum deep < 1.5 cm	J	1	1236.62
26121	Release palm contracture	J	1	2438.34
26123	Release palm contracture	J	5	2438.34
26145	Tendon excision palm/finger	J	2	1217.42
26145	Tendon excision palm/finger	N	1	1217.42
26160	Remove tendon sheath lesion	J	16	1217.42
26160	Remove tendon sheath lesion	N	1	1217.42
26170	Removal of palm tendon each	J	1	1217.42
26210	Removal of finger lesion	J	1	1217.42
26236	Partial removal finger bone	J	1	1217.42
26341	Manipulat palm cord post inj	T	59	199.83
26350	Repair finger/hand tendon	N	1	2438.34
26370	Repair finger/hand tendon	N	2	2438.34
26440	Release palm/finger tendon	N	1	1217.42
26445	Release hand/finger tendon	J	1	2438.34
26480	Transplant hand tendon	N	13	2438.34
26480	Transplant hand tendon	J	1	2438.34
26483	Transplant/graft hand tendon	N	1	2438.34
26497	Finger tendon transfer	N	1	2438.34
26525	Release finger contracture	J	1	2438.34
26600	Treat metacarpal fracture	T	71	199.83
26605	Treat metacarpal fracture	T	7	199.83
26608	Treat metacarpal fracture	J	1	2438.34
26615	Treat metacarpal fracture	J	1	2438.34
26720	Treat finger fracture each	T	30	199.83
26725	Treat finger fracture each	T	6	199.83
26727	Treat finger fracture each	J	2	2438.34
26740	Treat finger fracture each	T	7	199.83
26742	Treat finger fracture each	J	1	1217.42
26750	Treat finger fracture each	T	21	199.83
26765	Treat finger fracture each	J	2	2438.34
26770	Treat finger dislocation	T	3	199.83
26775	Treat finger dislocation	T	2	220.75
26841	Fusion of thumb	J	1	5221.57
26850	Fusion of knuckle	J	1	5221.57
26860	Fusion of finger joint	J	3	2438.34
26860	Fusion of finger joint	N	2	2438.34
26910	Amputate metacarpal bone	J	1	2438.34
26951	Amputation of finger/thumb	J	2	2438.34
27043	Exc hip pelvis les sc 3 cm/>	J	1	2148.91
27062	Remove femur lesion/bursa	J	1	2438.34
27197	Clsd tx pelvic ring fx	T	6	199.83
27200	Treat tail bone fracture	T	1	199.83
27220	Treat hip socket fracture	T	1	199.83
27246	Treat thigh fracture	T	2	199.83
27250	Treat hip dislocation	T	1	199.83
27265	Treat hip dislocation	T	1	199.83
27299	Pelvis/hip joint surgery	N	1	199.83
27299	Pelvis/hip joint surgery	T	1	199.83
27305	Incise thigh tendon & fascia	J	1	2438.34
27327	Exc thigh/knee les sc < 3 cm	J	1	1236.62
27331	Explore/treat knee joint	N	1	2438.34
27337	Exc thigh/knee les sc 3 cm/>	J	2	2148.91
27347	Remove knee cyst	J	1	2438.34
27385	Repair of thigh muscle	J	1	5221.57
27430	Revision of thigh muscles	J	1	5221.57
27500	Treatment of thigh fracture	T	1	199.83
27502	Treatment of thigh fracture	J	1	1217.42
27520	Treat kneecap fracture	T	28	199.83
27524	Treat kneecap fracture	J	2	5221.57
27530	Treat knee fracture	T	7	199.83
27570	Fixation of knee joint	J	3	1217.42
27599	Leg surgery procedure	T	3	199.83
27599	Leg surgery procedure	N	1	199.83
27607	Treat lower leg bone lesion	J	1	2438.34
27613	Biopsy lower leg soft tissue	J	1	1236.62
27615	Resect leg/ankle tum < 5 cm	J	1	2148.91
27618	Exc leg/ankle tum < 3 cm	J	1	1236.62
27632	Exc leg/ankle les sc 3 cm/>	J	1	2148.91
27650	Repair achilles tendon	J	4	2438.34
27652	Repair/graft achilles tendon	J	1	5221.57
27654	Repair of achilles tendon	N	1	5221.57
27658	Repair of leg tendon each	J	2	2438.34
27658	Repair of leg tendon each	N	1	2438.34
27665	Repair of leg tendon each	J	1	5221.57
27675	Repair lower leg tendons	N	1	2438.34
27681	Release of lower leg tendons	J	1	2438.34
27687	Revision of calf tendon	N	2	2438.34
27687	Revision of calf tendon	J	1	2438.34
27691	Revise lower leg tendon	J	2	5221.57
27695	Repair of ankle ligament	J	1	5221.57
27704	Removal of ankle implant	N	1	2438.34
27750	Treatment of tibia fracture	T	5	199.83
27760	Cltx medial ankle fx	T	5	199.83
27780	Treatment of fibula fracture	T	20	199.83
27786	Treatment of ankle fracture	T	71	199.83
27788	Treatment of ankle fracture	T	2	199.83
27792	Treatment of ankle fracture	J	2	5221.57
27808	Treatment of ankle fracture	T	8	199.83
27814	Treatment of ankle fracture	J	1	5221.57
27818	Treatment of ankle fracture	J	1	1217.42
27822	Treatment of ankle fracture	J	1	5221.57
27824	Treat lower leg fracture	T	1	199.83
27828	Treat lower leg fracture	J	1	9561.23
27829	Treat lower leg joint	N	1	5221.57
27870	Fusion of ankle joint open	J	1	9561.23
28008	Incision of foot fascia	J	3	2438.34
28010	Incision of toe tendon	J	4	1217.42
28010	Incision of toe tendon	N	1	1217.42
28011	Incision of toe tendons	J	1	1217.42
28035	Decompression of tibia nerve	N	1	1563.42
28035	Decompression of tibia nerve	J	1	1563.42
28039	Exc foot/toe tum sc 1.5 cm/>	J	5	2148.91
28039	Exc foot/toe tum sc 1.5 cm/>	N	2	2148.91
28041	Exc foot/toe tum dep 1.5cm/>	J	1	2148.91
28043	Exc foot/toe tum sc < 1.5 cm	N	1	1236.62
28043	Exc foot/toe tum sc < 1.5 cm	J	1	1236.62
28045	Exc foot/toe tum deep <1.5cm	J	1	2148.91
28060	Partial removal foot fascia	J	5	2438.34
28060	Partial removal foot fascia	N	1	2438.34
28080	Removal of foot lesion	J	3	1217.42
28090	Removal of foot lesion	J	3	2438.34
28090	Removal of foot lesion	N	1	2438.34
28092	Removal of toe lesions	N	1	1217.42
28092	Removal of toe lesions	J	1	1217.42
28100	Removal of ankle/heel lesion	J	1	2438.34
28104	Removal of foot lesion	N	3	2438.34
28104	Removal of foot lesion	J	2	2438.34
28107	Remove/graft foot lesion	J	1	5221.57
28110	Part removal of metatarsal	J	5	2438.34
28110	Part removal of metatarsal	N	1	2438.34
28112	Part removal of metatarsal	N	3	2438.34
28112	Part removal of metatarsal	J	1	2438.34
28113	Part removal of metatarsal	J	1	2438.34
28119	Removal of heel spur	N	1	2438.34
28119	Removal of heel spur	J	1	2438.34
28120	Part removal of ankle/heel	J	3	2438.34
28122	Partial removal of foot bone	J	6	2438.34
28122	Partial removal of foot bone	N	3	2438.34
28124	Partial removal of toe	J	6	2438.34
28124	Partial removal of toe	N	1	2438.34
28160	Partial removal of toe	J	1	2438.34
28190	Removal of foot foreign body	T	6	539.11
28200	Repair of foot tendon	J	3	2438.34
28208	Repair of foot tendon	J	2	2438.34
28220	Release of foot tendon	J	9	2438.34
28222	Release of foot tendons	J	2	2438.34
28230	Incision of foot tendon(s)	N	1	1217.42
28230	Incision of foot tendon(s)	J	1	1217.42
28232	Incision of toe tendon	N	6	1217.42
28232	Incision of toe tendon	J	6	1217.42
28234	Incision of foot tendon	N	2	1217.42
28234	Incision of foot tendon	J	2	1217.42
28238	Revision of foot tendon	N	1	5221.57
28270	Release of foot contracture	N	9	2438.34
28270	Release of foot contracture	J	5	2438.34
28272	Release of toe joint each	N	1	1217.42
28285	Repair of hammertoe	N	43	2438.34
28285	Repair of hammertoe	J	15	2438.34
28288	Partial removal of foot bone	N	5	2438.34
28288	Partial removal of foot bone	J	1	2438.34
28289	Corrj halux rigdus w/o implt	J	10	2438.34
28289	Corrj halux rigdus w/o implt	N	1	2438.34
28291	Corrj halux rigdus w/implt	J	5	5221.57
28291	Corrj halux rigdus w/implt	N	1	5221.57
28292	Correction hallux valgus	N	2	2438.34
28292	Correction hallux valgus	J	2	2438.34
28296	Correction hallux valgus	J	7	2438.34
28296	Correction hallux valgus	N	1	2438.34
28297	Correction hallux valgus	J	1	5221.57
28298	Correction hallux valgus	N	1	5221.57
28299	Correction hallux valgus	J	2	2438.34
28304	Incision of midfoot bones	N	1	5221.57
28308	Incision of metatarsal	N	6	2438.34
28308	Incision of metatarsal	J	5	2438.34
28309	Incision of metatarsals	J	1	5221.57
28312	Revision of toe	J	1	2438.34
28315	Removal of sesamoid bone	J	1	2438.34
28322	Repair of metatarsals	J	1	5221.57
28400	Treatment of heel fracture	T	6	199.83
28415	Treat heel fracture	J	2	5221.57
28430	Treatment of ankle fracture	T	3	199.83
28450	Treat midfoot fracture each	T	9	199.83
28455	Treat midfoot fracture each	J	1	2438.34
28470	Treat metatarsal fracture	T	73	199.83
28475	Treat metatarsal fracture	T	2	199.83
28485	Treat metatarsal fracture	J	4	5221.57
28485	Treat metatarsal fracture	N	2	5221.57
28490	Treat big toe fracture	T	10	199.83
28495	Treat big toe fracture	T	2	199.83
28505	Treat big toe fracture	J	2	2438.34
28510	Treatment of toe fracture	T	23	199.83
28515	Treatment of toe fracture	T	2	199.83
28615	Repair foot dislocation	J	1	5221.57
28636	Treat toe dislocation	J	1	2438.34
28715	Fusion of foot bones	J	1	9561.23
28725	Fusion of foot bones	J	4	9561.23
28730	Fusion of foot bones	J	1	9561.23
28740	Fusion of foot bones	J	2	5221.57
28750	Fusion of big toe joint	J	9	5221.57
28755	Fusion of big toe joint	J	3	5221.57
28760	Fusion of big toe joint	J	1	5221.57
28810	Amputation toe & metatarsal	J	1	2438.34
28820	Amputation of toe	J	11	2438.34
28825	Partial amputation of toe	J	6	2438.34
28899	Foot/toes surgery procedure	N	1	199.83
29065	Application of long arm cast	T	30	220.75
29075	Application of forearm cast	T	348	220.75
29085	Apply hand/wrist cast	T	18	125.15
29105	Apply long arm splint	T	50	125.15
29125	Apply forearm splint	N	153	100.02
29125	Apply forearm splint	S	50	100.02
29125	Apply forearm splint	A	1	100.02
29125	Apply forearm splint	Q	1	100.02
29126	Apply forearm splint	N	2	100.02
29130	Application of finger splint	N	31	54.55
29130	Application of finger splint	S	22	54.55
29240	Strapping of shoulder	N	2	54.55
29260	Strapping of elbow or wrist	N	3	28.38
29280	Strapping of hand or finger	N	2	28.38
29345	Application of long leg cast	T	4	220.75
29365	Application of long leg cast	T	9	220.75
29405	Apply short leg cast	T	136	220.75
29425	Apply short leg cast	T	69	220.75
29445	Apply rigid leg cast	T	95	220.75
29445	Apply rigid leg cast	N	3	220.75
29505	Application long leg splint	T	19	125.15
29515	Application lower leg splint	T	120	125.15
29515	Application lower leg splint	A	1	125.15
29530	Strapping of knee	N	15	54.55
29530	Strapping of knee	S	5	54.55
29530	Strapping of knee	Q	1	54.55
29540	Strapping of ankle and/or ft	T	51	125.15
29550	Strapping of toes	N	4	54.55
29550	Strapping of toes	S	1	54.55
29580	Application of paste boot	T	459	125.15
29581	Apply multlay comprs lwr leg	T	1631	125.15
29581	Apply multlay comprs lwr leg	N	5	125.15
29582	Apply multlay comprs upr leg	T	21	125.15
29583	Apply multlay comprs upr arm	T	46	125.15
29584	Appl multlay comprs arm/hand	T	19	125.15
29700	Removal/revision of cast	T	2	220.75
29799	Casting/strapping procedure	T	3	125.15
29806	Shoulder arthroscopy/surgery	N	3	5221.57
29806	Shoulder arthroscopy/surgery	J	3	5221.57
29807	Shoulder arthroscopy/surgery	N	3	5221.57
29820	Shoulder arthroscopy/surgery	J	1	5221.57
29822	Shoulder arthroscopy/surgery	N	14	2438.34
29822	Shoulder arthroscopy/surgery	J	5	2438.34
29823	Shoulder arthroscopy/surgery	N	33	2438.34
29823	Shoulder arthroscopy/surgery	J	4	2438.34
29824	Shoulder arthroscopy/surgery	N	50	2438.34
29824	Shoulder arthroscopy/surgery	J	8	2438.34
29825	Shoulder arthroscopy/surgery	J	3	2438.34
29825	Shoulder arthroscopy/surgery	N	1	2438.34
29827	Arthroscop rotator cuff repr	J	120	5221.57
29828	Arthroscopy biceps tenodesis	N	26	5221.57
29828	Arthroscopy biceps tenodesis	J	4	5221.57
29834	Elbow arthroscopy/surgery	J	1	2438.34
29846	Wrist arthroscopy/surgery	N	1	2438.34
29848	Wrist endoscopy/surgery	J	49	1217.42
29848	Wrist endoscopy/surgery	N	2	1217.42
29851	Knee arthroscopy/surgery	N	1	1217.42
29855	Tibial arthroscopy/surgery	J	3	5221.57
29867	Allgrft implnt knee w/scope	J	1	9561.23
29870	Knee arthroscopy dx	J	1	2438.34
29874	Knee arthroscopy/surgery	J	1	2438.34
29875	Knee arthroscopy/surgery	J	2	2438.34
29876	Knee arthroscopy/surgery	J	15	2438.34
29877	Knee arthroscopy/surgery	J	9	2438.34
29879	Knee arthroscopy/surgery	N	1	2438.34
29880	Knee arthroscopy/surgery	J	56	2438.34
29880	Knee arthroscopy/surgery	N	5	2438.34
29881	Knee arthroscopy/surgery	J	79	2438.34
29881	Knee arthroscopy/surgery	N	16	2438.34
29882	Knee arthroscopy/surgery	J	2	2438.34
29887	Knee arthroscopy/surgery	J	1	5221.57
29888	Knee arthroscopy/surgery	J	1	5221.57
29891	Ankle arthroscopy/surgery	N	1	2438.34
29891	Ankle arthroscopy/surgery	J	1	2438.34
29893	Scope plantar fasciotomy	N	1	2438.34
29893	Scope plantar fasciotomy	J	1	2438.34
29897	Ankle arthroscopy/surgery	N	2	2438.34
29999	Arthroscopy of joint	N	5	199.83
29999	Arthroscopy of joint	T	1	199.83
30100	Intranasal biopsy	T	3	1038.55
30117	Removal of intranasal lesion	J	3	2173.69
30130	Excise inferior turbinate	N	2	2173.69
30140	Resect inferior turbinate	N	16	2173.69
30200	Injection treatment of nose	T	12	442.62
30220	Insert nasal septal button	T	1	1038.55
30300	Remove nasal foreign body	N	1	100.02
30400	Reconstruction of nose	J	1	4130.94
30430	Revision of nose	N	1	4130.94
30430	Revision of nose	J	1	4130.94
30465	Repair nasal stenosis	J	6	4130.94
30465	Repair nasal stenosis	N	1	4130.94
30520	Repair of nasal septum	N	23	2173.69
30520	Repair of nasal septum	J	5	2173.69
30630	Repair nasal septum defect	N	2	2173.69
30801	Ablate inf turbinate superf	T	24	1038.55
30802	Ablate inf turbinate submuc	T	13	1038.55
30802	Ablate inf turbinate submuc	N	2	1038.55
30901	Control of nosebleed	N	88	100.02
30901	Control of nosebleed	S	6	100.02
30903	Control of nosebleed	T	16	100.02
30905	Control of nosebleed	T	4	100.02
30906	Repeat control of nosebleed	T	1	177.09
30930	Ther fx nasal inf turbinate	N	8	2173.69
30999	Nasal surgery procedure	N	1	177.09
31020	Exploration maxillary sinus	N	1	2173.69
31070	Exploration of frontal sinus	J	1	4130.94
31201	Removal of ethmoid sinus	N	1	2173.69
31231	Nasal endoscopy dx	T	791	146.2
31231	Nasal endoscopy dx	N	1	146.2
31237	Nasal/sinus endoscopy surg	J	44	1269.79
31237	Nasal/sinus endoscopy surg	N	3	1269.79
31238	Nasal/sinus endoscopy surg	J	3	1269.79
31240	Nasal/sinus endoscopy surg	N	5	1269.79
31254	Revision of ethmoid sinus	N	6	4362.95
31254	Revision of ethmoid sinus	J	1	4362.95
31255	Removal of ethmoid sinus	N	28	4362.95
31255	Removal of ethmoid sinus	J	1	4362.95
31256	Exploration maxillary sinus	N	13	2431.23
31256	Exploration maxillary sinus	J	5	2431.23
31267	Endoscopy maxillary sinus	N	19	4362.95
31267	Endoscopy maxillary sinus	J	16	4362.95
31276	Sinus endoscopy surgical	J	18	4362.95
31276	Sinus endoscopy surgical	N	2	4362.95
31287	Nasal/sinus endoscopy surg	N	10	4362.95
31287	Nasal/sinus endoscopy surg	J	8	4362.95
31288	Nasal/sinus endoscopy surg	J	5	4362.95
31288	Nasal/sinus endoscopy surg	N	4	4362.95
31295	Sinus endo w/balloon dil	J	2	4362.95
31296	Sinus endo w/balloon dil	N	1	4362.95
31296	Sinus endo w/balloon dil	J	1	4362.95
31299	Sinus surgery procedure	N	1	177.09
31500	Insert emergency airway	T	4	177.09
31502	Change of windpipe airway	T	8	177.09
31505	Diagnostic laryngoscopy	T	87	146.2
31525	Dx laryngoscopy excl nb	J	1	1269.79
31526	Dx laryngoscopy w/oper scope	J	1	1269.79
31535	Laryngoscopy w/biopsy	J	2	2431.23
31536	Laryngoscopy w/bx & op scope	J	4	2431.23
31541	Larynscop w/tumr exc + scope	J	1	2431.23
31575	Diagnostic laryngoscopy	T	915	146.2
31575	Diagnostic laryngoscopy	N	2	146.2
31579	Laryngoscopy telescopic	T	78	361.92
31615	Visualization of windpipe	T	22	442.62
31622	Dx bronchoscope/wash	J	2	1269.79
31623	Dx bronchoscope/brush	N	1	1269.79
31624	Dx bronchoscope/lavage	N	109	1269.79
31624	Dx bronchoscope/lavage	J	16	1269.79
31625	Bronchoscopy w/biopsy(s)	N	4	1269.79
31625	Bronchoscopy w/biopsy(s)	J	4	1269.79
31628	Bronchoscopy/lung bx each	J	104	2431.23
31628	Bronchoscopy/lung bx each	N	3	2431.23
31629	Bronchoscopy/needle bx each	J	9	2431.23
31630	Bronchoscopy dilate/fx repr	J	7	2431.23
31645	Bronchoscopy clear airways	N	14	1269.79
31645	Bronchoscopy clear airways	J	6	1269.79
31652	Bronch ebus samplng 1/2 node	J	1	2431.23
31660	Bronch thermoplsty 1 lobe	J	1	4362.95
31661	Bronch thermoplsty 2/> lobes	J	1	4362.95
31899	Airways surgical procedure	N	2	146.2
32405	Percut bx lung/mediastinum	J	12	1236.62
32405	Percut bx lung/mediastinum	N	1	1236.62
32550	Insert pleural cath	J	1	2862.74
32552	Remove lung catheter	T	2	684.13
32555	Aspirate pleura w/ imaging	T	31	684.13
32557	Insert cath pleura w/ image	N	1	684.13
33282	Implant pat-active ht record	J	1	6976.57
33284	Remove pat-active ht record	T	1	539.11
36002	Pseudoaneurysm injection trt	T	1	684.13
36224	Place cath carotd art	T	6	3924.28
36226	Place cath vertebral art	N	5	3924.28
36430	Blood transfusion service	S	2279	354.54
36430	Blood transfusion service	N	15	354.54
36430	Blood transfusion service	A	9	354.54
36470	Injection therapy of vein	T	1	292.62
36471	Injection therapy of veins	T	44	292.62
36475	Endovenous rf 1st vein	T	77	2360.6
36478	Endovenous laser 1st vein	T	20	2360.6
36514	Apheresis plasma	S	16	1098.68
36516	Apheresis selective	S	1	3187.83
36522	Photopheresis	S	2	3187.83
36556	Insert non-tunnel cv cath	T	6	684.13
36558	Insert tunneled cv cath	T	4	2360.6
36561	Insert tunneled cv cath	T	159	2360.6
36561	Insert tunneled cv cath	N	2	2360.6
36569	Insert picc cath	T	60	684.13
36569	Insert picc cath	N	2	684.13
36571	Insert picvad cath	T	3	2360.6
36576	Repair tunneled cv cath	T	3	684.13
36580	Replace cvad cath	T	3	684.13
36582	Replace tunneled cv cath	N	1	2360.6
36582	Replace tunneled cv cath	T	1	2360.6
36589	Removal tunneled cv cath	T	48	684.13
36589	Removal tunneled cv cath	N	7	684.13
36590	Removal tunneled cv cath	T	58	684.13
36590	Removal tunneled cv cath	N	3	684.13
36591	Draw blood off venous device	N	5941	100.02
36591	Draw blood off venous device	S	2235	100.02
36591	Draw blood off venous device	A	29	100.02
36591	Draw blood off venous device	Q	1	100.02
36592	Collect blood from picc	N	1582	100.02
36592	Collect blood from picc	S	186	100.02
36593	Declot vascular device	T	531	279.45
36598	Inj w/fluor eval cv device	T	4	179.77
36600	Withdrawal of arterial blood	N	62	54.55
36819	Av fuse uppr arm basilic	T	1	3924.28
36821	Av fusion direct any site	T	1	2360.6
36830	Artery-vein nonautograft	T	1	3924.28
36832	Av fistula revision open	T	1	3924.28
36838	Dist revas ligation hemo	T	1	3924.28
36902	Intro cath dialysis circuit	J	3	4825.2
36906	Thrmbc/nfs dialysis circuit	J	1	14782.14
37191	Ins endovas vena cava filtr	T	4	3924.28
37193	Rem endovas vena cava filter	T	4	2360.6
37200	Transcatheter biopsy	T	1	3924.28
37225	Fem/popl revas w/ather	J	1	9752.43
37248	Trluml balo angiop 1st vein	J	1	4825.2
37607	Ligation of a-v fistula	T	1	2360.6
37609	Temporal artery procedure	J	13	1236.62
37765	Stab phleb veins xtr 10-20	T	4	2360.6
37766	Phleb veins - extrem 20+	T	4	2360.6
37799	Vascular surgery procedure	T	1	684.13
38220	Bone marrow aspiration	J	25	1236.62
38221	Bone marrow biopsy	J	332	1236.62
38221	Bone marrow biopsy	N	2	1236.62
38500	Biopsy/removal lymph nodes	J	12	2499.48
38505	Needle biopsy lymph nodes	J	19	1236.62
38505	Needle biopsy lymph nodes	N	7	1236.62
38525	Biopsy/removal lymph nodes	J	14	2499.48
38525	Biopsy/removal lymph nodes	N	1	2499.48
38792	Ra tracer id of sentinl node	N	15	333.08
38792	Ra tracer id of sentinl node	S	8	333.08
40490	Biopsy of lip	T	2	177.09
40500	Partial excision of lip	J	1	2173.69
40510	Partial excision of lip	J	3	2173.69
40520	Partial excision of lip	J	2	2173.69
40525	Reconstruct lip with flap	J	1	2173.69
40808	Biopsy of mouth lesion	T	9	442.62
40810	Excision of mouth lesion	J	2	2173.69
40812	Excise/repair mouth lesion	J	1	2173.69
40819	Excise lip or cheek fold	T	1	1038.55
41100	Biopsy of tongue	T	14	442.62
41108	Biopsy of floor of mouth	J	1	1236.62
41112	Excision of tongue lesion	J	2	2173.69
41250	Repair tongue laceration	N	1	263.61
41800	Drainage of gum lesion	N	2	100.02
41899	Dental surgery procedure	T	25	177.09
42100	Biopsy roof of mouth	T	1	1038.55
42330	Removal of salivary stone	J	2	2173.69
42400	Biopsy of salivary gland	T	1	539.11
42408	Excision of salivary cyst	J	1	2173.69
42410	Excise parotid gland/lesion	J	1	4130.94
42420	Excise parotid gland/lesion	J	1	4130.94
42440	Excise submaxillary gland	J	3	4130.94
42650	Dilation of salivary duct	T	2	1038.55
42800	Biopsy of throat	J	1	2173.69
42804	Biopsy of upper nose/throat	J	1	2173.69
42826	Removal of tonsils	J	1	2173.69
42970	Control nose/throat bleeding	T	10	177.09
43191	Esophagoscopy rigid trnso dx	J	1	1334.83
43200	Esophagoscopy flexible brush	T	4	699.79
43229	Esophagoscopy lesion ablate	J	1	2510.7
43233	Egd balloon dil esoph30 mm/>	J	4	1334.83
43235	Egd diagnostic brush wash	T	269	699.79
43236	Uppr gi scope w/submuc inj	T	5	699.79
43236	Uppr gi scope w/submuc inj	N	4	699.79
43237	Endoscopic us exam esoph	J	4	1334.83
43237	Endoscopic us exam esoph	N	1	1334.83
43238	Egd us fine needle bx/aspir	J	5	1334.83
43239	Egd biopsy single/multiple	T	1464	699.79
43239	Egd biopsy single/multiple	N	260	699.79
43241	Egd tube/cath insertion	J	1	1334.83
43242	Egd us fine needle bx/aspir	J	3	1334.83
43244	Egd varices ligation	J	13	1334.83
43245	Egd dilate stricture	J	12	1334.83
43246	Egd place gastrostomy tube	J	3	1334.83
43247	Egd remove foreign body	T	6	699.79
43247	Egd remove foreign body	N	1	699.79
43248	Egd guide wire insertion	T	129	699.79
43248	Egd guide wire insertion	N	28	699.79
43249	Esoph egd dilation <30 mm	J	146	1334.83
43249	Esoph egd dilation <30 mm	N	11	1334.83
43251	Egd remove lesion snare	J	45	1334.83
43251	Egd remove lesion snare	N	5	1334.83
43252	Egd optical endomicroscopy	J	109	2510.7
43254	Egd endo mucosal resection	J	1	1334.83
43255	Egd control bleeding any	J	5	1334.83
43259	Egd us exam duodenum/jejunum	J	1	1334.83
43260	Ercp w/specimen collection	J	1	2510.7
43262	Endo cholangiopancreatograph	N	1	2510.7
43264	Ercp remove duct calculi	N	1	2510.7
43264	Ercp remove duct calculi	J	1	2510.7
43270	Egd lesion ablation	J	15	1334.83
43274	Ercp duct stent placement	J	3	3940.61
43275	Ercp remove forgn body duct	N	1	2510.7
43276	Ercp stent exchange w/dilate	J	1	3940.61
43450	Dilate esophagus 1/mult pass	T	51	699.79
43450	Dilate esophagus 1/mult pass	N	1	699.79
43453	Dilate esophagus	N	1	1334.83
43453	Dilate esophagus	J	1	1334.83
43499	Esophagus surgery procedure	T	1	699.79
43752	Nasal/orogastric w/tube plmt	N	2	263.61
43753	Tx gastro intub w/asp	N	1	232.31
43760	Change gastrostomy tube	T	15	216.04
43999	Stomach surgery procedure	T	3	699.79
44360	Small bowel endoscopy	J	1	1334.83
44361	Small bowel endoscopy/biopsy	J	1	1334.83
44377	Small bowel endoscopy/biopsy	J	7	1334.83
44381	Small bowel endoscopy br/wa	N	1	1334.83
44382	Small bowel endoscopy	T	2	699.79
44385	Endoscopy of bowel pouch	T	5	667.67
44386	Endoscopy bowel pouch/biop	T	3	667.67
44388	Colonoscopy thru stoma spx	T	9	667.67
44389	Colonoscopy with biopsy	T	3	877.6
44394	Colonoscopy w/snare	T	1	877.6
44404	Colonoscopy w/injection	T	1	877.6
45005	Drainage of rectal abscess	T	1	877.6
45100	Biopsy of rectum	J	3	2167.51
45172	Exc rect tum transanal full	J	2	2167.51
45300	Proctosigmoidoscopy dx	T	25	667.67
45305	Proctosigmoidoscopy w/bx	T	1	877.6
45330	Diagnostic sigmoidoscopy	T	51	667.67
45331	Sigmoidoscopy and biopsy	T	33	667.67
45331	Sigmoidoscopy and biopsy	N	1	667.67
45333	Sigmoidoscopy & polypectomy	T	1	667.67
45334	Sigmoidoscopy for bleeding	T	3	877.6
45335	Sigmoidoscopy w/submuc inj	T	3	667.67
45338	Sigmoidoscopy w/tumr remove	T	5	877.6
45340	Sig w/tndsc balloon dilation	T	1	877.6
45346	Sigmoidoscopy w/ablation	T	1	877.6
45350	Sgmdsc w/band ligation	T	1	877.6
45378	Diagnostic colonoscopy	T	411	667.67
45378	Diagnostic colonoscopy	N	14	667.67
45379	Colonoscopy w/fb removal	T	1	877.6
45380	Colonoscopy and biopsy	T	1864	877.6
45380	Colonoscopy and biopsy	N	47	877.6
45381	Colonoscopy submucous njx	T	120	877.6
45381	Colonoscopy submucous njx	N	5	877.6
45382	Colonoscopy w/control bleed	T	7	877.6
45384	Colonoscopy w/lesion removal	T	98	877.6
45384	Colonoscopy w/lesion removal	N	1	877.6
45385	Colonoscopy w/lesion removal	T	1256	877.6
45385	Colonoscopy w/lesion removal	N	28	877.6
45386	Colonoscopy w/balloon dilat	T	2	877.6
45388	Colonoscopy w/ablation	T	13	877.6
45390	Colonoscopy w/resection	T	1	877.6
45398	Colonoscopy w/band ligation	T	3	877.6
45990	Surg dx exam anorectal	J	4	2167.51
46020	Placement of seton	J	2	2167.51
46040	Incision of rectal abscess	T	2	877.6
46050	Incision of anal abscess	T	4	667.67
46080	Incision of anal sphincter	J	1	2167.51
46083	Incise external hemorrhoid	T	10	216.04
46200	Removal of anal fissure	J	2	2167.51
46221	Ligation of hemorrhoid(s)	T	13	667.67
46255	Remove int/ext hem 1 group	J	1	2167.51
46260	Remove in/ex hem groups 2+	J	7	2167.51
46270	Remove anal fist subq	J	3	2167.51
46270	Remove anal fist subq	N	1	2167.51
46275	Remove anal fist inter	J	1	2167.51
46320	Removal of hemorrhoid clot	T	3	877.6
46505	Chemodenervation anal musc	T	1	877.6
46600	Diagnostic anoscopy spx	N	114	100.02
46600	Diagnostic anoscopy spx	S	2	100.02
46601	Diagnostic anoscopy	N	2	54.55
46601	Diagnostic anoscopy	S	1	54.55
46606	Anoscopy and biopsy	T	1	877.6
46607	Diagnostic anoscopy & biopsy	T	1	877.6
46610	Anoscopy remove lesion	J	1	2167.51
46900	Destruction anal lesion(s)	T	2	292.62
46910	Destruction anal lesion(s)	T	2	1427.77
46922	Excision of anal lesion(s)	J	3	2167.51
46924	Destruction anal lesion(s)	J	3	2167.51
46930	Destroy internal hemorrhoids	T	1	667.67
46940	Treatment of anal fissure	J	1	2167.51
46946	Remove by ligat int hem grps	J	1	2167.51
46999	Anus surgery procedure	T	2	667.67
47000	Needle biopsy of liver	J	11	1236.62
47537	Removal biliary drg cath	T	2	699.79
47537	Removal biliary drg cath	N	1	699.79
47562	Laparoscopic cholecystectomy	J	7	4199.13
47563	Laparo cholecystectomy/graph	J	4	4199.13
49082	Abd paracentesis	T	2	699.79
49083	Abd paracentesis w/imaging	T	49	699.79
49180	Biopsy abdominal mass	J	2	1236.62
49185	Sclerotx fluid collection	N	1	539.11
49185	Sclerotx fluid collection	T	1	539.11
49320	Diag laparo separate proc	J	1	4199.13
49321	Laparoscopy biopsy	J	1	4199.13
49418	Insert tun ip cath perc	J	2	2862.74
49422	Remove tunneled ip cath	T	1	2360.6
49423	Exchange drainage catheter	J	2	1334.83
49440	Place gastrostomy tube perc	J	1	1334.83
49450	Replace g/c tube perc	T	1	699.79
49465	Fluoro exam of g/colon tube	S	1	225.91
49505	Prp i/hern init reduc >5 yr	J	28	2862.74
49507	Prp i/hern init block >5 yr	J	1	2862.74
49520	Rerepair ing hernia reduce	J	2	2862.74
49553	Rpr fem hernia init blocked	J	2	2862.74
49560	Rpr ventral hern init reduc	J	1	2862.74
49565	Rerepair ventrl hern reduce	J	1	4199.13
49570	Rpr epigastric hern reduce	J	1	2862.74
49585	Rpr umbil hern reduc > 5 yr	J	4	2862.74
49585	Rpr umbil hern reduc > 5 yr	N	3	2862.74
49650	Lap ing hernia repair init	J	6	4199.13
49650	Lap ing hernia repair init	N	1	4199.13
49651	Lap ing hernia repair recur	J	2	4199.13
49651	Lap ing hernia repair recur	N	1	4199.13
49654	Lap inc hernia repair	J	1	6969.84
49659	Laparo proc hernia repair	J	1	4199.13
50385	Change stent via transureth	J	1	1644.66
50389	Remove renal tube w/fluoro	T	2	549.44
50389	Remove renal tube w/fluoro	N	1	549.44
50431	Njx px nfrosgrm &/urtrgrm	N	1	549.44
50435	Exchange nephrostomy cath	T	8	549.44
50590	Fragmenting of kidney stone	J	105	3484.01
50688	Change of ureter tube/stent	J	9	1644.66
51102	Drain bl w/cath insertion	J	2	1644.66
51700	Irrigation of bladder	T	211	216.04
51700	Irrigation of bladder	N	1	216.04
51701	Insert bladder catheter	N	169	100.02
51701	Insert bladder catheter	S	39	100.02
51701	Insert bladder catheter	Q	9	100.02
51702	Insert temp bladder cath	N	170	100.02
51702	Insert temp bladder cath	S	106	100.02
51702	Insert temp bladder cath	Q	8	100.02
51703	Insert bladder cath complex	S	86	127.1
51705	Change of bladder tube	T	218	216.04
51710	Change of bladder tube	T	10	549.44
51715	Endoscopic injection/implant	J	3	2542.56
51720	Treatment of bladder lesion	T	316	216.04
51720	Treatment of bladder lesion	N	9	216.04
51725	Simple cystometrogram	T	7	216.04
51726	Complex cystometrogram	T	2	549.44
51728	Cystometrogram w/vp	T	70	549.44
51729	Cystometrogram w/vp&up	T	21	549.44
51736	Urine flow measurement	N	11	100.02
51736	Urine flow measurement	A	1	100.02
51741	Electro-uroflowmetry first	N	160	127.1
51741	Electro-uroflowmetry first	S	3	127.1
51741	Electro-uroflowmetry first	A	1	127.1
51784	Anal/urinary muscle study	S	90	127.1
51798	Us urine capacity measure	N	1331	54.55
51798	Us urine capacity measure	S	70	54.55
51798	Us urine capacity measure	Q	5	54.55
51798	Us urine capacity measure	A	2	54.55
52000	Cystoscopy	T	1371	549.44
52000	Cystoscopy	A	3	549.44
52000	Cystoscopy	N	3	549.44
52001	Cystoscopy removal of clots	J	3	2542.56
52005	Cystoscopy & ureter catheter	J	46	1644.66
52005	Cystoscopy & ureter catheter	N	14	1644.66
52005	Cystoscopy & ureter catheter	A	1	1644.66
52204	Cystoscopy w/biopsy(s)	J	61	1644.66
52204	Cystoscopy w/biopsy(s)	N	11	1644.66
52214	Cystoscopy and treatment	J	4	1644.66
52214	Cystoscopy and treatment	N	2	1644.66
52224	Cystoscopy and treatment	J	3	1644.66
52234	Cystoscopy and treatment	J	27	2542.56
52235	Cystoscopy and treatment	J	33	2542.56
52235	Cystoscopy and treatment	N	1	2542.56
52240	Cystoscopy and treatment	J	11	3484.01
52260	Cystoscopy and treatment	J	4	1644.66
52265	Cystoscopy and treatment	J	1	1644.66
52276	Cystoscopy and treatment	J	6	1644.66
52276	Cystoscopy and treatment	N	1	1644.66
52281	Cystoscopy and treatment	J	68	1644.66
52287	Cystoscopy chemodenervation	J	36	1644.66
52301	Cystoscopy and treatment	N	1	2542.56
52310	Cystoscopy and treatment	J	176	1644.66
52310	Cystoscopy and treatment	N	4	1644.66
52317	Remove bladder stone	J	9	2542.56
52317	Remove bladder stone	N	3	2542.56
52318	Remove bladder stone	J	7	3484.01
52318	Remove bladder stone	N	4	3484.01
52320	Cystoscopy and treatment	J	3	3484.01
52330	Cystoscopy and treatment	J	1	2542.56
52332	Cystoscopy and treatment	J	56	2542.56
52332	Cystoscopy and treatment	N	38	2542.56
52341	Cysto w/ureter stricture tx	N	1	1644.66
52344	Cysto/uretero stricture tx	J	6	2542.56
52351	Cystouretero & or pyeloscope	N	10	1644.66
52351	Cystouretero & or pyeloscope	J	6	1644.66
52352	Cystouretero w/stone remove	N	14	3484.01
52352	Cystouretero w/stone remove	J	12	3484.01
52353	Cystouretero w/lithotripsy	J	9	3484.01
52353	Cystouretero w/lithotripsy	N	2	3484.01
52354	Cystouretero w/biopsy	J	8	3484.01
52354	Cystouretero w/biopsy	N	3	3484.01
52356	Cysto/uretero w/lithotripsy	J	120	3484.01
52450	Incision of prostate	J	2	2542.56
52500	Revision of bladder neck	J	1	2542.56
52601	Prostatectomy (turp)	J	24	3484.01
52601	Prostatectomy (turp)	N	1	3484.01
52630	Remove prostate regrowth	J	4	3484.01
52640	Relieve bladder contracture	J	1	2542.56
52648	Laser surgery of prostate	J	90	3484.01
52649	Prostate laser enucleation	J	3	3484.01
53220	Treatment of urethra lesion	J	1	3484.01
53445	Insert uro/ves nck sphincter	J	1	14363.61
53500	Urethrlys transvag w/ scope	J	1	2542.56
53600	Dilate urethra stricture	T	11	216.04
53601	Dilate urethra stricture	N	5	100.02
53601	Dilate urethra stricture	S	3	100.02
53605	Dilate urethra stricture	J	1	1644.66
53621	Dilate urethra stricture	T	1	216.04
53660	Dilation of urethra	S	2	127.1
53661	Dilation of urethra	N	25	100.02
53661	Dilation of urethra	S	11	100.02
53899	Urology surgery procedure	N	1	216.04
53899	Urology surgery procedure	T	1	216.04
54001	Slitting of prepuce	J	5	1644.66
54056	Cryosurgery penis lesion(s)	N	3	153.12
54100	Biopsy of penis	J	1	1236.62
54120	Partial removal of penis	J	1	3484.01
54150	Circumcision w/regionl block	J	1	1644.66
54161	Circum 28 days or older	J	5	1644.66
54200	Treatment of penis lesion	T	11	216.04
54235	Penile injection	T	21	216.04
54235	Penile injection	N	1	216.04
54401	Insert self-contd prosthesis	J	2	14363.61
54410	Remove/replace penis prosth	J	1	14363.61
54505	Biopsy of testis	J	1	2542.56
54512	Excise lesion testis	N	1	1644.66
54520	Removal of testis	N	1	2542.56
54530	Removal of testis	J	2	2862.74
54700	Drainage of scrotum	J	2	1644.66
54840	Remove epididymis lesion	J	3	1644.66
54840	Remove epididymis lesion	N	2	1644.66
54860	Removal of epididymis	J	2	1644.66
55000	Drainage of hydrocele	T	15	539.11
55040	Removal of hydrocele	J	12	2862.74
55041	Removal of hydroceles	J	1	2862.74
55100	Drainage of scrotum abscess	J	1	1236.62
55700	Biopsy of prostate	J	241	1644.66
55700	Biopsy of prostate	N	2	1644.66
55706	Prostate saturation sampling	J	2	2542.56
55860	Surgical exposure prostate	J	1	3484.01
55873	Cryoablate prostate	J	1	7452.66
55875	Transperi needle place pros	T	4	2542.56
55875	Transperi needle place pros	J	1	2542.56
55876	Place rt device/marker pros	S	36	1066.24
55876	Place rt device/marker pros	N	1	1066.24
56405	I & d of vulva/perineum	T	6	275.76
56420	Drainage of gland abscess	T	3	152.21
56441	Lysis of labial lesion(s)	J	1	2085.47
56501	Destroy vulva lesions sim	T	5	1427.77
56605	Biopsy of vulva/perineum	T	58	275.76
56605	Biopsy of vulva/perineum	N	2	275.76
56620	Partial removal of vulva	N	1	2085.47
56625	Complete removal of vulva	J	1	2085.47
56820	Exam of vulva w/scope	T	6	152.21
56821	Exam/biopsy of vulva w/scope	T	7	275.76
57065	Destroy vag lesions complex	J	1	2085.47
57100	Biopsy of vagina	T	10	665.87
57100	Biopsy of vagina	N	1	665.87
57106	Remove vagina wall partial	N	2	2085.47
57106	Remove vagina wall partial	J	1	2085.47
57120	Closure of vagina	J	3	3810.85
57150	Treat vagina infection	N	12	100.02
57156	Ins vag brachytx device	T	51	275.76
57160	Insert pessary/other device	T	122	152.21
57200	Repair of vagina	J	1	2085.47
57240	Repair bladder & vagina	J	4	3810.85
57240	Repair bladder & vagina	N	1	3810.85
57250	Repair rectum & vagina	N	2	3810.85
57250	Repair rectum & vagina	J	1	3810.85
57260	Repair of vagina	N	1	3810.85
57265	Extensive repair of vagina	J	2	3810.85
57268	Repair of bowel bulge	J	1	2085.47
57287	Revise/remove sling repair	J	2	2085.47
57287	Revise/remove sling repair	N	1	2085.47
57288	Repair bladder defect	J	15	3810.85
57295	Revise vag graft via vagina	N	1	2085.47
57295	Revise vag graft via vagina	J	1	2085.47
57410	Pelvic examination	J	4	2085.47
57415	Remove vaginal foreign body	J	1	2085.47
57420	Exam of vagina w/scope	T	8	275.76
57420	Exam of vagina w/scope	N	2	275.76
57421	Exam/biopsy of vag w/scope	T	9	665.87
57452	Exam of cervix w/scope	T	8	152.21
57454	Bx/curett of cervix w/scope	T	34	275.76
57455	Biopsy of cervix w/scope	T	8	275.76
57456	Endocerv curettage w/scope	T	3	275.76
57460	Bx of cervix w/scope leep	J	3	2085.47
57500	Biopsy of cervix	T	12	665.87
57505	Endocervical curettage	T	5	665.87
57505	Endocervical curettage	N	1	665.87
57511	Cryocautery of cervix	T	3	275.76
57522	Conization of cervix	J	5	2085.47
57800	Dilation of cervical canal	J	1	2085.47
58100	Biopsy of uterus lining	T	164	152.21
58120	Dilation and curettage	J	1	2085.47
58301	Remove intrauterine device	T	5	275.76
58558	Hysteroscopy biopsy	J	17	2085.47
58563	Hysteroscopy ablation	J	1	3810.85
58661	Laparoscopy remove adnexa	J	1	4199.13
59000	Amniocentesis diagnostic	T	1	665.87
59025	Fetal non-stress test	T	12	152.21
59820	Care of miscarriage	J	1	2085.47
60100	Biopsy of thyroid	T	1	539.11
60220	Partial removal of thyroid	J	1	4199.13
60240	Removal of thyroid	J	5	4199.13
60300	Aspir/inj thyroid cyst	T	5	539.11
60500	Explore parathyroid glands	J	1	4130.94
61070	Brain canal shunt procedure	T	37	507.19
62252	Csf shunt reprogram	S	62	109.22
62268	Drain spinal cord cyst	T	1	638.93
62270	Spinal fluid tap diagnostic	T	78	507.19
62273	Inject epidural patch	T	3	507.19
62302	Myelography lumbar injection	S	7	449.68
62303	Myelography lumbar injection	S	1	449.68
62304	Myelography lumbar injection	S	18	449.68
62305	Myelography lumbar injection	S	24	449.68
62320	Njx interlaminar crv/thrc	T	9	507.19
62321	Njx interlaminar crv/thrc	T	394	507.19
62322	Njx interlaminar lmbr/sac	T	21	507.19
62323	Njx interlaminar lmbr/sac	T	1389	507.19
62323	Njx interlaminar lmbr/sac	N	1	507.19
62325	Njx interlaminar crv/thrc	T	2	638.93
62326	Njx interlaminar lmbr/sac	T	1	638.93
62327	Njx interlaminar lmbr/sac	T	4	638.93
62367	Analyze spine infus pump	S	254	252.63
62368	Analyze sp inf pump w/reprog	S	508	252.63
62368	Analyze sp inf pump w/reprog	N	1	252.63
62369	Anal sp inf pmp w/reprg&fill	S	349	252.63
62369	Anal sp inf pmp w/reprg&fill	N	1	252.63
62370	Anl sp inf pmp w/mdreprg&fil	S	226	252.63
63650	Implant neuroelectrodes	J	81	5745.11
63650	Implant neuroelectrodes	N	64	5745.11
63661	Remove spine eltrd perq aray	J	2	1563.42
63685	Insrt/redo spine n generator	J	1	27047.11
64400	N block inj trigeminal	T	28	231
64402	N block inj facial	N	2	263.61
64402	N block inj facial	S	1	263.61
64405	N block inj occipital	T	202	231
64415	N block inj brachial plexus	N	33	638.93
64416	N block cont infuse b plex	N	2	638.93
64417	N block inj axillary	N	3	638.93
64417	N block inj axillary	T	2	638.93
64418	N block inj suprascapular	T	40	507.19
64420	N block inj intercost sng	T	6	507.19
64420	N block inj intercost sng	N	1	507.19
64421	N block inj intercost mlt	T	17	638.93
64425	N block inj ilio-ing/hypogi	T	17	507.19
64430	N block inj pudendal	T	22	638.93
64435	N block inj paracervical	T	32	507.19
64445	N block inj sciatic sng	T	6	507.19
64445	N block inj sciatic sng	N	4	507.19
64447	N block inj fem single	N	6	507.19
64447	N block inj fem single	T	3	507.19
64450	N block other peripheral	T	500	507.19
64450	N block other peripheral	N	25	507.19
64455	N block inj plantar digit	T	62	231
64461	Pvb thoracic single inj site	T	4	507.19
64479	Inj foramen epidural c/t	T	23	638.93
64483	Inj foramen epidural l/s	T	1165	638.93
64490	Inj paravert f jnt c/t 1 lev	T	273	638.93
64490	Inj paravert f jnt c/t 1 lev	N	1	638.93
64493	Inj paravert f jnt l/s 1 lev	T	889	638.93
64505	N block spenopalatine gangl	T	10	231
64510	N block stellate ganglion	T	34	638.93
64517	N block inj hypogas plxs	T	2	638.93
64520	N block lumbar/thoracic	T	39	638.93
64530	N block inj celiac pelus	T	19	638.93
64561	Implant neuroelectrodes	N	1	5745.11
64566	Neuroeltrd stim post tibial	T	220	231
64581	Implant neuroelectrodes	N	2	5745.11
64585	Revise/remove neuroelectrode	T	6	2690.46
64585	Revise/remove neuroelectrode	N	2	2690.46
64590	Insrt/redo pn/gastr stimul	J	8	17803.38
64595	Revise/rmv pn/gastr stimul	N	6	2690.46
64595	Revise/rmv pn/gastr stimul	T	1	2690.46
64600	Injection treatment of nerve	T	1	638.93
64611	Chemodenerv saliv glands	T	138	231
64612	Destroy nerve face muscle	T	384	231
64615	Chemodenerv musc migraine	T	396	231
64616	Chemodenerv musc neck dyston	T	335	231
64617	Chemodener muscle larynx emg	T	1	507.19
64620	Injection treatment of nerve	T	2	638.93
64632	N block inj common digit	T	17	231
64633	Destroy cerv/thor facet jnt	J	115	1563.42
64633	Destroy cerv/thor facet jnt	N	4	1563.42
64635	Destroy lumb/sac facet jnt	J	475	1563.42
64640	Injection treatment of nerve	T	697	638.93
64640	Injection treatment of nerve	N	24	638.93
64642	Chemodenerv 1 extremity 1-4	T	252	507.19
64644	Chemodenerv 1 extrem 5/> mus	T	151	507.19
64646	Chemodenerv trunk musc 1-5	T	21	507.19
64647	Chemodenerv trunk musc 6/>	T	3	507.19
64653	Chemodenerv eccrine glands	T	1	231
64680	Injection treatment of nerve	T	10	638.93
64681	Injection treatment of nerve	T	2	638.93
64708	Revise arm/leg nerve	J	2	1563.42
64718	Revise ulnar nerve at elbow	J	9	1563.42
64718	Revise ulnar nerve at elbow	N	3	1563.42
64721	Carpal tunnel surgery	J	155	1563.42
64721	Carpal tunnel surgery	N	8	1563.42
64774	Remove skin nerve lesion	J	1	1563.42
64788	Remove skin nerve lesion	N	1	1563.42
64831	Repair of digit nerve	J	1	4151.86
64999	Nervous system surgery	T	17	231
64999	Nervous system surgery	N	1	231
65205	Remove foreign body from eye	N	16	100.02
65205	Remove foreign body from eye	S	6	100.02
65210	Remove foreign body from eye	N	4	263.61
65210	Remove foreign body from eye	S	1	263.61
65220	Remove foreign body from eye	S	3	263.61
65220	Remove foreign body from eye	N	1	263.61
65222	Remove foreign body from eye	N	12	100.02
65222	Remove foreign body from eye	S	1	100.02
65235	Remove foreign body from eye	J	1	1824.35
65280	Repair of eye wound	J	1	3418.76
65286	Repair of eye wound	J	9	1824.35
65400	Removal of eye lesion	T	4	774.57
65400	Removal of eye lesion	N	2	774.57
65420	Removal of eye lesion	N	1	1701.48
65420	Removal of eye lesion	J	1	1701.48
65426	Removal of eye lesion	J	7	1701.48
65426	Removal of eye lesion	N	1	1701.48
65435	Curette/treat cornea	T	5	774.57
65436	Curette/treat cornea	J	10	1701.48
65450	Treatment of corneal lesion	N	1	268.49
65730	Corneal transplant	J	9	3418.76
65755	Corneal transplant	J	3	3418.76
65756	Corneal trnspl endothelial	J	56	3418.76
65772	Correction of astigmatism	N	1	774.57
65772	Correction of astigmatism	T	1	774.57
65778	Cover eye w/membrane	T	9	774.57
65800	Drainage of eye	J	4	1824.35
65800	Drainage of eye	N	1	1824.35
65815	Drainage of eye	J	1	1824.35
65855	Trabeculoplasty laser surg	T	169	469.87
65860	Incise inner eye adhesions	T	1	469.87
65865	Incise inner eye adhesions	N	1	1824.35
65870	Incise inner eye adhesions	N	1	1824.35
65875	Incise inner eye adhesions	N	1	1824.35
66020	Injection treatment of eye	J	5	1824.35
66020	Injection treatment of eye	N	1	1824.35
66170	Glaucoma surgery	J	4	1824.35
66172	Incision of eye	J	2	1824.35
66174	Translum dil eye canal	J	2	3418.76
66180	Aqueous shunt eye w/graft	J	2	3418.76
66183	Insert ant drainage device	J	1	3418.76
66185	Revise aqueous shunt eye	J	2	1824.35
66250	Follow-up surgery of eye	J	5	1701.48
66250	Follow-up surgery of eye	N	1	1701.48
66500	Incision of iris	N	1	1824.35
66500	Incision of iris	J	1	1824.35
66505	Incision of iris	N	1	1824.35
66630	Removal of iris	J	1	1824.35
66682	Repair iris & ciliary body	J	2	1824.35
66710	Ciliary transsleral therapy	J	3	1701.48
66711	Ciliary endoscopic ablation	N	1	1824.35
66761	Revision of iris	T	126	469.87
66762	Revision of iris	T	2	469.87
66762	Revision of iris	N	1	469.87
66820	Incision secondary cataract	N	1	1824.35
66821	After cataract laser surgery	T	549	469.87
66821	After cataract laser surgery	N	2	469.87
66825	Reposition intraocular lens	J	3	1824.35
66825	Reposition intraocular lens	N	1	1824.35
66840	Removal of lens material	J	2	1824.35
66850	Removal of lens material	J	7	1824.35
66850	Removal of lens material	N	1	1824.35
66852	Removal of lens material	N	1	3418.76
66940	Extraction of lens	J	2	1824.35
66982	Cataract surgery complex	J	353	1824.35
66982	Cataract surgery complex	N	7	1824.35
66983	Cataract surg w/iol 1 stage	J	6	1824.35
66984	Cataract surg w/iol 1 stage	J	2093	1824.35
66984	Cataract surg w/iol 1 stage	N	47	1824.35
66985	Insert lens prosthesis	N	3	1824.35
66986	Exchange lens prosthesis	J	5	1824.35
66986	Exchange lens prosthesis	N	3	1824.35
67005	Partial removal of eye fluid	J	4	1824.35
67005	Partial removal of eye fluid	N	1	1824.35
67010	Partial removal of eye fluid	N	2	1824.35
67010	Partial removal of eye fluid	J	1	1824.35
67015	Release of eye fluid	J	1	1824.35
67028	Injection eye drug	S	2804	279.45
67028	Injection eye drug	N	1	279.45
67036	Removal of inner eye fluid	J	15	3418.76
67039	Laser treatment of retina	J	5	3418.76
67040	Laser treatment of retina	J	15	3418.76
67041	Vit for macular pucker	J	13	3418.76
67041	Vit for macular pucker	N	3	3418.76
67042	Vit for macular hole	J	15	3418.76
67042	Vit for macular hole	N	1	3418.76
67105	Repair detached retina pc	N	3	469.87
67105	Repair detached retina pc	T	2	469.87
67107	Repair detached retina	J	1	3418.76
67108	Repair detached retina	J	10	3418.76
67110	Repair detached retina	J	7	1824.35
67113	Repair retinal detach cplx	J	2	3418.76
67121	Remove eye implant material	J	2	1824.35
67121	Remove eye implant material	N	1	1824.35
67141	Treatment of retina	T	2	268.49
67145	Treatment of retina	T	35	469.87
67210	Treatment of retinal lesion	T	24	469.87
67220	Treatment of choroid lesion	T	1	469.87
67228	Treatment x10sv retinopathy	T	59	469.87
67311	Revise eye muscle	J	2	1701.48
67314	Revise eye muscle	J	1	1701.48
67345	Destroy nerve of eye muscle	T	6	268.49
67500	Inject/treat eye socket	T	1	268.49
67515	Inject/treat eye socket	T	20	268.49
67700	Drainage of eyelid abscess	T	4	268.49
67700	Drainage of eyelid abscess	N	1	268.49
67715	Incision of eyelid fold	J	1	1701.48
67800	Remove eyelid lesion	T	16	268.49
67810	Biopsy eyelid & lid margin	T	8	268.49
67810	Biopsy eyelid & lid margin	N	2	268.49
67820	Revise eyelashes	N	63	100.02
67820	Revise eyelashes	S	15	100.02
67820	Revise eyelashes	Q	4	100.02
67825	Revise eyelashes	T	5	268.49
67840	Remove eyelid lesion	T	52	774.57
67840	Remove eyelid lesion	N	2	774.57
67875	Closure of eyelid by suture	T	4	774.57
67880	Revision of eyelid	J	2	1701.48
67882	Revision of eyelid	J	3	1701.48
67900	Repair brow defect	J	20	1701.48
67901	Repair eyelid defect	J	1	1701.48
67903	Repair eyelid defect	N	3	1701.48
67903	Repair eyelid defect	J	2	1701.48
67904	Repair eyelid defect	J	35	1701.48
67904	Repair eyelid defect	N	7	1701.48
67908	Repair eyelid defect	N	1	1701.48
67908	Repair eyelid defect	J	1	1701.48
67911	Revise eyelid defect	N	1	1701.48
67914	Repair eyelid defect	J	3	1701.48
67917	Repair eyelid defect	J	26	1701.48
67917	Repair eyelid defect	N	3	1701.48
67921	Repair eyelid defect	J	1	1701.48
67923	Repair eyelid defect	J	4	1701.48
67924	Repair eyelid defect	J	10	1701.48
67924	Repair eyelid defect	N	1	1701.48
67935	Repair eyelid wound	N	1	1701.48
67938	Remove eyelid foreign body	T	1	268.49
67950	Revision of eyelid	J	8	1701.48
67961	Revision of eyelid	J	5	1701.48
67961	Revision of eyelid	N	2	1701.48
67971	Reconstruction of eyelid	J	1	1701.48
67973	Reconstruction of eyelid	J	1	1701.48
67975	Reconstruction of eyelid	J	2	1701.48
67999	Revision of eyelid	T	2	268.49
68020	Incise/drain eyelid lining	T	1	774.57
68100	Biopsy of eyelid lining	J	3	1701.48
68115	Remove eyelid lining lesion	J	1	1701.48
68200	Treat eyelid by injection	N	5	263.61
68320	Revise/graft eyelid lining	J	2	1701.48
68440	Incise tear duct opening	T	2	268.49
68530	Clearance of tear duct	T	1	268.49
68705	Revise tear duct opening	N	1	268.49
68705	Revise tear duct opening	T	1	268.49
68760	Close tear duct opening	T	1	268.49
68761	Close tear duct opening	T	169	268.49
68801	Dilate tear duct opening	N	47	263.61
68801	Dilate tear duct opening	S	1	263.61
68810	Probe nasolacrimal duct	T	11	268.49
68815	Probe nasolacrimal duct	J	3	1701.48
68840	Explore/irrigate tear ducts	T	14	268.49
69000	Drain external ear lesion	T	2	539.11
69100	Biopsy of external ear	T	13	442.62
69110	Remove external ear partial	J	5	2148.91
69145	Remove ear canal lesion(s)	J	2	2148.91
69150	Extensive ear canal surgery	J	2	4130.94
69200	Clear outer ear canal	N	51	100.02
69200	Clear outer ear canal	S	10	100.02
69205	Clear outer ear canal	J	1	1236.62
69209	Remove impacted ear wax uni	N	806	54.55
69209	Remove impacted ear wax uni	S	188	54.55
69209	Remove impacted ear wax uni	Q	6	54.55
69210	Remove impacted ear wax uni	N	1333	54.55
69210	Remove impacted ear wax uni	S	313	54.55
69210	Remove impacted ear wax uni	Q	16	54.55
69220	Clean out mastoid cavity	N	51	153.12
69220	Clean out mastoid cavity	T	17	153.12
69222	Clean out mastoid cavity	T	2	442.62
69310	Rebuild outer ear canal	J	1	4130.94
69420	Incision of eardrum	T	12	177.09
69421	Incision of eardrum	J	3	2173.69
69424	Remove ventilating tube	N	1	2173.69
69433	Create eardrum opening	T	51	442.62
69436	Create eardrum opening	T	14	1038.55
69436	Create eardrum opening	N	6	1038.55
69631	Repair eardrum structures	J	2	4130.94
69641	Revise middle ear & mastoid	J	3	4130.94
69644	Revise middle ear & mastoid	J	1	4130.94
69666	Repair middle ear structures	J	1	2173.69
69667	Repair middle ear structures	N	1	2173.69
69714	Implant temple bone w/stimul	J	2	9561.23
69801	Incise inner ear	T	22	1038.55
70015	Contrast x-ray of brain	S	2	449.68
70015	Contrast x-ray of brain	N	1	449.68
70030	X-ray eye for foreign body	N	46	59.86
70030	X-ray eye for foreign body	S	9	59.86
70100	X-ray exam of jaw <4views	N	3	59.86
70100	X-ray exam of jaw <4views	S	2	59.86
70110	X-ray exam of jaw 4/> views	S	18	112.73
70110	X-ray exam of jaw 4/> views	N	12	112.73
70130	X-ray exam of mastoids	S	3	112.73
70130	X-ray exam of mastoids	N	1	112.73
70140	X-ray exam of facial bones	S	8	59.86
70140	X-ray exam of facial bones	N	7	59.86
70150	X-ray exam of facial bones	S	48	112.73
70150	X-ray exam of facial bones	N	27	112.73
70160	X-ray exam of nasal bones	N	29	59.86
70160	X-ray exam of nasal bones	S	22	59.86
70200	X-ray exam of eye sockets	N	18	112.73
70200	X-ray exam of eye sockets	S	9	112.73
70210	X-ray exam of sinuses	N	250	59.86
70210	X-ray exam of sinuses	S	8	59.86
70220	X-ray exam of sinuses	N	283	59.86
70220	X-ray exam of sinuses	S	123	59.86
70220	X-ray exam of sinuses	Q	4	59.86
70250	X-ray exam of skull	N	78	112.73
70250	X-ray exam of skull	S	21	112.73
70260	X-ray exam of skull	S	16	112.73
70260	X-ray exam of skull	N	5	112.73
70328	X-ray exam of jaw joint	S	3	59.86
70328	X-ray exam of jaw joint	N	1	59.86
70330	X-ray exam of jaw joints	N	3	59.86
70330	X-ray exam of jaw joints	S	2	59.86
70336	Magnetic image jaw joint	S	6	225.91
70355	Panoramic x-ray of jaws	N	20	59.86
70360	X-ray exam of neck	N	29	59.86
70360	X-ray exam of neck	S	28	59.86
70450	Ct head/brain w/o dye	S	2414	112.73
70450	Ct head/brain w/o dye	N	52	112.73
70450	Ct head/brain w/o dye	Q	5	112.73
70460	Ct head/brain w/dye	S	63	265.02
70460	Ct head/brain w/dye	N	27	265.02
70460	Ct head/brain w/dye	Q	1	265.02
70470	Ct head/brain w/o & w/dye	S	207	265.02
70470	Ct head/brain w/o & w/dye	N	9	265.02
70480	Ct orbit/ear/fossa w/o dye	S	152	112.73
70480	Ct orbit/ear/fossa w/o dye	N	9	112.73
70481	Ct orbit/ear/fossa w/dye	S	31	265.02
70482	Ct orbit/ear/fossa w/o&w/dye	S	13	265.02
70482	Ct orbit/ear/fossa w/o&w/dye	N	1	265.02
70486	Ct maxillofacial w/o dye	S	735	112.73
70486	Ct maxillofacial w/o dye	N	87	112.73
70487	Ct maxillofacial w/dye	S	47	265.02
70487	Ct maxillofacial w/dye	N	3	265.02
70488	Ct maxillofacial w/o & w/dye	S	10	265.02
70488	Ct maxillofacial w/o & w/dye	N	2	265.02
70490	Ct soft tissue neck w/o dye	S	104	112.73
70490	Ct soft tissue neck w/o dye	N	13	112.73
70490	Ct soft tissue neck w/o dye	Q	1	112.73
70491	Ct soft tissue neck w/dye	S	788	265.02
70491	Ct soft tissue neck w/dye	N	119	265.02
70492	Ct sft tsue nck w/o & w/dye	S	52	265.02
70492	Ct sft tsue nck w/o & w/dye	N	3	265.02
70496	Ct angiography head	S	285	265.02
70496	Ct angiography head	N	23	265.02
70498	Ct angiography neck	N	186	265.02
70498	Ct angiography neck	S	155	265.02
70540	Mri orbit/face/neck w/o dye	S	34	225.91
70540	Mri orbit/face/neck w/o dye	N	4	225.91
70542	Mri orbit/face/neck w/dye	S	5	426.52
70543	Mri orbt/fac/nck w/o &w/dye	S	412	426.52
70543	Mri orbt/fac/nck w/o &w/dye	N	12	426.52
70543	Mri orbt/fac/nck w/o &w/dye	Q	2	426.52
70544	Mr angiography head w/o dye	S	330	225.91
70544	Mr angiography head w/o dye	N	135	225.91
70544	Mr angiography head w/o dye	Q	32	225.91
70545	Mr angiography head w/dye	S	10	265.02
70545	Mr angiography head w/dye	N	7	265.02
70545	Mr angiography head w/dye	Q	1	265.02
70546	Mr angiograph head w/o&w/dye	S	49	426.52
70546	Mr angiograph head w/o&w/dye	N	6	426.52
70546	Mr angiograph head w/o&w/dye	Q	6	426.52
70547	Mr angiography neck w/o dye	N	70	225.91
70547	Mr angiography neck w/o dye	S	41	225.91
70547	Mr angiography neck w/o dye	Q	3	225.91
70548	Mr angiography neck w/dye	N	19	265.02
70548	Mr angiography neck w/dye	S	6	265.02
70548	Mr angiography neck w/dye	Q	1	265.02
70549	Mr angiograph neck w/o&w/dye	N	84	426.52
70549	Mr angiograph neck w/o&w/dye	S	20	426.52
70549	Mr angiograph neck w/o&w/dye	Q	2	426.52
70551	Mri brain stem w/o dye	S	1943	225.91
70551	Mri brain stem w/o dye	N	123	225.91
70551	Mri brain stem w/o dye	Q	1	225.91
70552	Mri brain stem w/dye	S	59	426.52
70552	Mri brain stem w/dye	N	3	426.52
70553	Mri brain stem w/o & w/dye	S	3226	426.52
70553	Mri brain stem w/o & w/dye	N	316	426.52
71010	Chest x-ray 1 view frontal	S	859	59.86
71010	Chest x-ray 1 view frontal	N	167	59.86
71010	Chest x-ray 1 view frontal	Q	5	59.86
71020	Chest x-ray 2vw frontal&latl	S	41156	59.86
71020	Chest x-ray 2vw frontal&latl	N	46	59.86
71020	Chest x-ray 2vw frontal&latl	Q	37	59.86
71020	Chest x-ray 2vw frontal&latl	A	3	59.86
71021	Chest x-ray frnt lat lordotc	S	9	59.86
71021	Chest x-ray frnt lat lordotc	N	4	59.86
71022	Chest x-ray frnt lat oblique	N	130	59.86
71022	Chest x-ray frnt lat oblique	S	15	59.86
71023	Chest x-ray and fluoroscopy	N	2	59.86
71030	Chest x-ray 4/> views	S	10	59.86
71030	Chest x-ray 4/> views	N	1	59.86
71035	Chest x-ray special views	N	46	59.86
71035	Chest x-ray special views	S	5	59.86
71100	X-ray exam ribs uni 2 views	N	465	59.86
71100	X-ray exam ribs uni 2 views	S	251	59.86
71101	X-ray exam unilat ribs/chest	S	508	112.73
71101	X-ray exam unilat ribs/chest	N	455	112.73
71101	X-ray exam unilat ribs/chest	Q	2	112.73
71110	X-ray exam ribs bil 3 views	N	61	112.73
71110	X-ray exam ribs bil 3 views	S	46	112.73
71111	X-ray exam ribs/chest4/> vws	S	77	112.73
71111	X-ray exam ribs/chest4/> vws	N	22	112.73
71120	X-ray exam breastbone 2/>vws	N	35	59.86
71120	X-ray exam breastbone 2/>vws	S	16	59.86
71130	X-ray strenoclavic jt 3/>vws	S	8	59.86
71130	X-ray strenoclavic jt 3/>vws	N	6	59.86
71250	Ct thorax w/o dye	S	3787	112.73
71250	Ct thorax w/o dye	N	130	112.73
71250	Ct thorax w/o dye	A	1	112.73
71260	Ct thorax w/dye	S	4665	265.02
71260	Ct thorax w/dye	N	672	265.02
71260	Ct thorax w/dye	Q	1	265.02
71270	Ct thorax w/o & w/dye	S	93	265.02
71270	Ct thorax w/o & w/dye	N	5	265.02
71275	Ct angiography chest	S	563	265.02
71275	Ct angiography chest	N	31	265.02
71550	Mri chest w/o dye	S	7	225.91
71550	Mri chest w/o dye	N	2	225.91
71551	Mri chest w/dye	S	1	656.91
71552	Mri chest w/o & w/dye	S	19	426.52
72020	X-ray exam of spine 1 view	N	58	59.86
72020	X-ray exam of spine 1 view	S	12	59.86
72020	X-ray exam of spine 1 view	Q	6	59.86
72040	X-ray exam neck spine 2-3 vw	N	1973	59.86
72040	X-ray exam neck spine 2-3 vw	S	990	59.86
72040	X-ray exam neck spine 2-3 vw	Q	26	59.86
72050	X-ray exam neck spine 4/5vws	N	1055	112.73
72050	X-ray exam neck spine 4/5vws	S	937	112.73
72050	X-ray exam neck spine 4/5vws	Q	2	112.73
72052	X-ray exam neck spine 6/>vws	S	162	112.73
72052	X-ray exam neck spine 6/>vws	N	111	112.73
72070	X-ray exam thorac spine 2vws	N	609	112.73
72070	X-ray exam thorac spine 2vws	S	468	112.73
72070	X-ray exam thorac spine 2vws	Q	19	112.73
72072	X-ray exam thorac spine 3vws	S	457	112.73
72072	X-ray exam thorac spine 3vws	N	450	112.73
72074	X-ray exam thorac spine4/>vw	N	45	112.73
72074	X-ray exam thorac spine4/>vw	S	45	112.73
72080	X-ray exam thoracolmb 2/> vw	N	184	59.86
72080	X-ray exam thoracolmb 2/> vw	S	93	59.86
72080	X-ray exam thoracolmb 2/> vw	Q	12	59.86
72081	X-ray exam entire spi 1 vw	S	20	59.86
72081	X-ray exam entire spi 1 vw	N	11	59.86
72082	X-ray exam entire spi 2/3 vw	N	370	112.73
72082	X-ray exam entire spi 2/3 vw	S	86	112.73
72082	X-ray exam entire spi 2/3 vw	Q	1	112.73
72083	X-ray exam entire spi 4/5 vw	S	72	225.91
72084	X-ray exam entire spi 6/> vw	S	48	225.91
72100	X-ray exam l-s spine 2/3 vws	N	3912	112.73
72100	X-ray exam l-s spine 2/3 vws	S	2781	112.73
72100	X-ray exam l-s spine 2/3 vws	Q	16	112.73
72110	X-ray exam l-2 spine 4/>vws	N	2595	112.73
72110	X-ray exam l-2 spine 4/>vws	S	2087	112.73
72110	X-ray exam l-2 spine 4/>vws	Q	4	112.73
72114	X-ray exam l-s spine bending	S	171	112.73
72114	X-ray exam l-s spine bending	N	130	112.73
72120	X-ray bend only l-s spine	N	296	59.86
72120	X-ray bend only l-s spine	S	68	59.86
72125	Ct neck spine w/o dye	S	288	112.73
72125	Ct neck spine w/o dye	N	147	112.73
72126	Ct neck spine w/dye	S	33	426.52
72126	Ct neck spine w/dye	N	3	426.52
72127	Ct neck spine w/o & w/dye	S	1	265.02
72128	Ct chest spine w/o dye	S	86	112.73
72128	Ct chest spine w/o dye	N	22	112.73
72129	Ct chest spine w/dye	N	21	265.02
72129	Ct chest spine w/dye	S	11	265.02
72130	Ct chest spine w/o & w/dye	S	4	265.02
72130	Ct chest spine w/o & w/dye	N	2	265.02
72131	Ct lumbar spine w/o dye	S	511	112.73
72131	Ct lumbar spine w/o dye	N	86	112.73
72132	Ct lumbar spine w/dye	N	29	426.52
72132	Ct lumbar spine w/dye	S	29	426.52
72133	Ct lumbar spine w/o & w/dye	S	4	265.02
72133	Ct lumbar spine w/o & w/dye	N	3	265.02
72141	Mri neck spine w/o dye	S	1956	225.91
72141	Mri neck spine w/o dye	N	196	225.91
72142	Mri neck spine w/dye	S	18	426.52
72146	Mri chest spine w/o dye	S	537	225.91
72146	Mri chest spine w/o dye	N	189	225.91
72147	Mri chest spine w/dye	S	14	426.52
72147	Mri chest spine w/dye	N	1	426.52
72148	Mri lumbar spine w/o dye	S	4407	225.91
72148	Mri lumbar spine w/o dye	N	660	225.91
72148	Mri lumbar spine w/o dye	Q	2	225.91
72149	Mri lumbar spine w/dye	S	44	426.52
72156	Mri neck spine w/o & w/dye	S	328	426.52
72156	Mri neck spine w/o & w/dye	N	184	426.52
72157	Mri chest spine w/o & w/dye	S	215	426.52
72157	Mri chest spine w/o & w/dye	N	195	426.52
72158	Mri lumbar spine w/o & w/dye	S	712	426.52
72158	Mri lumbar spine w/o & w/dye	N	254	426.52
72158	Mri lumbar spine w/o & w/dye	Q	1	426.52
72170	X-ray exam of pelvis	N	1608	112.73
72170	X-ray exam of pelvis	S	516	112.73
72170	X-ray exam of pelvis	Q	12	112.73
72190	X-ray exam of pelvis	N	76	112.73
72190	X-ray exam of pelvis	S	41	112.73
72190	X-ray exam of pelvis	Q	11	112.73
72191	Ct angiograph pelv w/o&w/dye	S	3	265.02
72192	Ct pelvis w/o dye	S	97	112.73
72192	Ct pelvis w/o dye	N	14	112.73
72193	Ct pelvis w/dye	S	51	265.02
72193	Ct pelvis w/dye	Q	11	265.02
72193	Ct pelvis w/dye	N	5	265.02
72194	Ct pelvis w/o & w/dye	S	5	265.02
72195	Mri pelvis w/o dye	S	221	225.91
72195	Mri pelvis w/o dye	N	43	225.91
72195	Mri pelvis w/o dye	Q	6	225.91
72196	Mri pelvis w/dye	S	13	426.52
72197	Mri pelvis w/o & w/dye	S	648	426.52
72197	Mri pelvis w/o & w/dye	N	140	426.52
72197	Mri pelvis w/o & w/dye	Q	1	426.52
72200	X-ray exam si joints	N	41	112.73
72200	X-ray exam si joints	S	9	112.73
72202	X-ray exam si joints 3/> vws	N	248	112.73
72202	X-ray exam si joints 3/> vws	S	81	112.73
72220	X-ray exam sacrum tailbone	N	248	59.86
72220	X-ray exam sacrum tailbone	S	109	59.86
72255	Myelography thoracic spine	S	3	449.68
73000	X-ray exam of collar bone	N	216	59.86
73000	X-ray exam of collar bone	S	176	59.86
73000	X-ray exam of collar bone	Q	5	59.86
73010	X-ray exam of shoulder blade	N	68	59.86
73010	X-ray exam of shoulder blade	S	57	59.86
73010	X-ray exam of shoulder blade	Q	3	59.86
73020	X-ray exam of shoulder	N	52	59.86
73020	X-ray exam of shoulder	S	21	59.86
73030	X-ray exam of shoulder	N	6946	59.86
73030	X-ray exam of shoulder	S	4076	59.86
73030	X-ray exam of shoulder	Q	30	59.86
73040	Contrast x-ray of shoulder	S	5	225.91
73040	Contrast x-ray of shoulder	N	2	225.91
73050	X-ray exam of shoulders	N	16	59.86
73050	X-ray exam of shoulders	S	5	59.86
73060	X-ray exam of humerus	N	518	59.86
73060	X-ray exam of humerus	S	211	59.86
73060	X-ray exam of humerus	Q	16	59.86
73070	X-ray exam of elbow	N	428	59.86
73070	X-ray exam of elbow	S	157	59.86
73070	X-ray exam of elbow	Q	3	59.86
73080	X-ray exam of elbow	N	677	59.86
73080	X-ray exam of elbow	S	355	59.86
73080	X-ray exam of elbow	Q	6	59.86
73090	X-ray exam of forearm	N	270	59.86
73090	X-ray exam of forearm	S	97	59.86
73090	X-ray exam of forearm	Q	4	59.86
73100	X-ray exam of wrist	N	439	59.86
73100	X-ray exam of wrist	S	297	59.86
73100	X-ray exam of wrist	Q	7	59.86
73110	X-ray exam of wrist	N	2236	59.86
73110	X-ray exam of wrist	S	1420	59.86
73110	X-ray exam of wrist	Q	16	59.86
73110	X-ray exam of wrist	A	1	59.86
73120	X-ray exam of hand	N	667	112.73
73120	X-ray exam of hand	S	258	112.73
73120	X-ray exam of hand	Q	1	112.73
73130	X-ray exam of hand	N	2729	59.86
73130	X-ray exam of hand	S	1103	59.86
73130	X-ray exam of hand	Q	2	59.86
73140	X-ray exam of finger(s)	N	1193	59.86
73140	X-ray exam of finger(s)	S	570	59.86
73140	X-ray exam of finger(s)	Q	4	59.86
73200	Ct upper extremity w/o dye	S	156	112.73
73200	Ct upper extremity w/o dye	N	12	112.73
73201	Ct upper extremity w/dye	S	20	265.02
73201	Ct upper extremity w/dye	N	10	265.02
73202	Ct uppr extremity w/o&w/dye	S	1	265.02
73206	Ct angio upr extrm w/o&w/dye	S	3	265.02
73218	Mri upper extremity w/o dye	S	95	225.91
73219	Mri upper extremity w/dye	S	1	426.52
73220	Mri uppr extremity w/o&w/dye	S	69	426.52
73221	Mri joint upr extrem w/o dye	S	1668	225.91
73221	Mri joint upr extrem w/o dye	N	83	225.91
73222	Mri joint upr extrem w/dye	S	12	656.91
73223	Mri joint upr extr w/o&w/dye	S	58	426.52
73223	Mri joint upr extr w/o&w/dye	N	8	426.52
73501	X-ray exam hip uni 1 view	N	341	59.86
73501	X-ray exam hip uni 1 view	S	74	59.86
73501	X-ray exam hip uni 1 view	Q	6	59.86
73502	X-ray exam hip uni 2-3 views	N	5783	59.86
73502	X-ray exam hip uni 2-3 views	S	3733	59.86
73502	X-ray exam hip uni 2-3 views	Q	46	59.86
73503	X-ray exam hip uni 4/> views	N	187	112.73
73503	X-ray exam hip uni 4/> views	S	34	112.73
73503	X-ray exam hip uni 4/> views	Q	2	112.73
73521	X-ray exam hips bi 2 views	N	530	112.73
73521	X-ray exam hips bi 2 views	S	216	112.73
73522	X-ray exam hips bi 3-4 views	N	478	112.73
73522	X-ray exam hips bi 3-4 views	S	299	112.73
73523	X-ray exam hips bi 5/> views	S	138	225.91
73525	Contrast x-ray of hip	S	1	449.68
73551	X-ray exam of femur 1	N	55	59.86
73551	X-ray exam of femur 1	Q	8	59.86
73551	X-ray exam of femur 1	S	4	59.86
73552	X-ray exam of femur 2/>	N	663	59.86
73552	X-ray exam of femur 2/>	S	246	59.86
73552	X-ray exam of femur 2/>	Q	48	59.86
73560	X-ray exam of knee 1 or 2	N	4466	59.86
73560	X-ray exam of knee 1 or 2	S	1329	59.86
73560	X-ray exam of knee 1 or 2	Q	18	59.86
73562	X-ray exam of knee 3	N	7420	59.86
73562	X-ray exam of knee 3	S	2902	59.86
73562	X-ray exam of knee 3	Q	11	59.86
73564	X-ray exam knee 4 or more	N	4303	112.73
73564	X-ray exam knee 4 or more	S	2490	112.73
73564	X-ray exam knee 4 or more	Q	4	112.73
73565	X-ray exam of knees	N	792	59.86
73565	X-ray exam of knees	S	232	59.86
73565	X-ray exam of knees	Q	4	59.86
73590	X-ray exam of lower leg	N	654	59.86
73590	X-ray exam of lower leg	S	305	59.86
73590	X-ray exam of lower leg	Q	7	59.86
73600	X-ray exam of ankle	N	274	59.86
73600	X-ray exam of ankle	S	97	59.86
73600	X-ray exam of ankle	Q	1	59.86
73610	X-ray exam of ankle	N	2309	59.86
73610	X-ray exam of ankle	S	1474	59.86
73610	X-ray exam of ankle	Q	13	59.86
73610	X-ray exam of ankle	A	1	59.86
73620	X-ray exam of foot	N	563	59.86
73620	X-ray exam of foot	S	103	59.86
73630	X-ray exam of foot	N	4608	59.86
73630	X-ray exam of foot	S	1918	59.86
73630	X-ray exam of foot	Q	9	59.86
73650	X-ray exam of heel	N	156	59.86
73650	X-ray exam of heel	S	74	59.86
73650	X-ray exam of heel	Q	1	59.86
73660	X-ray exam of toe(s)	N	235	59.86
73660	X-ray exam of toe(s)	S	157	59.86
73700	Ct lower extremity w/o dye	S	318	112.73
73700	Ct lower extremity w/o dye	N	27	112.73
73701	Ct lower extremity w/dye	S	18	265.02
73701	Ct lower extremity w/dye	N	7	265.02
73702	Ct lwr extremity w/o&w/dye	S	6	265.02
73706	Ct angio lwr extr w/o&w/dye	S	14	265.02
73706	Ct angio lwr extr w/o&w/dye	N	1	265.02
73718	Mri lower extremity w/o dye	S	375	225.91
73718	Mri lower extremity w/o dye	N	25	225.91
73719	Mri lower extremity w/dye	S	3	265.02
73720	Mri lwr extremity w/o&w/dye	S	153	426.52
73720	Mri lwr extremity w/o&w/dye	N	8	426.52
73721	Mri jnt of lwr extre w/o dye	S	2201	225.91
73721	Mri jnt of lwr extre w/o dye	N	170	225.91
73722	Mri joint of lwr extr w/dye	S	6	656.91
73723	Mri joint lwr extr w/o&w/dye	S	66	426.52
73723	Mri joint lwr extr w/o&w/dye	N	6	426.52
74000	X-ray exam of abdomen	S	1526	59.86
74000	X-ray exam of abdomen	N	1091	59.86
74000	X-ray exam of abdomen	A	4	59.86
74010	X-ray exam of abdomen	S	70	59.86
74010	X-ray exam of abdomen	N	65	59.86
74020	X-ray exam of abdomen	N	275	59.86
74020	X-ray exam of abdomen	S	256	59.86
74022	X-ray exam series abdomen	S	165	112.73
74022	X-ray exam series abdomen	N	91	112.73
74150	Ct abdomen w/o dye	S	110	112.73
74150	Ct abdomen w/o dye	N	88	112.73
74160	Ct abdomen w/dye	N	259	265.02
74160	Ct abdomen w/dye	S	212	265.02
74160	Ct abdomen w/dye	Q	1	265.02
74170	Ct abdomen w/o & w/dye	S	269	265.02
74170	Ct abdomen w/o & w/dye	N	36	265.02
74174	Ct angio abd&pelv w/o&w/dye	S	400	265.02
74174	Ct angio abd&pelv w/o&w/dye	N	4	265.02
74175	Ct angio abdom w/o & w/dye	S	39	265.02
74175	Ct angio abdom w/o & w/dye	N	14	265.02
74176	Ct abd & pelvis w/o contrast	S	1696	225.91
74176	Ct abd & pelvis w/o contrast	N	407	225.91
74176	Ct abd & pelvis w/o contrast	A	3	225.91
74176	Ct abd & pelvis w/o contrast	Q	1	225.91
74177	Ct abd & pelv w/contrast	N	2942	265.02
74177	Ct abd & pelv w/contrast	S	2528	265.02
74177	Ct abd & pelv w/contrast	Q	4	265.02
74178	Ct abd & pelv 1/> regns	S	1118	426.52
74178	Ct abd & pelv 1/> regns	N	170	426.52
74178	Ct abd & pelv 1/> regns	A	5	426.52
74181	Mri abdomen w/o dye	S	167	225.91
74181	Mri abdomen w/o dye	N	17	225.91
74181	Mri abdomen w/o dye	Q	10	225.91
74182	Mri abdomen w/dye	S	36	426.52
74182	Mri abdomen w/dye	N	2	426.52
74182	Mri abdomen w/dye	Q	1	426.52
74183	Mri abdomen w/o & w/dye	S	949	426.52
74183	Mri abdomen w/o & w/dye	N	130	426.52
74220	Contrast x-ray esophagus	S	116	112.73
74220	Contrast x-ray esophagus	N	28	112.73
74220	Contrast x-ray esophagus	Q	1	112.73
74230	Cine/vid x-ray throat/esoph	S	308	112.73
74230	Cine/vid x-ray throat/esoph	N	31	112.73
74230	Cine/vid x-ray throat/esoph	Q	2	112.73
74240	X-ray upper gi delay w/o kub	S	85	112.73
74240	X-ray upper gi delay w/o kub	N	29	112.73
74241	X-ray upper gi delay w/kub	S	11	112.73
74241	X-ray upper gi delay w/kub	N	6	112.73
74245	X-ray upper gi&small intest	S	13	225.91
74246	Contrst x-ray uppr gi tract	S	21	112.73
74246	Contrst x-ray uppr gi tract	N	4	112.73
74247	Contrst x-ray uppr gi tract	S	16	112.73
74247	Contrst x-ray uppr gi tract	N	4	112.73
74249	Contrst x-ray uppr gi tract	S	26	225.91
74250	X-ray exam of small bowel	S	17	112.73
74250	X-ray exam of small bowel	N	3	112.73
74261	Ct colonography dx	S	2	112.73
74262	Ct colonography dx w/dye	S	2	265.02
74270	Contrast x-ray exam of colon	S	22	112.73
74270	Contrast x-ray exam of colon	N	3	112.73
74280	Contrast x-ray exam of colon	S	13	112.73
74400	Contrst x-ray urinary tract	S	19	225.91
74420	Contrst x-ray urinary tract	N	102	449.68
74425	Contrst x-ray urinary tract	S	2	449.68
74430	Contrast x-ray bladder	N	8	225.91
74430	Contrast x-ray bladder	S	8	225.91
74450	X-ray urethra/bladder	N	145	225.91
74450	X-ray urethra/bladder	S	13	225.91
74450	X-ray urethra/bladder	A	1	225.91
74455	X-ray urethra/bladder	N	38	225.91
74455	X-ray urethra/bladder	S	1	225.91
74740	X-ray female genital tract	S	1	225.91
74775	X-ray exam of perineum	S	1	225.91
75557	Cardiac mri for morph	S	3	225.91
75561	Cardiac mri for morph w/dye	S	41	426.52
75561	Cardiac mri for morph w/dye	N	3	426.52
75571	Ct hrt w/o dye w/ca test	S	14	59.86
75571	Ct hrt w/o dye w/ca test	N	4	59.86
75572	Ct hrt w/3d image	S	27	265.02
75574	Ct angio hrt w/3d image	S	47	265.02
75625	Contrast exam abdominl aorta	T	1	2360.6
75635	Ct angio abdominal arteries	S	144	265.02
75635	Ct angio abdominal arteries	N	5	265.02
75716	Artery x-rays arms/legs	N	2	2360.6
75809	Nonvascular shunt x-ray	N	27	112.73
75809	Nonvascular shunt x-ray	S	2	112.73
75820	Vein x-ray arm/leg	T	2	684.13
76000	Fluoroscope examination	S	486	225.91
76000	Fluoroscope examination	N	13	225.91
76080	X-ray exam of fistula	S	5	449.68
76080	X-ray exam of fistula	N	1	449.68
76098	X-ray exam breast specimen	N	31	449.68
76098	X-ray exam breast specimen	S	1	449.68
76100	X-ray exam of body section	S	3	112.73
76380	Cat scan follow-up study	N	4	59.86
76380	Cat scan follow-up study	S	1	59.86
76380	Cat scan follow-up study	Q	1	59.86
76497	Ct procedure	N	3	59.86
76498	Mri procedure	S	10	59.86
76499	Radiographic procedure	S	1	59.86
76510	Ophth us b & quant a	N	3	263.61
76510	Ophth us b & quant a	S	1	263.61
76512	Ophth us b w/non-quant a	N	115	112.73
76512	Ophth us b w/non-quant a	S	13	112.73
76513	Echo exam of eye water bath	N	37	112.73
76513	Echo exam of eye water bath	S	2	112.73
76514	Echo exam of eye thickness	N	410	28.38
76514	Echo exam of eye thickness	Q	83	28.38
76514	Echo exam of eye thickness	S	1	28.38
76516	Echo exam of eye	N	26	59.86
76519	Echo exam of eye	N	58	59.86
76519	Echo exam of eye	S	28	59.86
76519	Echo exam of eye	Q	7	59.86
76536	Us exam of head and neck	S	1958	112.73
76536	Us exam of head and neck	N	507	112.73
76536	Us exam of head and neck	Q	2	112.73
76536	Us exam of head and neck	A	1	112.73
76604	Us exam chest	S	23	112.73
76604	Us exam chest	N	10	112.73
76641	Ultrasound breast complete	S	741	112.73
76641	Ultrasound breast complete	N	144	112.73
76641	Ultrasound breast complete	Q	3	112.73
76642	Ultrasound breast limited	S	2139	59.86
76642	Ultrasound breast limited	N	303	59.86
76642	Ultrasound breast limited	Q	2	59.86
76700	Us exam abdom complete	S	2024	112.73
76700	Us exam abdom complete	Q	3	112.73
76705	Echo exam of abdomen	S	1844	112.73
76705	Echo exam of abdomen	Q	42	112.73
76705	Echo exam of abdomen	N	2	112.73
76706	Us abdl aorta screen aaa	S	394	112.73
76770	Us exam abdo back wall comp	S	2630	112.73
76770	Us exam abdo back wall comp	N	27	112.73
76770	Us exam abdo back wall comp	Q	11	112.73
76770	Us exam abdo back wall comp	A	5	112.73
76775	Us exam abdo back wall lim	S	702	112.73
76775	Us exam abdo back wall lim	N	189	112.73
76775	Us exam abdo back wall lim	Q	2	112.73
76776	Us exam k transpl w/doppler	S	46	112.73
76776	Us exam k transpl w/doppler	N	7	112.73
76800	Us exam spinal canal	N	1	59.86
76801	Ob us < 14 wks single fetus	S	20	112.73
76805	Ob us >/= 14 wks sngl fetus	S	17	112.73
76811	Ob us detailed sngl fetus	S	19	112.73
76813	Ob us nuchal meas 1 gest	N	3	112.73
76813	Ob us nuchal meas 1 gest	S	2	112.73
76815	Ob us limited fetus(s)	S	4	112.73
76815	Ob us limited fetus(s)	N	3	112.73
76816	Ob us follow-up per fetus	S	30	112.73
76816	Ob us follow-up per fetus	N	14	112.73
76817	Transvaginal us obstetric	N	26	112.73
76817	Transvaginal us obstetric	S	4	112.73
76818	Fetal biophys profile w/nst	S	3	112.73
76819	Fetal biophys profil w/o nst	S	13	112.73
76825	Echo exam of fetal heart	S	2	449.68
76827	Echo exam of fetal heart	N	1	225.91
76830	Transvaginal us non-ob	S	1055	112.73
76830	Transvaginal us non-ob	N	3	112.73
76831	Echo exam uterus	S	6	225.91
76856	Us exam pelvic complete	S	946	112.73
76856	Us exam pelvic complete	N	108	112.73
76857	Us exam pelvic limited	S	167	112.73
76857	Us exam pelvic limited	N	36	112.73
76870	Us exam scrotum	S	166	112.73
76870	Us exam scrotum	N	143	112.73
76872	Us transrectal	N	80	112.73
76872	Us transrectal	S	69	112.73
76873	Echograp trans r pros study	S	7	112.73
76881	Us xtr non-vasc complete	S	120	112.73
76882	Us xtr non-vasc lmtd	S	302	59.86
76882	Us xtr non-vasc lmtd	N	228	59.86
76882	Us xtr non-vasc lmtd	Q	12	59.86
76970	Ultrasound exam follow-up	N	2	59.86
76999	Echo examination procedure	S	11	59.86
76999	Echo examination procedure	N	7	59.86
77071	X-ray stress view	N	5	59.86
77072	X-rays for bone age	S	1	112.73
77073	X-rays bone length studies	N	611	59.86
77073	X-rays bone length studies	S	23	59.86
77073	X-rays bone length studies	Q	1	59.86
77074	X-rays bone survey limited	N	8	112.73
77074	X-rays bone survey limited	S	8	112.73
77075	X-rays bone survey complete	S	106	112.73
77075	X-rays bone survey complete	N	37	112.73
77077	Joint survey single view	S	242	112.73
77077	Joint survey single view	N	163	112.73
77080	Dxa bone density axial	S	10903	112.73
77081	Dxa bone density/peripheral	S	174	59.86
77085	Dxa bone density study	S	54	112.73
77085	Dxa bone density study	N	4	112.73
77085	Dxa bone density study	Q	1	112.73
77086	Fracture assessment via dxa	S	4	59.86
77086	Fracture assessment via dxa	N	1	59.86
77086	Fracture assessment via dxa	Q	1	59.86
77280	Set radiation therapy field	S	1164	117.59
77280	Set radiation therapy field	N	1	117.59
77285	Set radiation therapy field	S	1	311.57
77290	Set radiation therapy field	S	905	311.57
77290	Set radiation therapy field	N	1	311.57
77295	3-d radiotherapy plan	S	655	1066.24
77295	3-d radiotherapy plan	N	1	1066.24
77300	Radiation therapy dose plan	S	6187	117.59
77300	Radiation therapy dose plan	N	112	117.59
77301	Radiotherapy dose plan imrt	S	703	1066.24
77301	Radiotherapy dose plan imrt	N	6	1066.24
77306	Telethx isodose plan simple	S	20	311.57
77307	Telethx isodose plan cplx	S	264	311.57
77316	Brachytx isodose plan simple	S	5	117.59
77317	Brachytx isodose intermed	S	1	311.57
77318	Brachytx isodose complex	S	18	311.57
77321	Special teletx port plan	S	126	311.57
77331	Special radiation dosimetry	S	200	117.59
77331	Special radiation dosimetry	N	2	117.59
77332	Radiation treatment aid(s)	S	137	117.59
77333	Radiation treatment aid(s)	S	11	117.59
77334	Radiation treatment aid(s)	S	4256	311.57
77334	Radiation treatment aid(s)	N	55	311.57
77336	Radiation physics consult	S	6413	117.59
77336	Radiation physics consult	N	4	117.59
77338	Design mlc device for imrt	S	821	311.57
77338	Design mlc device for imrt	N	6	311.57
77370	Radiation physics consult	S	222	117.59
77370	Radiation physics consult	N	5	117.59
77372	Srs linear based	J	11	7455.99
77372	Srs linear based	N	4	7455.99
77373	Sbrt delivery	S	581	1651.29
77373	Sbrt delivery	N	3	1651.29
77385	Ntsty modul rad tx dlvr smpl	S	8093	494.63
77386	Ntsty modul rad tx dlvr cplx	S	9710	494.63
77386	Ntsty modul rad tx dlvr cplx	N	11	494.63
77399	External radiation dosimetry	S	6	117.59
77402	Radiation treatment delivery	S	115	114.35
77407	Radiation treatment delivery	S	1	114.35
77412	Radiation treatment delivery	S	11148	204.51
77412	Radiation treatment delivery	N	15	204.51
77470	Special radiation treatment	S	450	494.63
77470	Special radiation treatment	N	4	494.63
77522	Proton trmt simple w/comp	S	51	994.12
77523	Proton trmt intermediate	S	1086	994.12
77768	Hdr rdncl skn surf brachytx	S	7	204.51
77770	Hdr rdncl ntrstl/icav brchtx	S	54	738.63
77771	Hdr rdncl ntrstl/icav brchtx	S	10	738.63
77772	Hdr rdncl ntrstl/icav brchtx	S	16	738.63
77778	Apply interstit radiat compl	N	5	738.63
78014	Thyroid imaging w/blood flow	S	44	333.08
78018	Thyroid met imaging body	S	22	429.13
78070	Parathyroid planar imaging	S	21	333.08
78071	Parathyrd planar w/wo subtrj	S	6	333.08
78072	Parathyrd planar w/spect&ct	S	56	429.13
78102	Bone marrow imaging ltd	S	3	333.08
78195	Lymph system imaging	A	1	429.13
78195	Lymph system imaging	N	1	429.13
78195	Lymph system imaging	S	1	429.13
78226	Hepatobiliary system imaging	S	9	333.08
78227	Hepatobil syst image w/drug	S	26	429.13
78264	Gastric emptying imag study	S	20	333.08
78300	Bone imaging limited area	S	2	333.08
78306	Bone imaging whole body	S	329	333.08
78306	Bone imaging whole body	N	1	333.08
78315	Bone imaging 3 phase	S	45	333.08
78320	Bone imaging (3d)	S	13	429.13
78451	Ht muscle image spect sing	S	33	1138.94
78452	Ht muscle image spect mult	S	6806	1138.94
78452	Ht muscle image spect mult	N	8	1138.94
78472	Gated heart planar single	S	26	333.08
78472	Gated heart planar single	N	2	333.08
78481	Heart first pass single	S	1	429.13
78494	Heart image spect	S	6	333.08
78580	Lung perfusion imaging	S	1	333.08
78582	Lung ventilat&perfus imaging	S	35	429.13
78598	Lung perf&ventilat diferentl	S	1	429.13
78607	Brain imaging (3d)	S	44	1138.94
78608	Brain imaging (pet)	S	30	1321.53
78707	K flow/funct image w/o drug	S	7	429.13
78708	K flow/funct image w/drug	S	5	429.13
78709	K flow/funct image multiple	S	5	429.13
78802	Tumor imaging whole body	S	1	1138.94
78803	Tumor imaging (3d)	S	23	429.13
78804	Tumor imaging whole body	S	21	1138.94
78805	Abscess imaging ltd area	S	3	1138.94
78806	Abscess imaging whole body	S	2	1138.94
78807	Nuclear localization/abscess	S	5	429.13
78813	Pet image full body	S	1	1321.53
78814	Pet image w/ct lmtd	S	4	1321.53
78815	Pet image w/ct skull-thigh	S	1650	1321.53
78815	Pet image w/ct skull-thigh	N	4	1321.53
78816	Pet image w/ct full body	S	140	1321.53
78999	Nuclear diagnostic exam	S	33	333.08
79005	Nuclear rx oral admin	S	7	216.68
79101	Nuclear rx iv admin	S	11	216.68
80047	Metabolic panel ionized ca	A	29	11.6
80048	Metabolic panel total ca	A	11686	11.6
80051	Electrolyte panel	A	402	9.62
80053	Comprehen metabolic panel	A	38678	14.49
80061	Lipid panel	A	41614	0
80069	Renal function panel	A	1231	11.91
80074	Acute hepatitis panel	A	143	0
80076	Hepatic function panel	A	3154	11.21
80156	Assay carbamazepine total	A	62	19.98
80157	Assay carbamazepine free	A	2	18.18
80158	Drug assay cyclosporine	A	78	24.76
80159	Drug assay clozapine	A	16	25.37
80162	Assay of digoxin total	A	218	18.21
80164	Assay dipropylacetic acd tot	A	161	18.58
80165	Dipropylacetic acid free	A	6	18.58
80169	Drug assay everolimus	A	52	18.84
80170	Assay of gentamicin	A	1	22.47
80171	Drug screen quant gabapentin	A	2	18.18
80175	Drug screen quan lamotrigine	A	27	18.18
80177	Drug scrn quan levetiracetam	A	40	18.18
80178	Assay of lithium	A	89	9.07
80180	Drug scrn quan mycophenolate	A	13	24.76
80183	Drug scrn quant oxcarbazepin	A	8	18.18
80184	Assay of phenobarbital	A	28	15.71
80185	Assay of phenytoin total	A	92	18.18
80186	Assay of phenytoin free	A	15	18.88
80188	Assay of primidone	A	5	22.76
80195	Assay of sirolimus	A	63	18.84
80197	Assay of tacrolimus	A	948	18.84
80198	Assay of theophylline	A	16	19.4
80201	Assay of topiramate	A	6	16.35
80202	Assay of vancomycin	A	16	18.58
80203	Drug screen quant zonisamide	A	3	18.18
80299	Quantitative assay drug	A	37	18.79
80400	Acth stimulation panel	A	9	0
80500	Lab pathology consultation	S	1	39.7
81000	Urinalysis nonauto w/scope	A	18	4.35
81001	Urinalysis auto w/scope	A	4489	4.35
81002	Urinalysis nonauto w/o scope	A	383	3.5
81003	Urinalysis auto w/o scope	A	4041	3.08
81005	Urinalysis	A	8	2.97
81015	Microscopic exam of urine	A	36	4.18
81025	Urine pregnancy test	A	56	8.67
81050	Urinalysis volume measure	A	104	4.12
81162	Brca1&2 seq & full dup/del	A	1	2503.26
81170	Abl1 gene	A	1	331.82
81206	Bcr/abl1 gene major bp	A	132	224.91
81207	Bcr/abl1 gene minor bp	A	59	198.68
81208	Bcr/abl1 gene other bp	A	14	220.63
81210	Braf gene	A	8	180.23
81211	Brca1&2 seq & com dup/del	A	2	2195.48
81219	Calr gene com variants	A	14	166.84
81225	Cyp2c19 gene com variants	A	1	293.4
81235	Egfr gene com variants	A	8	331.82
81240	F2 gene	A	73	67.5
81241	F5 gene	A	68	83.82
81245	Flt3 gene	A	2	166.84
81256	Hfe gene	A	50	89.66
81261	Igh gene rearrange amp meth	A	1	271.59
81263	Igh vari regional mutation	A	17	404
81265	Str markers specimen anal	A	2	294.99
81267	Chimerism anal no cell selec	A	9	284.58
81268	Chimerism anal w/cell select	A	21	357.73
81270	Jak2 gene	A	124	125.74
81273	Kit gene analys d816 variant	A	2	125.74
81275	Kras gene variants exon 2	A	8	198.57
81276	Kras gene addl variants	A	1	198.57
81288	Mlh1 gene	A	1	160.76
81291	Mthfr gene	A	16	59.88
81310	Npm1 gene	A	2	248.5
81311	Nras gene variants exon 2&3	A	1	297.86
81321	Pten gene full sequence	A	3	604
81332	Serpina1 gene	A	9	59.88
81340	Trb@ gene rearrange amplify	A	10	286.58
81342	Trg gene rearrangement anal	A	16	276.4
81370	Hla i & ii typing lr	A	4	551.61
81372	Hla i typing complete lr	A	1	303.02
81373	Hla i typing 1 locus lr	A	8	152.76
81374	Hla i typing 1 antigen lr	A	12	99.79
81376	Hla ii typing 1 locus lr	A	40	167.66
81377	Hla ii type 1 ag equiv lr	A	6	125.94
81380	Hla i typing 1 locus hr	A	4	243.14
81381	Hla i typing 1 allele hr	A	9	129.74
81382	Hla ii typing 1 loc hr	A	7	169.66
81420	Fetal chrmoml aneuploidy	A	1	802.33
81430	Hearing loss sequence analys	A	5	0
81432	Hrdtry brst ca-rlatd dsordrs	A	2	931.48
81445	Targeted genomic seq analys	A	2	602.1
81455	Targeted genomic seq analys	A	6	0
81528	Oncology colorectal scr	A	4	512.43
82024	Assay of acth	A	48	52.98
82040	Assay of serum albumin	A	503	6.79
82042	Assay of urine albumin	A	171	7.1
82043	Microalbumin quantitative	A	4241	7.93
82044	Microalbumin semiquant	A	426	6.28
82075	Assay of breath ethanol	A	4	16.53
82085	Assay of aldolase	A	36	13.32
82088	Assay of aldosterone	A	26	55.9
82103	Alpha-1-antitrypsin total	A	55	18.43
82104	Alpha-1-antitrypsin pheno	A	15	19.84
82105	Alpha-fetoprotein serum	A	257	23.01
82107	Alpha-fetoprotein l3	A	4	88.36
82127	Amino acid single qual	A	4	19.03
82131	Amino acids single quant	A	30	23.14
82136	Amino acids quant 2-5	A	1	23.14
82139	Amino acids quan 6 or more	A	3	23.14
82140	Assay of ammonia	A	72	19.99
82150	Assay of amylase	A	571	8.89
82157	Assay of androstenedione	A	1	40.16
82164	Angiotensin i enzyme test	A	44	20.03
82172	Assay of apolipoprotein	A	57	21.26
82175	Assay of arsenic	A	17	26.02
82180	Assay of ascorbic acid	A	9	13.56
82232	Assay of beta-2 protein	A	464	22.19
82239	Bile acids total	A	1	23.49
82247	Bilirubin total	A	226	6.88
82248	Bilirubin direct	A	477	6.88
82270	Occult blood feces	A	1126	4.46
82272	Occult bld feces 1-3 tests	A	63	4.46
82274	Assay test for blood fecal	A	533	21.82
82300	Assay of cadmium	A	13	31.75
82306	Vitamin d 25 hydroxy	A	5740	40.61
82308	Assay of calcitonin	A	13	36.75
82310	Assay of calcium	A	582	7.08
82330	Assay of calcium	A	164	18.76
82340	Assay of calcium in urine	A	63	8.27
82360	Calculus assay quant	A	2	17.66
82365	Calculus spectroscopy	A	7	17.69
82374	Assay blood carbon dioxide	A	144	6.7
82375	Assay carboxyhb quant	A	5	16.9
82378	Carcinoembryonic antigen	A	1411	26.01
82379	Assay of carnitine	A	1	23.14
82380	Assay of carotene	A	1	12.65
82384	Assay three catecholamines	A	21	34.64
82390	Assay of ceruloplasmin	A	58	14.73
82397	Chemiluminescent assay	A	14	19.37
82435	Assay of blood chloride	A	142	6.31
82436	Assay of urine chloride	A	19	6.9
82438	Assay other fluid chlorides	A	1	6.7
82465	Assay bld/serum cholesterol	A	589	5.97
82480	Assay serum cholinesterase	A	1	10.8
82495	Assay of chromium	A	16	27.82
82507	Assay of citrate	A	19	38.14
82523	Collagen crosslinks	A	66	25.63
82525	Assay of copper	A	80	17.02
82530	Cortisol free	A	22	22.92
82533	Total cortisol	A	165	22.36
82540	Assay of creatine	A	1	6.36
82542	Col chromotography qual/quan	A	39	24.77
82550	Assay of ck (cpk)	A	715	8.93
82552	Assay of cpk in blood	A	3	18.37
82553	Creatine mb fraction	A	13	15.84
82565	Assay of creatinine	A	2067	7.03
82570	Assay of urine creatinine	A	4400	7.1
82575	Creatinine clearance test	A	76	12.97
82585	Assay of cryofibrinogen	A	4	11.77
82595	Assay of cryoglobulin	A	15	8.87
82607	Vitamin b-12	A	3571	20.68
82608	B-12 binding capacity	A	1	19.64
82610	Cystatin c	A	22	18.65
82615	Test for urine cystines	A	2	11.2
82626	Dehydroepiandrosterone	A	7	34.67
82627	Dehydroepiandrosterone	A	38	30.5
82638	Assay of dibucaine number	A	1	16.8
82652	Vit d 1 25-dihydroxy	A	158	52.81
82656	Pancreatic elastase fecal	A	13	15.82
82657	Enzyme cell activity	A	9	24.77
82664	Electrophoretic test	A	1	47.12
82668	Assay of erythropoietin	A	89	25.78
82670	Assay of estradiol	A	97	38.32
82671	Assay of estrogens	A	7	44.31
82672	Assay of estrogen	A	8	29.76
82677	Assay of estriol	A	1	33.17
82679	Assay of estrone	A	9	34.23
82705	Fats/lipids feces qual	A	26	6.99
82710	Fats/lipids feces quant	A	2	23.05
82728	Assay of ferritin	A	3305	18.7
82746	Assay of folic acid serum	A	1394	20.17
82747	Assay of folic acid rbc	A	78	23.76
82784	Assay iga/igd/igg/igm each	A	3732	12.76
82785	Assay of ige	A	173	22.58
82787	Igg 1 2 3 or 4 each	A	78	11
82810	Blood gases o2 sat only	A	1	11.97
82941	Assay of gastrin	A	25	24.19
82943	Assay of glucagon	A	3	19.6
82945	Glucose other fluid	A	2	5.39
82947	Assay glucose blood quant	A	2888	5.39
82948	Reagent strip/blood glucose	A	11	4.35
82950	Glucose test	A	22	6.51
82951	Glucose tolerance test (gtt)	A	11	17.66
82952	Gtt-added samples	A	4	5.38
82955	Assay of g6pd enzyme	A	11	13.3
82960	Test for g6pd enzyme	A	6	8.3
82962	Glucose blood test	A	122	3.21
82977	Assay of ggt	A	335	9.88
82985	Assay of glycated protein	A	13	20.68
83001	Assay of gonadotropin (fsh)	A	116	25.49
83002	Assay of gonadotropin (lh)	A	87	25.4
83003	Assay growth hormone (hgh)	A	4	22.87
83010	Assay of haptoglobin quant	A	140	17.25
83013	H pylori (c-13) breath	A	19	92.4
83014	H pylori drug admin	A	1	10.78
83015	Heavy metal qual any anal	A	1	25.83
83018	Heavy metal quant each nes	A	15	30.13
83020	Hemoglobin electrophoresis	A	15	17.66
83021	Hemoglobin chromotography	A	12	24.77
83036	Glycosylated hemoglobin test	A	15083	13.32
83037	Glycosylated hb home device	A	1	13.32
83051	Assay of plasma hemoglobin	A	1	10.03
83070	Assay of hemosiderin qual	A	1	6.51
83088	Assay of histamine	A	4	40.51
83090	Assay of homocystine	A	97	23.14
83497	Assay of 5-hiaa	A	25	17.69
83498	Assay of progesterone 17-d	A	3	37.27
83516	Immunoassay nonantibody	A	455	15.82
83519	Ria nonantibody	A	104	18.53
83520	Immunoassay quant nos nonab	A	369	17.76
83525	Assay of insulin	A	111	15.68
83527	Assay of insulin	A	11	17.76
83540	Assay of iron	A	2810	8.88
83550	Iron binding test	A	2454	11.99
83605	Assay of lactic acid	A	9	14.65
83615	Lactate (ld) (ldh) enzyme	A	3276	8.28
83625	Assay of ldh enzymes	A	1	17.55
83630	Lactoferrin fecal (qual)	A	34	26.93
83655	Assay of lead	A	28	16.61
83690	Assay of lipase	A	678	9.45
83695	Assay of lipoprotein(a)	A	31	17.76
83698	Assay lipoprotein pla2	A	2	46.56
83704	Lipoprotein bld quan part	A	48	43.28
83718	Assay of lipoprotein	A	666	11.24
83721	Assay of blood lipoprotein	A	639	13.09
83735	Assay of magnesium	A	4042	9.19
83785	Assay of manganese	A	1	33.74
83789	Mass spectrometry qual/quan	A	8	24.77
83825	Assay of mercury	A	19	22.3
83835	Assay of metanephrines	A	34	23.24
83874	Assay of myoglobin	A	18	17.72
83876	Assay myeloperoxidase	A	2	46.56
83880	Assay of natriuretic peptide	A	760	46.56
83883	Assay nephelometry not spec	A	2416	18.65
83915	Assay of nucleotidase	A	2	15.3
83916	Oligoclonal bands	A	4	27.59
83919	Organic acids qual each	A	1	22.57
83921	Organic acid single quant	A	197	22.57
83930	Assay of blood osmolality	A	37	9.07
83935	Assay of urine osmolality	A	39	9.35
83937	Assay of osteocalcin	A	17	40.94
83945	Assay of oxalate	A	19	17.66
83951	Oncoprotein dcp	A	2	88.36
83970	Assay of parathormone	A	1539	56.62
83986	Assay ph body fluid nos	A	12	4.91
83993	Assay for calprotectin fecal	A	56	26.93
84066	Assay prostate phosphatase	A	98	13.25
84075	Assay alkaline phosphatase	A	251	7.1
84078	Assay alkaline phosphatase	A	1	10.01
84080	Assay alkaline phosphatases	A	49	20.28
84100	Assay of phosphorus	A	2058	6.5
84105	Assay of urine phosphorus	A	18	7.1
84110	Assay of porphobilinogen	A	1	11.58
84132	Assay of serum potassium	A	572	6.31
84133	Assay of urine potassium	A	28	5.91
84134	Assay of prealbumin	A	101	20.01
84140	Assay of pregnenolone	A	1	28.36
84144	Assay of progesterone	A	28	28.62
84145	Procalcitonin (pct)	A	17	36.75
84146	Assay of prolactin	A	97	26.58
84150	Assay of prostaglandin	A	3	34.23
84153	Assay of psa total	A	3951	25.23
84154	Assay of psa free	A	236	25.23
84155	Assay of protein serum	A	489	5.03
84156	Assay of protein urine	A	1181	5.03
84157	Assay of protein other	A	11	5.03
84160	Assay of protein any source	A	90	7.1
84165	Protein e-phoresis serum	A	1523	14.73
84166	Protein e-phoresis/urine/csf	A	213	24.46
84182	Protein western blot test	A	1	24.69
84206	Assay of proinsulin	A	1	24.43
84207	Assay of vitamin b-6	A	75	38.54
84220	Assay of pyruvate kinase	A	1	12.95
84238	Assay nonendocrine receptor	A	16	50.16
84244	Assay of renin	A	23	30.17
84252	Assay of vitamin b-2	A	9	27.76
84255	Assay of selenium	A	20	35.02
84260	Assay of serotonin	A	12	42.5
84270	Assay of sex hormone globul	A	144	29.81
84295	Assay of serum sodium	A	214	6.6
84300	Assay of urine sodium	A	69	6.67
84302	Assay of sweat sodium	A	2	6.67
84305	Assay of somatomedin	A	26	29.17
84311	Spectrophotometry	A	4	9.59
84376	Sugars single qual	A	2	7.54
84378	Sugars single quant	A	2	15.81
84392	Assay of urine sulfate	A	8	6.51
84402	Assay of free testosterone	A	267	34.94
84403	Assay of total testosterone	A	1035	35.41
84425	Assay of vitamin b-1	A	119	29.12
84431	Thromboxane urine	A	1	23.05
84432	Assay of thyroglobulin	A	78	22.03
84436	Assay of total thyroxine	A	401	9.42
84439	Assay of free thyroxine	A	4972	12.37
84443	Assay thyroid stim hormone	A	14465	23.05
84445	Assay of tsi globulin	A	19	69.76
84446	Assay of vitamin e	A	23	19.45
84449	Assay of transcortin	A	3	24.69
84450	Transferase (ast) (sgot)	A	1380	7.1
84460	Alanine amino (alt) (sgpt)	A	1675	7.27
84466	Assay of transferrin	A	579	17.51
84478	Assay of triglycerides	A	412	7.88
84479	Assay of thyroid (t3 or t4)	A	232	8.87
84480	Assay triiodothyronine (t3)	A	368	19.45
84481	Free assay (ft-3)	A	667	23.24
84482	T3 reverse	A	16	21.62
84484	Assay of troponin quant	A	140	13.5
84520	Assay of urea nitrogen	A	1072	5.42
84540	Assay of urine/urea-n	A	14	6.51
84550	Assay of blood/uric acid	A	2031	6.2
84560	Assay of urine/uric acid	A	24	6.51
84585	Assay of urine vma	A	1	21.26
84586	Assay of vip	A	4	48.47
84588	Assay of vasopressin	A	1	46.56
84590	Assay of vitamin a	A	67	15.92
84591	Assay of nos vitamin	A	10	15.92
84597	Assay of vitamin k	A	9	18.82
84600	Assay of volatiles	A	2	22.06
84630	Assay of zinc	A	79	15.62
84681	Assay of c-peptide	A	76	28.55
84702	Chorionic gonadotropin test	A	29	20.65
84703	Chorionic gonadotropin assay	A	11	10.32
85004	Automated diff wbc count	A	9	8.87
85007	Bl smear w/diff wbc count	A	794	4.71
85014	Hematocrit	A	813	3.25
85018	Hemoglobin	A	1039	3.25
85025	Complete cbc w/auto diff wbc	A	37318	10.66
85027	Complete cbc automated	A	6666	8.87
85041	Automated rbc count	A	1	4.14
85044	Manual reticulocyte count	A	9	5.91
85045	Automated reticulocyte count	A	302	5.48
85046	Reticyte/hgb concentrate	A	245	7.64
85048	Automated leukocyte count	A	39	3.48
85049	Automated platelet count	A	59	6.14
85055	Reticulated platelet assay	A	4	36.73
85097	Bone marrow interpretation	N	83	454.16
85097	Bone marrow interpretation	S	15	454.16
85130	Chromogenic substrate assay	A	1	16.31
85210	Clot factor ii prothrom spec	A	2	17.81
85220	Blooc clot factor v test	A	2	24.21
85240	Clot factor viii ahg 1 stage	A	32	24.56
85245	Clot factor viii vw ristoctn	A	7	31.47
85246	Clot factor viii vw antigen	A	5	31.47
85247	Clot factor viii multimetric	A	1	31.47
85250	Clot factor ix ptc/chrstmas	A	5	26.12
85260	Clot factor x stuart-power	A	2	24.56
85270	Clot factor xi pta	A	1	24.56
85280	Clot factor xii hageman	A	1	26.54
85290	Clot factor xiii fibrin stab	A	1	22.41
85300	Antithrombin iii activity	A	14	16.26
85301	Antithrombin iii antigen	A	1	14.83
85302	Clot inhibit prot c antigen	A	2	16.48
85303	Clot inhibit prot c activity	A	23	18.98
85305	Clot inhibit prot s total	A	10	15.92
85306	Clot inhibit prot s free	A	18	21.02
85307	Assay activated protein c	A	10	21.02
85335	Factor inhibitor test	A	16	17.66
85347	Coagulation time activated	A	1	5.84
85378	Fibrin degrade semiquant	A	2	9.79
85379	Fibrin degradation quant	A	173	13.96
85380	Fibrin degradj d-dimer	A	1	13.96
85384	Fibrinogen activity	A	38	11.65
85385	Fibrinogen antigen	A	3	11.65
85390	Fibrinolysins screen i&r	A	13	7.1
85410	Fibrinolytic antiplasmin	A	1	10.57
85415	Fibrinolytic plasminogen	A	1	23.58
85420	Fibrinolytic plasminogen	A	1	8.96
85520	Heparin assay	A	11	17.96
85540	Wbc alkaline phosphatase	A	1	11.8
85555	Rbc osmotic fragility	A	9	9.17
85576	Blood platelet aggregation	A	10	29.47
85598	Hexagnal phosph pltlt neutrl	A	15	24.66
85610	Prothrombin time	A	30471	5.39
85611	Prothrombin test	A	1	5.41
85612	Viper venom prothrombin time	A	6	13.14
85613	Russell viper venom diluted	A	49	13.14
85651	Rbc sed rate nonautomated	A	837	4.87
85652	Rbc sed rate automated	A	1469	3.7
85660	Rbc sickle cell test	A	1	7.56
85670	Thrombin time plasma	A	15	7.91
85705	Thromboplastin inhibition	A	2	13.21
85730	Thromboplastin time partial	A	466	8.24
85732	Thromboplastin time partial	A	8	8.87
85810	Blood viscosity examination	A	25	16.01
86001	Allergen specific igg	A	21	7.16
86003	Allergen specific ige	A	1362	7.16
86005	Allergen specific ige	A	1	10.93
86021	Wbc antibody identification	A	28	20.65
86022	Platelet antibodies	A	9	25.2
86023	Immunoglobulin assay	A	4	17.09
86038	Antinuclear antibodies	A	632	16.58
86039	Antinuclear antibodies (ana)	A	173	15.31
86060	Antistreptolysin o titer	A	2	10.01
86077	Phys blood bank serv xmatch	N	6	28.38
86077	Phys blood bank serv xmatch	S	1	28.38
86078	Phys blood bank serv reactj	N	4	103.88
86140	C-reactive protein	A	1948	7.1
86141	C-reactive protein hs	A	157	17.76
86146	Beta-2 glycoprotein antibody	A	89	34.91
86147	Cardiolipin antibody ea ig	A	126	34.91
86148	Anti-phospholipid antibody	A	12	22.04
86152	Cell enumeration & id	A	6	337.04
86157	Cold agglutinin titer	A	1	11.06
86160	Complement antigen	A	391	16.46
86161	Complement/function activity	A	5	16.46
86162	Complement total (ch50)	A	15	27.88
86200	Ccp antibody	A	270	17.76
86215	Deoxyribonuclease antibody	A	1	18.17
86225	Dna antibody native	A	183	18.85
86235	Nuclear antigen antibody	A	888	24.6
86255	Fluorescent antibody screen	A	297	16.53
86256	Fluorescent antibody titer	A	114	16.53
86300	Immunoassay tumor ca 15-3	A	689	28.55
86301	Immunoassay tumor ca 19-9	A	335	28.55
86304	Immunoassay tumor ca 125	A	449	28.55
86305	Human epididymis protein 4	A	41	28.55
86308	Heterophile antibody screen	A	21	7.1
86316	Immunoassay tumor other	A	146	28.55
86317	Immunoassay infectious agent	A	215	20.56
86331	Immunodiffusion ouchterlony	A	8	16.43
86334	Immunofix e-phoresis serum	A	1092	30.65
86335	Immunfix e-phorsis/urine/csf	A	203	40.26
86337	Insulin antibodies	A	2	29.37
86340	Intrinsic factor antibody	A	31	20.68
86341	Islet cell antibody	A	21	27.14
86352	Cell function assay w/stim	A	2	186.37
86355	B cells total count	A	39	51.75
86356	Mononuclear cell antigen	A	23	36.73
86357	Nk cells total count	A	35	51.75
86359	T cells total count	A	67	51.75
86360	T cell absolute count/ratio	A	65	64.45
86361	T cell absolute count	A	16	36.73
86376	Microsomal antibody each	A	187	19.96
86382	Neutralization test viral	A	1	23.2
86430	Rheumatoid factor test qual	A	51	7.78
86431	Rheumatoid factor quant	A	446	7.78
86480	Tb test cell immun measure	A	117	85.02
86481	Tb ag response t-cell susp	A	34	102.79
86486	Skin test nos antigen	S	3	12.62
86580	Tb intradermal test	N	240	12.62
86580	Tb intradermal test	S	165	12.62
86580	Tb intradermal test	Q	10	12.62
86592	Syphilis test non-trep qual	A	327	5.86
86593	Syphilis test non-trep quant	A	30	6.04
86606	Aspergillus antibody	A	14	20.65
86609	Bacterium antibody	A	14	17.67
86611	Bartonella antibody	A	8	13.96
86612	Blastomyces antibody	A	7	17.7
86615	Bordetella antibody	A	4	18.09
86617	Lyme disease antibody	A	103	21.25
86618	Lyme disease antibody	A	269	23.36
86622	Brucella antibody	A	1	12.25
86628	Candida antibody	A	3	16.47
86631	Chlamydia antibody	A	10	16.22
86632	Chlamydia igm antibody	A	5	17.4
86635	Coccidioides antibody	A	9	15.74
86638	Q fever antibody	A	10	16.63
86644	Cmv antibody	A	19	19.74
86645	Cmv antibody igm	A	10	23.11
86648	Diphtheria antibody	A	2	20.86
86663	Epstein-barr antibody	A	8	18
86664	Epstein-barr nuclear antigen	A	12	20.98
86665	Epstein-barr capsid vca	A	28	24.89
86666	Ehrlichia antibody	A	37	13.96
86668	Francisella tularensis	A	4	14.27
86671	Fungus nes antibody	A	6	16.81
86674	Giardia lamblia antibody	A	3	20.19
86677	Helicobacter pylori antibody	A	36	19.9
86682	Helminth antibody	A	5	17.84
86684	Hemophilus influenza antibdy	A	7	21.73
86689	Htlv/hiv confirmj antibody	A	1	26.55
86692	Hepatitis delta agent antbdy	A	2	23.54
86694	Herpes simplex nes antbdy	A	11	19.74
86695	Herpes simplex type 1 test	A	26	18.09
86696	Herpes simplex type 2 test	A	25	26.55
86698	Histoplasma antibody	A	9	17.14
86701	Hiv-1antibody	A	7	12.19
86702	Hiv-2 antibody	A	5	18.54
86703	Hiv-1/hiv-2 1 result antbdy	A	20	18.8
86704	Hep b core antibody total	A	160	16.53
86705	Hep b core antibody igm	A	50	16.15
86706	Hep b surface antibody	A	236	14.73
86707	Hepatitis be antibody	A	13	15.87
86708	Hepatitis a antibody	A	100	16.99
86709	Hepatitis a igm antibody	A	41	15.44
86710	Influenza virus antibody	A	1	18.59
86713	Legionella antibody	A	2	20.99
86735	Mumps antibody	A	18	17.9
86738	Mycoplasma antibody	A	6	18.16
86747	Parvovirus antibody	A	9	20.62
86753	Protozoa antibody nos	A	24	16.99
86757	Rickettsia antibody	A	38	26.55
86762	Rubella antibody	A	16	19.74
86765	Rubeola antibody	A	22	17.67
86774	Tetanus antibody	A	8	20.3
86777	Toxoplasma antibody	A	2	19.74
86778	Toxoplasma antibody igm	A	2	19.76
86780	Treponema pallidum	A	437	18.16
86787	Varicella-zoster antibody	A	38	17.67
86788	West nile virus ab igm	A	1	23.11
86789	West nile virus antibody	A	3	19.74
86790	Virus antibody nos	A	23	17.67
86800	Thyroglobulin antibody	A	154	21.82
86803	Hepatitis c ab test	A	1160	19.57
86804	Hep c ab test confirm	A	1	21.25
86812	Hla typing a b or c	A	14	35.4
86816	Hla typing dr/dq	A	1	38.21
86825	Hla x-math non-cytotoxic	A	1	110.17
86826	Hla x-match noncytotoxc addl	A	4	36.73
86832	Hla class i high defin qual	A	5	174.04
86833	Hla class ii high defin qual	A	5	158.22
86850	Rbc antibody screen	N	3986	39.7
86850	Rbc antibody screen	Q	11	39.7
86850	Rbc antibody screen	A	9	39.7
86850	Rbc antibody screen	S	2	39.7
86860	Rbc antibody elution	N	24	103.88
86860	Rbc antibody elution	S	1	103.88
86870	Rbc antibody identification	S	182	184.01
86870	Rbc antibody identification	N	112	184.01
86880	Coombs test direct	N	599	28.38
86880	Coombs test direct	S	61	28.38
86880	Coombs test direct	Q	2	28.38
86885	Coombs test indirect qual	N	73	103.88
86886	Coombs test indirect titer	N	2	103.88
86886	Coombs test indirect titer	S	1	103.88
86900	Blood typing serologic abo	N	3512	54.55
86900	Blood typing serologic abo	S	513	54.55
86900	Blood typing serologic abo	Q	11	54.55
86900	Blood typing serologic abo	A	9	54.55
86901	Blood typing serologic rh(d)	N	4017	28.38
86901	Blood typing serologic rh(d)	Q	10	28.38
86901	Blood typing serologic rh(d)	A	9	28.38
86902	Blood type antigen donor ea	N	670	184.01
86902	Blood type antigen donor ea	S	96	184.01
86902	Blood type antigen donor ea	Q	1	184.01
86904	Blood typing patient serum	N	9	28.38
86905	Blood typing rbc antigens	N	222	184.01
86905	Blood typing rbc antigens	S	19	184.01
86905	Blood typing rbc antigens	Q	2	184.01
86906	Bld typing serologic rh phnt	N	1	28.38
86920	Compatibility test spin	N	1136	103.88
86920	Compatibility test spin	S	198	103.88
86920	Compatibility test spin	A	18	103.88
86920	Compatibility test spin	Q	3	103.88
86921	Compatibility test incubate	N	46	103.88
86922	Compatibility test antiglob	N	461	103.88
86922	Compatibility test antiglob	S	11	103.88
86922	Compatibility test antiglob	Q	2	103.88
86923	Compatibility test electric	N	1132	103.88
86923	Compatibility test electric	S	377	103.88
86923	Compatibility test electric	Q	6	103.88
86945	Blood product/irradiation	N	71	28.38
86945	Blood product/irradiation	Q	5	28.38
86960	Vol reduction of blood/prod	N	3	103.88
86965	Pooling blood platelets	N	5	103.88
86965	Pooling blood platelets	Q	1	103.88
86971	Rbc pretx incubatj w/enzymes	N	2	184.01
86975	Rbc serum pretx incubj drugs	N	18	28.38
86975	Rbc serum pretx incubj drugs	S	1	28.38
86977	Rbc serum pretx incubj/inhib	N	6	103.88
86978	Rbc pretreatment serum	N	52	12.62
86985	Split blood or products	N	1	103.88
87015	Specimen infect agnt concntj	A	27	9.16
87040	Blood culture for bacteria	A	107	14.16
87045	Feces culture aerobic bact	A	194	12.95
87046	Stool cultr aerobic bact ea	A	302	12.95
87070	Culture othr specimn aerobic	A	175	11.82
87071	Culture aerobic quant other	A	3	12.95
87075	Cultr bacteria except blood	A	27	12.99
87076	Culture anaerobe ident each	A	13	11.08
87077	Culture aerobic identify	A	1067	11.08
87081	Culture screen only	A	67	9.09
87086	Urine culture/colony count	A	2671	11.07
87088	Urine bacteria culture	A	605	11.1
87101	Skin fungi culture	A	2	10.57
87102	Fungus isolation culture	A	8	11.53
87106	Fungi identification yeast	A	6	14.16
87107	Fungi identification mold	A	1	14.16
87110	Chlamydia culture	A	4	26.88
87116	Mycobacteria culture	A	6	14.82
87147	Culture type immunologic	A	82	7.1
87150	Dna/rna amplified probe	A	12	48.14
87158	Culture typing added method	A	2	7.18
87172	Pinworm exam	A	1	5.86
87176	Tissue homogenization cultr	A	1	8.07
87177	Ova and parasites smears	A	82	12.21
87181	Microbe susceptible diffuse	A	6	6.51
87184	Microbe susceptible disk	A	39	9.46
87185	Microbe susceptible enzyme	A	1	6.51
87186	Microbe susceptible mic	A	1293	11.86
87205	Smear gram stain	A	128	5.86
87206	Smear fluorescent/acid stai	A	15	7.39
87207	Smear special stain	A	6	8.22
87209	Smear complex stain	A	70	24.66
87210	Smear wet mount saline/ink	A	47	5.86
87220	Tissue exam for fungi	A	6	5.86
87230	Assay toxin or antitoxin	A	5	27.08
87252	Virus inoculation tissue	A	3	35.76
87253	Virus inoculate tissue addl	A	1	27.71
87254	Virus inoculation shell via	A	10	26.83
87255	Genet virus isolate hsv	A	4	46.45
87269	Giardia ag if	A	1	16.44
87272	Cryptosporidium ag if	A	18	16.44
87305	Aspergillus ag ia	A	9	16.44
87324	Clostridium ag ia	A	65	16.44
87328	Cryptosporidium ag ia	A	61	16.44
87329	Giardia ag ia	A	96	16.44
87338	Hpylori stool ia	A	68	19.73
87339	H pylori ag ia	A	6	16.44
87340	Hepatitis b surface ag ia	A	321	14.17
87341	Hepatitis b surface ag ia	A	7	14.17
87350	Hepatitis be ag ia	A	18	15.81
87385	Histoplasma capsul ag ia	A	7	16.44
87389	Hiv-1 ag w/hiv-1 & hiv-2 ab	A	211	33.03
87390	Hiv-1 ag ia	A	4	24.2
87425	Rotavirus ag ia	A	13	16.44
87427	Shiga-like toxin ag ia	A	96	16.44
87430	Strep a ag ia	A	1	16.44
87449	Ag detect nos ia mult	A	31	16.44
87471	Bartonella dna amp probe	A	1	48.14
87476	Lyme dis dna amp probe	A	2	48.14
87480	Candida dna dir probe	A	56	27.51
87486	Chylmd pneum dna amp probe	A	2	48.14
87491	Chylmd trach dna amp probe	A	653	48.14
87493	C diff amplified probe	A	219	48.14
87496	Cytomeg dna amp probe	A	2	48.14
87497	Cytomeg dna quant	A	260	58.76
87502	Influenza dna amp probe	A	9	116.73
87505	Nfct agent detection gi	A	4	175.98
87506	Iadna-dna/rna probe tq 6-11	A	4	292.77
87507	Iadna-dna/rna probe tq 12-25	A	51	571.72
87510	Gardner vag dna dir probe	A	56	27.51
87517	Hepatitis b dna quant	A	38	58.76
87521	Hepatitis c probe&rvrs trnsc	A	3	48.14
87522	Hepatitis c revrs trnscrpj	A	232	58.76
87529	Hsv dna amp probe	A	4	48.14
87536	Hiv-1 quant&revrse trnscrpj	A	48	116.73
87581	M.pneumon dna amp probe	A	2	48.14
87591	N.gonorrhoeae dna amp prob	A	630	48.14
87624	Hpv high-risk types	A	91	48.14
87625	Hpv types 16 & 18 only	A	12	48.14
87631	Resp virus 3-5 targets	A	4	175.98
87633	Resp virus 12-25 targets	A	26	571.72
87640	Staph a dna amp probe	A	33	48.14
87641	Mr-staph dna amp probe	A	45	48.14
87651	Strep a dna amp probe	A	2	48.14
87653	Strep b dna amp probe	A	1	48.14
87660	Trichomonas vagin dir probe	A	56	27.51
87661	Trichomonas vaginalis amplif	A	14	48.14
87798	Detect agent nos dna amp	A	66	48.14
87799	Detect agent nos dna quant	A	196	58.76
87800	Detect agnt mult dna direc	A	21	55.03
87801	Detect agnt mult dna ampli	A	1	96.29
87804	Influenza assay w/optic	A	104	16.44
87806	Hiv antigen w/hiv antibodies	A	2	33.03
87880	Strep a assay w/optic	A	104	16.44
87899	Agent nos assay w/optic	A	136	16.44
87900	Phenotype infect agent drug	A	1	178.8
87901	Genotype dna hiv reverse t	A	2	353.15
87902	Genotype dna/rna hep c	A	45	353.15
87912	Genotype dna hepatitis b	A	1	353.15
88104	Cytopath fl nongyn smears	N	1077	28.38
88104	Cytopath fl nongyn smears	Q	1069	28.38
88108	Cytopath concentrate tech	N	70	28.38
88108	Cytopath concentrate tech	S	3	28.38
88112	Cytopath cell enhance tech	N	597	39.7
88112	Cytopath cell enhance tech	S	73	39.7
88112	Cytopath cell enhance tech	A	4	39.7
88120	Cytp urne 3-5 probes ea spec	N	149	184.01
88120	Cytp urne 3-5 probes ea spec	S	37	184.01
88120	Cytp urne 3-5 probes ea spec	A	2	184.01
88121	Cytp urine 3-5 probes cmptr	N	2	184.01
88142	Cytopath c/v thin layer	A	115	27.79
88160	Cytopath smear other source	N	1	12.62
88161	Cytopath smear other source	N	1	28.38
88172	Cytp dx eval fna 1st ea site	N	18	184.01
88173	Cytopath eval fna report	N	104	39.7
88173	Cytopath eval fna report	S	5	39.7
88175	Cytopath c/v auto fluid redo	A	25	36.34
88184	Flowcytometry/ tc 1 marker	S	257	184.01
88184	Flowcytometry/ tc 1 marker	N	190	184.01
88184	Flowcytometry/ tc 1 marker	Q	6	184.01
88199	Cytopathology procedure	N	1	39.7
88237	Tissue culture bone marrow	A	11	173.26
88240	Cell cryopreserve/storage	A	1	13.85
88264	Chromosome analysis 20-25	A	1	170.98
88271	Cytogenetics dna probe	A	46	29.38
88275	Cytogenetics 100-300	A	23	55.09
88280	Chromosome karyotype study	A	4	34.42
88299	Cytogenetic study	N	1	39.7
88300	Surgical path gross	N	111	28.38
88302	Tissue exam by pathologist	N	25	28.38
88304	Tissue exam by pathologist	N	270	39.7
88304	Tissue exam by pathologist	S	7	39.7
88305	Tissue exam by pathologist	N	13471	39.7
88305	Tissue exam by pathologist	S	104	39.7
88305	Tissue exam by pathologist	Q	25	39.7
88307	Tissue exam by pathologist	N	197	184.01
88307	Tissue exam by pathologist	A	2	184.01
88307	Tissue exam by pathologist	S	1	184.01
88309	Tissue exam by pathologist	N	3	454.16
88309	Tissue exam by pathologist	S	1	454.16
88312	Special stains group 1	N	270	39.7
88312	Special stains group 1	S	3	39.7
88313	Special stains group 2	N	587	28.38
88319	Enzyme histochemistry	S	25	454.16
88319	Enzyme histochemistry	N	14	454.16
88321	Microslide consultation	N	12	28.38
88323	Microslide consultation	N	10	103.88
88325	Comprehensive review of data	N	1	39.7
88331	Path consult intraop 1 bloc	S	222	103.88
88331	Path consult intraop 1 bloc	N	149	103.88
88333	Intraop cyto path consult 1	N	2	454.16
88333	Intraop cyto path consult 1	S	1	454.16
88342	Immunohisto antb 1st stain	N	1076	184.01
88342	Immunohisto antb 1st stain	S	104	184.01
88342	Immunohisto antb 1st stain	Q	22	184.01
88344	Immunohisto antibody slide	N	60	184.01
88346	Immunofluor antb 1st stain	S	7	184.01
88346	Immunofluor antb 1st stain	N	7	184.01
88348	Electron microscopy	N	1	454.16
88360	Tumor immunohistochem/manual	N	419	184.01
88360	Tumor immunohistochem/manual	S	20	184.01
88361	Tumor immunohistochem/comput	N	43	184.01
88361	Tumor immunohistochem/comput	S	3	184.01
88363	Xm archive tissue molec anal	N	3	12.62
88365	Insitu hybridization (fish)	N	17	103.88
88366	Insitu hybridization (fish)	N	4	184.01
88367	Insitu hybridization auto	N	54	184.01
88367	Insitu hybridization auto	Q	6	184.01
88367	Insitu hybridization auto	S	2	184.01
88368	Insitu hybridization manual	N	29	184.01
88368	Insitu hybridization manual	S	1	184.01
88374	M/phmtrc alys ishquant/semiq	N	114	103.88
88374	M/phmtrc alys ishquant/semiq	S	4	103.88
88374	M/phmtrc alys ishquant/semiq	Q	2	103.88
88377	M/phmtrc alys ishquant/semiq	N	17	103.88
89050	Body fluid cell count	A	7	6.48
89051	Body fluid cell count	A	7	7.55
89055	Leukocyte assessment fecal	A	55	5.86
89060	Exam synovial fluid crystals	A	5	9.81
89125	Specimen fat stain	A	3	5.93
89190	Nasal smear for eosinophils	A	1	6.51
89220	Sputum specimen collection	N	5	103.88
89220	Sputum specimen collection	S	2	103.88
89321	Semen anal sperm detection	A	1	16.53
90371	Hep b ig im	K	15	111.33
90375	Rabies ig im/sc	K	38	305.48
90396	Varicella-zoster ig im	K	1	1230.98
90471	Immunization admin	S	3171	53.17
90675	Rabies vaccine im	K	26	272.49
90791	Psych diagnostic evaluation	S	1009	126.01
90791	Psych diagnostic evaluation	N	83	126.01
90791	Psych diagnostic evaluation	Q	42	126.01
90792	Psych diag eval w/med srvcs	S	406	126.01
90832	Psytx w pt 30 minutes	S	1152	70.26
90832	Psytx w pt 30 minutes	P	144	70.26
90832	Psytx w pt 30 minutes	Q	57	70.26
90834	Psytx w pt 45 minutes	S	5081	126.01
90834	Psytx w pt 45 minutes	P	58	126.01
90834	Psytx w pt 45 minutes	Q	11	126.01
90834	Psytx w pt 45 minutes	N	5	126.01
90837	Psytx w pt 60 minutes	S	2428	126.01
90837	Psytx w pt 60 minutes	P	24	126.01
90837	Psytx w pt 60 minutes	N	3	126.01
90837	Psytx w pt 60 minutes	Q	1	126.01
90839	Psytx crisis initial 60 min	S	33	126.01
90846	Family psytx w/o pt 50 min	S	3	126.01
90847	Family psytx w/pt 50 min	S	41	126.01
90847	Family psytx w/pt 50 min	N	4	126.01
90853	Group psychotherapy	S	6142	70.26
90853	Group psychotherapy	N	49	70.26
90853	Group psychotherapy	Q	1	70.26
90868	Tcranial magn stim tx deli	S	4	232.31
90870	Electroconvulsive therapy	S	4	415.87
90911	Biofeedback peri/uro/rectal	S	34	127.1
91010	Esophagus motility study	S	27	415.87
91010	Esophagus motility study	N	2	415.87
91035	G-esoph reflx tst w/electrod	S	1	415.87
91110	Gi tract capsule endoscopy	T	3	699.79
91120	Rectal sensation test	S	28	127.1
91122	Anal pressure record	T	29	216.04
91200	Liver elastography	N	204	127.1
91200	Liver elastography	S	5	127.1
92002	Eye exam new patient	V	361	106.61
92002	Eye exam new patient	N	3	106.61
92004	Eye exam new patient	V	1242	106.61
92004	Eye exam new patient	N	2	106.61
92012	Eye exam establish patient	V	4166	106.61
92012	Eye exam establish patient	N	8	106.61
92014	Eye exam&tx estab pt 1/>vst	V	7702	106.61
92014	Eye exam&tx estab pt 1/>vst	N	5	106.61
92018	New eye exam & treatment	J	3	1701.48
92020	Special eye evaluation	N	486	100.02
92020	Special eye evaluation	S	2	100.02
92025	Corneal topography	N	175	54.55
92025	Corneal topography	S	14	54.55
92060	Special eye evaluation	N	16	54.55
92081	Visual field examination(s)	N	88	54.55
92081	Visual field examination(s)	S	4	54.55
92082	Visual field examination(s)	N	79	54.55
92082	Visual field examination(s)	S	31	54.55
92083	Visual field examination(s)	N	3061	100.02
92083	Visual field examination(s)	S	714	100.02
92083	Visual field examination(s)	Q	10	100.02
92132	Cmptr ophth dx img ant segmt	N	8	54.55
92132	Cmptr ophth dx img ant segmt	S	2	54.55
92133	Cmptr ophth img optic nerve	N	2883	54.55
92133	Cmptr ophth img optic nerve	Q	54	54.55
92133	Cmptr ophth img optic nerve	S	48	54.55
92134	Cptr ophth dx img post segmt	N	5792	54.55
92134	Cptr ophth dx img post segmt	S	82	54.55
92134	Cptr ophth dx img post segmt	Q	23	54.55
92136	Ophthalmic biometry	N	567	100.02
92136	Ophthalmic biometry	S	366	100.02
92225	Special eye exam initial	N	56	54.55
92226	Special eye exam subsequent	N	4	54.55
92227	Remote dx retinal imaging	N	9	28.38
92235	Fluorescein angrph uni/bi	S	174	232.31
92250	Eye exam with photos	N	625	100.02
92250	Eye exam with photos	S	14	100.02
92250	Eye exam with photos	Q	3	100.02
92285	Eye photography	N	294	54.55
92285	Eye photography	S	8	54.55
92286	Internal eye photography	N	15	100.02
92286	Internal eye photography	S	3	100.02
92326	Replacement of contact lens	N	1	54.55
92502	Ear and throat examination	T	1	442.62
92511	Nasopharyngoscopy	T	62	146.2
92520	Laryngeal function studies	A	16	100.02
92520	Laryngeal function studies	S	1	100.02
92537	Caloric vstblr test w/rec	S	20	232.31
92538	Caloric vstblr test w/rec	S	10	232.31
92540	Basic vestibular evaluation	S	60	127.1
92541	Spontaneous nystagmus test	N	2	100.02
92542	Positional nystagmus test	N	29	100.02
92542	Positional nystagmus test	S	8	100.02
92545	Oscillating tracking test	S	1	127.1
92546	Sinusoidal rotational test	S	16	127.1
92548	Posturography	N	57	100.02
92548	Posturography	S	42	100.02
92550	Tympanometry & reflex thresh	N	282	127.1
92550	Tympanometry & reflex thresh	S	59	127.1
92552	Pure tone audiometry air	S	29	54.55
92552	Pure tone audiometry air	N	19	54.55
92553	Audiometry air & bone	N	13	127.1
92553	Audiometry air & bone	S	8	127.1
92555	Speech threshold audiometry	N	8	28.38
92556	Speech audiometry complete	N	30	28.38
92556	Speech audiometry complete	S	4	28.38
92557	Comprehensive hearing test	N	1022	127.1
92557	Comprehensive hearing test	S	384	127.1
92557	Comprehensive hearing test	Q	1	127.1
92567	Tympanometry	N	952	28.38
92567	Tympanometry	S	12	28.38
92567	Tympanometry	Q	2	28.38
92568	Acoustic refl threshold tst	N	4	28.38
92570	Acoustic immitance testing	N	26	127.1
92579	Visual audiometry (vra)	N	2	127.1
92585	Auditor evoke potent compre	S	1	232.31
92587	Evoked auditory test limited	S	15	232.31
92588	Evoked auditory tst complete	S	11	232.31
92603	Cochlear implt f/up exam 7/>	S	7	127.1
92604	Reprogram cochlear implt 7/>	S	32	127.1
92625	Tinnitus assessment	N	3	127.1
92950	Heart/lung resuscitation cpr	N	1	232.31
92960	Cardioversion electric ext	S	6	481.34
93005	Electrocardiogram tracing	N	24983	54.55
93005	Electrocardiogram tracing	S	4758	54.55
93005	Electrocardiogram tracing	Q	166	54.55
93005	Electrocardiogram tracing	A	2	54.55
93017	Cardiovascular stress test	N	7414	232.31
93017	Cardiovascular stress test	S	904	232.31
93017	Cardiovascular stress test	Q	2	232.31
93041	Rhythm ecg tracing	N	10	54.55
93225	Ecg monit/reprt up to 48 hrs	S	1239	100.02
93225	Ecg monit/reprt up to 48 hrs	N	624	100.02
93225	Ecg monit/reprt up to 48 hrs	Q	5	100.02
93226	Ecg monit/reprt up to 48 hrs	N	1249	100.02
93226	Ecg monit/reprt up to 48 hrs	S	100	100.02
93226	Ecg monit/reprt up to 48 hrs	Q	3	100.02
93260	Prgrmg dev eval impltbl sys	S	1	35.15
93261	Interrogate subq defib	N	5	35.15
93261	Interrogate subq defib	S	1	35.15
93270	Remote 30 day ecg rev/report	S	125	35.15
93270	Remote 30 day ecg rev/report	N	107	35.15
93270	Remote 30 day ecg rev/report	Q	3	35.15
93271	Ecg/monitoring and analysis	S	30	109.22
93279	Pm device progr eval sngl	N	169	35.15
93279	Pm device progr eval sngl	S	122	35.15
93279	Pm device progr eval sngl	Q	2	35.15
93280	Pm device progr eval dual	N	963	35.15
93280	Pm device progr eval dual	S	552	35.15
93280	Pm device progr eval dual	Q	1	35.15
93281	Pm device progr eval multi	N	51	35.15
93281	Pm device progr eval multi	S	33	35.15
93282	Prgrmg eval implantable dfb	N	134	35.15
93282	Prgrmg eval implantable dfb	S	96	35.15
93282	Prgrmg eval implantable dfb	Q	1	35.15
93283	Prgrmg eval implantable dfb	N	357	35.15
93283	Prgrmg eval implantable dfb	S	116	35.15
93284	Prgrmg eval implantable dfb	N	413	35.15
93284	Prgrmg eval implantable dfb	S	131	35.15
93284	Prgrmg eval implantable dfb	Q	1	35.15
93285	Ilr device eval progr	N	23	35.15
93285	Ilr device eval progr	S	8	35.15
93288	Pm device eval in person	N	212	35.15
93288	Pm device eval in person	S	20	35.15
93288	Pm device eval in person	Q	1	35.15
93289	Interrog device eval heart	N	94	35.15
93289	Interrog device eval heart	S	30	35.15
93290	Icm device eval	N	65	35.15
93291	Ilr device interrogate	S	24	28.38
93291	Ilr device interrogate	N	8	28.38
93293	Pm phone r-strip device eval	S	95	35.15
93293	Pm phone r-strip device eval	N	12	35.15
93296	Pm/icd remote tech serv	S	2697	35.15
93296	Pm/icd remote tech serv	N	51	35.15
93299	Icm/ilr remote tech serv	S	338	35.15
93299	Icm/ilr remote tech serv	N	11	35.15
93303	Echo transthoracic	S	51	449.68
93304	Echo transthoracic	S	2	449.68
93306	Tte w/doppler complete	S	15411	449.68
93306	Tte w/doppler complete	N	2	449.68
93307	Tte w/o doppler complete	S	26	449.68
93308	Tte f-up or lmtd	S	388	225.91
93312	Echo transesophageal	S	4	449.68
93318	Echo transesophageal intraop	S	1	449.68
93350	Stress tte only	S	368	449.68
93351	Stress tte complete	S	341	449.68
93451	Right heart cath	J	1	2833.55
93505	Biopsy of heart lining	T	1	2360.6
93660	Tilt table evaluation	S	142	415.87
93702	Bis xtracell fluid analysis	S	7	127.1
93724	Analyze pacemaker system	S	2	252.63
93750	Interrogation vad in person	S	3	109.22
93786	Ambulatory bp recording	S	12	100.02
93786	Ambulatory bp recording	Q	1	100.02
93788	Ambulatory bp analysis	N	13	100.02
93788	Ambulatory bp analysis	Q	3	100.02
93788	Ambulatory bp analysis	S	1	100.02
93797	Cardiac rehab	S	131	110.22
93798	Cardiac rehab/monitor	S	16496	110.22
93799	Cardiovascular procedure	S	3	127.1
93880	Extracranial bilat study	S	5713	225.91
93880	Extracranial bilat study	N	5	225.91
93882	Extracranial uni/ltd study	S	15	112.73
93886	Intracranial complete study	S	1	225.91
93888	Intracranial limited study	S	1	112.73
93922	Upr/l xtremity art 2 levels	N	1252	100.02
93922	Upr/l xtremity art 2 levels	S	632	100.02
93922	Upr/l xtremity art 2 levels	Q	154	100.02
93923	Upr/lxtr art stdy 3+ lvls	S	1104	127.1
93923	Upr/lxtr art stdy 3+ lvls	N	3	127.1
93924	Lwr xtr vasc stdy bilat	S	340	127.1
93925	Lower extremity study	S	1223	225.91
93925	Lower extremity study	N	1	225.91
93926	Lower extremity study	S	670	112.73
93930	Upper extremity study	S	23	225.91
93931	Upper extremity study	S	102	112.73
93970	Extremity study	S	2432	225.91
93970	Extremity study	N	1	225.91
93971	Extremity study	S	3394	112.73
93975	Vascular study	S	431	225.91
93976	Vascular study	S	275	112.73
93976	Vascular study	N	1	112.73
93978	Vascular study	S	953	225.91
93979	Vascular study	N	149	112.73
93979	Vascular study	S	105	112.73
93979	Vascular study	Q	3	112.73
93980	Penile vascular study	S	4	112.73
93990	Doppler flow testing	S	109	112.73
93990	Doppler flow testing	N	20	112.73
93990	Doppler flow testing	Q	2	112.73
93998	Noninvas vasc dx study proc	N	2	12.62
94002	Vent mgmt inpat init day	S	1	423.95
94010	Breathing capacity test	N	1659	127.1
94010	Breathing capacity test	S	209	127.1
94010	Breathing capacity test	Q	12	127.1
94060	Evaluation of wheezing	S	829	232.31
94070	Evaluation of wheezing	S	44	232.31
94150	Vital capacity test	N	266	127.1
94200	Lung function test (mbc/mvv)	N	1	100.02
94250	Expired gas collection	N	7	54.55
94375	Respiratory flow volume loop	S	299	232.31
94375	Respiratory flow volume loop	N	62	232.31
94452	Hast w/report	N	2	100.02
94620	Pulmonary stress test/simple	N	323	100.02
94620	Pulmonary stress test/simple	S	47	100.02
94621	Pulm stress test/complex	S	4	232.31
94640	Airway inhalation treatment	N	1781	162.08
94640	Airway inhalation treatment	S	111	162.08
94640	Airway inhalation treatment	Q	74	162.08
94640	Airway inhalation treatment	A	3	162.08
94642	Aerosol inhalation treatment	N	7	162.08
94644	Cbt 1st hour	N	1	100.02
94660	Pos airway pressure cpap	N	3	162.08
94660	Pos airway pressure cpap	S	1	162.08
94664	Evaluate pt use of inhaler	N	79	162.08
94664	Evaluate pt use of inhaler	S	2	162.08
94664	Evaluate pt use of inhaler	A	1	162.08
94667	Chest wall manipulation	N	7	100.02
94726	Pulm funct tst plethysmograp	N	379	232.31
94726	Pulm funct tst plethysmograp	S	15	232.31
94726	Pulm funct tst plethysmograp	Q	1	232.31
94727	Pulm function test by gas	N	635	127.1
94727	Pulm function test by gas	S	41	127.1
94727	Pulm function test by gas	Q	1	127.1
94750	Pulmonary compliance study	N	223	127.1
94750	Pulmonary compliance study	S	1	127.1
94762	Measure blood oxygen level	S	26	127.1
94762	Measure blood oxygen level	N	6	127.1
94770	Exhaled carbon dioxide test	S	3	232.31
94799	Pulmonary service/procedure	N	8	127.1
95004	Percut allergy skin tests	N	5470	263.61
95004	Percut allergy skin tests	S	1386	263.61
95012	Exhaled nitric oxide meas	N	74	28.38
95012	Exhaled nitric oxide meas	S	5	28.38
95018	Perq&ic allg test drugs/biol	N	159	28.38
95018	Perq&ic allg test drugs/biol	Q	23	28.38
95018	Perq&ic allg test drugs/biol	S	6	28.38
95024	Icut allergy test drug/bug	N	471	54.55
95028	Icut allergy test-delayed	N	56	28.38
95044	Allergy patch tests	S	641	263.61
95044	Allergy patch tests	N	321	263.61
95044	Allergy patch tests	Q	58	263.61
95070	Bronchial allergy tests	S	34	415.87
95076	Ingest challenge ini 120 min	S	16	415.87
95115	Immunotherapy one injection	S	553	34.78
95117	Immunotherapy injections	S	1535	34.78
95145	Antigen therapy services	S	12	34.78
95146	Antigen therapy services	S	62	34.78
95165	Antigen therapy services	S	841	34.78
95180	Rapid desensitization	S	3	263.61
95180	Rapid desensitization	N	2	263.61
95250	Glucose monitoring cont	V	29	106.61
95800	Slp stdy unattended	S	6	127.1
95803	Actigraphy testing	N	1	54.55
95805	Multiple sleep latency test	S	9	864.54
95806	Sleep study unatt&resp efft	S	61	127.1
95807	Sleep study attended	S	4	415.87
95808	Polysom any age 1-3> param	S	1	864.54
95810	Polysom 6/> yrs 4/> param	S	882	864.54
95811	Polysom 6/>yrs cpap 4/> parm	S	1197	864.54
95812	Eeg 41-60 minutes	S	8	232.31
95813	Eeg over 1 hour	S	13	232.31
95816	Eeg awake and drowsy	S	112	232.31
95816	Eeg awake and drowsy	N	1	232.31
95819	Eeg awake and asleep	S	110	232.31
95822	Eeg coma or sleep only	S	7	232.31
95860	Muscle test one limb	N	3	100.02
95860	Muscle test one limb	S	2	100.02
95861	Muscle test 2 limbs	N	1	100.02
95865	Muscle test larynx	N	2	100.02
95865	Muscle test larynx	S	1	100.02
95866	Muscle test hemidiaphragm	N	5	127.1
95869	Muscle test thor paraspinal	N	2	127.1
95869	Muscle test thor paraspinal	S	1	127.1
95870	Muscle test nonparaspinal	N	9	54.55
95870	Muscle test nonparaspinal	S	4	54.55
95872	Muscle test one fiber	S	29	127.1
95907	Nvr cndj tst 1-2 studies	S	14	127.1
95908	Nrv cndj tst 3-4 studies	S	119	232.31
95909	Nrv cndj tst 5-6 studies	S	408	232.31
95909	Nrv cndj tst 5-6 studies	N	1	232.31
95910	Nrv cndj test 7-8 studies	S	609	232.31
95911	Nrv cndj test 9-10 studies	S	537	415.87
95912	Nrv cndj test 11-12 studies	S	203	415.87
95913	Nrv cndj test 13/> studies	S	382	415.87
95921	Autonomic nrv parasym inervj	S	137	127.1
95923	Autonomic nrv syst funj test	N	218	54.55
95923	Autonomic nrv syst funj test	S	12	54.55
95924	Ans parasymp & symp w/tilt	S	95	127.1
95930	Visual evoked potential test	S	6	127.1
95933	Blink reflex test	N	5	54.55
95937	Neuromuscular junction test	S	58	127.1
95938	Somatosensory testing	S	6	415.87
95950	Ambulatory eeg monitoring	S	1	415.87
95953	Eeg monitoring/computer	S	76	415.87
95958	Eeg monitoring/function test	S	4	864.54
95970	Analyze neurostim no prog	N	52	100.02
95970	Analyze neurostim no prog	S	33	100.02
95971	Analyze neurostim simple	S	24	109.22
95971	Analyze neurostim simple	N	2	109.22
95972	Analyze neurostim complex	S	4	109.22
95972	Analyze neurostim complex	N	1	109.22
95974	Cranial neurostim complex	S	34	109.22
95978	Analyze neurostim brain/1h	S	509	109.22
95990	Spin/brain pump refil & main	S	4	279.45
95991	Spin/brain pump refil & main	T	68	231
96101	Psycho testing by psych/phys	N	450	127.1
96101	Psycho testing by psych/phys	S	26	127.1
96116	Neurobehavioral status exam	S	748	232.31
96116	Neurobehavioral status exam	N	4	232.31
96118	Neuropsych tst by psych/phys	N	2093	232.31
96118	Neuropsych tst by psych/phys	S	354	232.31
96118	Neuropsych tst by psych/phys	Q	2	232.31
96119	Neuropsych testing by tec	N	1432	232.31
96119	Neuropsych testing by tec	S	106	232.31
96120	Neuropsych tst admin w/comp	N	158	127.1
96127	Brief emotional/behav assmt	N	28	12.62
96127	Brief emotional/behav assmt	S	5	12.62
96150	Assess hlth/behave init	S	246	70.26
96150	Assess hlth/behave init	Q	1	70.26
96151	Assess hlth/behave subseq	S	3	70.26
96152	Intervene hlth/behave indiv	S	843	70.26
96152	Intervene hlth/behave indiv	N	3	70.26
96153	Intervene hlth/behave group	S	103	25.23
96154	Interv hlth/behav fam w/pt	S	23	70.26
96160	Pt-focused hlth risk assmt	S	9	25.23
96161	Caregiver health risk assmt	S	1	25.23
96360	Hydration iv infusion init	S	4727	179.77
96360	Hydration iv infusion init	N	14	179.77
96360	Hydration iv infusion init	A	3	179.77
96361	Hydrate iv infusion add-on	S	12403	34.78
96361	Hydrate iv infusion add-on	N	269	34.78
96361	Hydrate iv infusion add-on	A	19	34.78
96365	Ther/proph/diag iv inf init	S	27076	179.77
96365	Ther/proph/diag iv inf init	N	59	179.77
96365	Ther/proph/diag iv inf init	A	8	179.77
96366	Ther/proph/diag iv inf addon	S	19742	34.78
96366	Ther/proph/diag iv inf addon	N	33	34.78
96366	Ther/proph/diag iv inf addon	A	8	34.78
96367	Tx/proph/dg addl seq iv inf	S	24653	53.17
96367	Tx/proph/dg addl seq iv inf	A	6	53.17
96367	Tx/proph/dg addl seq iv inf	N	5	53.17
96369	Sc ther infusion up to 1 hr	S	1	179.77
96370	Sc ther infusion addl hr	S	2	34.78
96372	Ther/proph/diag inj sc/im	S	54747	53.17
96372	Ther/proph/diag inj sc/im	N	70	53.17
96372	Ther/proph/diag inj sc/im	A	11	53.17
96373	Ther/proph/diag inj ia	S	1	179.77
96374	Ther/proph/diag inj iv push	S	5480	179.77
96374	Ther/proph/diag inj iv push	N	39	179.77
96374	Ther/proph/diag inj iv push	A	5	179.77
96375	Tx/pro/dx inj new drug addon	S	46462	34.78
96375	Tx/pro/dx inj new drug addon	N	52	34.78
96375	Tx/pro/dx inj new drug addon	A	3	34.78
96401	Chemo anti-neopl sq/im	S	8930	53.17
96401	Chemo anti-neopl sq/im	A	5	53.17
96401	Chemo anti-neopl sq/im	N	1	53.17
96402	Chemo hormon antineopl sq/im	S	4597	53.17
96402	Chemo hormon antineopl sq/im	N	2	53.17
96405	Chemo intralesional up to 7	S	19	53.17
96409	Chemo iv push sngl drug	S	3241	179.77
96409	Chemo iv push sngl drug	A	1	179.77
96411	Chemo iv push addl drug	S	5471	53.17
96411	Chemo iv push addl drug	A	4	53.17
96413	Chemo iv infusion 1 hr	S	43490	279.45
96413	Chemo iv infusion 1 hr	N	14	279.45
96413	Chemo iv infusion 1 hr	A	4	279.45
96415	Chemo iv infusion addl hr	S	19489	53.17
96415	Chemo iv infusion addl hr	A	4	53.17
96415	Chemo iv infusion addl hr	N	1	53.17
96416	Chemo prolong infuse w/pump	S	2701	279.45
96417	Chemo iv infus each addl seq	S	11556	53.17
96420	Chemo ia push tecnique	S	2	279.45
96425	Chemotherapy infusion method	S	4	279.45
96446	Chemotx admn prtl cavity	S	3	279.45
96450	Chemotherapy into cns	S	19	279.45
96521	Refill/maint portable pump	S	1418	179.77
96522	Refill/maint pump/resvr syst	S	4	179.77
96523	Irrig drug delivery device	S	5188	54.55
96523	Irrig drug delivery device	N	1708	54.55
96523	Irrig drug delivery device	Q	498	54.55
96523	Irrig drug delivery device	A	3	54.55
96542	Chemotherapy injection	S	15	179.77
96549	Chemotherapy unspecified	S	63	34.78
96567	Photodynamic tx skin	T	44	153.12
96567	Photodynamic tx skin	N	3	153.12
96900	Ultraviolet light therapy	S	490	28.38
96900	Ultraviolet light therapy	N	27	28.38
96910	Photochemotherapy with uv-b	N	10	54.55
96910	Photochemotherapy with uv-b	S	1	54.55
96999	Dermatological procedure	T	1	153.12
97597	Rmvl devital tis 20 cm/<	T	2720	153.12
97597	Rmvl devital tis 20 cm/<	N	31	153.12
97597	Rmvl devital tis 20 cm/<	A	17	153.12
97602	Wound(s) care non-selective	T	44	153.12
97602	Wound(s) care non-selective	N	36	153.12
97602	Wound(s) care non-selective	Q	11	153.12
97602	Wound(s) care non-selective	A	5	153.12
97605	Neg press wound tx </=50 cm	N	333	153.12
97605	Neg press wound tx </=50 cm	T	126	153.12
97605	Neg press wound tx </=50 cm	Q	23	153.12
97606	Neg press wound tx >50 cm	N	34	292.62
97606	Neg press wound tx >50 cm	Q	12	292.62
97606	Neg press wound tx >50 cm	T	6	292.62
97607	Neg press wnd tx </=50 sq cm	T	36	292.62
97610	Low frequency non-thermal us	N	543	153.12
97610	Low frequency non-thermal us	T	369	153.12
97610	Low frequency non-thermal us	A	38	153.12
97610	Low frequency non-thermal us	Q	27	153.12
98925	Osteopath manj 1-2 regions	N	79	24.62
98925	Osteopath manj 1-2 regions	S	5	24.62
98925	Osteopath manj 1-2 regions	Q	1	24.62
98926	Osteopath manj 3-4 regions	N	91	24.62
98926	Osteopath manj 3-4 regions	S	8	24.62
98926	Osteopath manj 3-4 regions	Q	2	24.62
98927	Osteopath manj 5-6 regions	N	23	24.62
98927	Osteopath manj 5-6 regions	S	3	24.62
98928	Osteopath manj 7-8 regions	N	2	24.62
98928	Osteopath manj 7-8 regions	S	1	24.62
98929	Osteopath manj 9-10 regions	N	1	24.62
98940	Chiropract manj 1-2 regions	S	735	24.62
98940	Chiropract manj 1-2 regions	N	51	24.62
98940	Chiropract manj 1-2 regions	Q	17	24.62
98941	Chiropract manj 3-4 regions	S	352	24.62
98941	Chiropract manj 3-4 regions	N	48	24.62
98941	Chiropract manj 3-4 regions	Q	2	24.62
99195	Phlebotomy	S	972	54.55
99195	Phlebotomy	N	603	54.55
99195	Phlebotomy	Q	1	54.55
99281	Emergency dept visit	V	11	61.37
99282	Emergency dept visit	V	44	111.47
99282	Emergency dept visit	N	1	111.47
99283	Emergency dept visit	V	454	201.25
99283	Emergency dept visit	N	3	201.25
99283	Emergency dept visit	A	1	201.25
99284	Emergency dept visit	V	1039	332.41
99284	Emergency dept visit	J	3	332.41
99285	Emergency dept visit	V	1304	488.74
99285	Emergency dept visit	J	39	488.74
99285	Emergency dept visit	N	7	488.74
99285	Emergency dept visit	A	3	488.74
99291	Critical care first hour	S	22	687.17
99291	Critical care first hour	J	2	687.17
99406	Behav chng smoking 3-10 min	S	666	25.23
99407	Behav chng smoking > 10 min	S	54	25.23
99490	Chron care mgmt srvc 20 min	S	1283	70.26
99495	Trans care mgmt 14 day disch	V	905	106.61
99496	Trans care mgmt 7 day disch	V	669	106.61
99497	Advncd care plan 30 min	N	153	70.26
99497	Advncd care plan 30 min	S	37	70.26
99497	Advncd care plan 30 min	A	14	70.26
99497	Advncd care plan 30 min	Q	2	70.26
A9517	"I131 iodide cap, rx"	K	77	40.7
A9530	"I131 iodide sol, rx"	K	50	10.28
A9587	Gallium ga-68	G	150	66.74
A9588	Fluciclovine f-18	G	43	389.55
A9606	Radium ra223 dichloride ther	K	1463	127.07
C1717	"Brachytx, non-str,hdr ir-19"	U	58	281.58
C2638	"Brachytx, stranded, i-125"	U	267	37.97
C2639	"Brachytx, non-stranded,i-12"	U	83	35.7
C5271	Low cost skin substitute ap	T	6	453.1
C5271	Low cost skin substitute ap	N	1	453.1
C5275	Low cost skin substitute ap	T	8	453.1
C8900	"Mra w/cont, abd"	S	5	265.02
C8900	"Mra w/cont, abd"	N	1	265.02
C8901	"Mra w/o cont, abd"	N	5	225.91
C8901	"Mra w/o cont, abd"	S	1	225.91
C8902	"Mra w/o fol w/cont, abd"	S	12	426.52
C8902	"Mra w/o fol w/cont, abd"	N	1	426.52
C8904	"Mri w/o cont, breast, uni"	S	1	225.91
C8905	"Mri w/o fol w/cont, brst, u"	S	1	426.52
C8906	"Mri w/cont, breast, bi"	S	11	426.52
C8907	"Mri w/o cont, breast, bi"	S	3	449.68
C8908	"Mri w/o fol w/cont, breast,"	S	277	426.52
C8908	"Mri w/o fol w/cont, breast,"	N	3	426.52
C8909	"Mra w/cont, chest"	N	14	265.02
C8909	"Mra w/cont, chest"	S	5	265.02
C8910	"Mra w/o cont, chest"	S	2	225.91
C8911	"Mra w/o fol w/cont, chest"	S	10	426.52
C8911	"Mra w/o fol w/cont, chest"	N	2	426.52
C8914	"Mra w/o fol w/cont, lwr ext"	S	3	426.52
C8918	"Mra w/cont, pelvis"	N	2	265.02
C8920	"Mra w/o fol w/cont, pelvis"	S	6	426.52
C8920	"Mra w/o fol w/cont, pelvis"	N	2	426.52
C8921	"Tte w or w/o fol w/cont, co"	S	1	656.91
C8923	"2d tte w or w/o fol w/con,c"	S	7	656.91
C8924	"2d tte w or w/o fol w/con,f"	S	22	426.52
C8924	"2d tte w or w/o fol w/con,f"	N	1	426.52
C8928	"Tte w or w/o fol w/con,stre"	S	115	656.91
C8928	"Tte w or w/o fol w/con,stre"	N	1	656.91
C8929	"Tte w or wo fol wcon,dopple"	S	1334	656.91
C8929	"Tte w or wo fol wcon,dopple"	N	7	656.91
C8930	"Tte w or w/o contr, cont ec"	S	86	656.91
C8933	"Mra, w/o&w/dye, spinal cana"	S	4	426.52
C8935	"Mra, w/o dye, upper extr"	Q	1	225.91
C8957	"Prolonged iv inf, req pump"	S	3	279.45
C9257	Bevacizumab injection	K	31124	1.81
C9257	Bevacizumab injection	N	60	1.81
C9447	"Inj, phenylephrine ketorola"	G	1	487.12
C9483	"Injection, atezolizumab"	G	48840	75.76
C9739	Cystoscopy prostatic imp 1-	J	2	3484.01
C9740	Cysto impl 4 or more	J	60	7452.66
C9744	Abd us w/contrast	S	1	265.02
G0008	Admin influenza virus vac	S	32294	34.78
G0008	Admin influenza virus vac	A	1	34.78
G0009	Admin pneumococcal vaccine	S	14170	34.78
G0009	Admin pneumococcal vaccine	A	1	34.78
G0010	Admin hepatitis b vaccine	S	206	34.78
G0101	Ca screen;pelvic/breast exam	S	925	70.26
G0103	Psa screening	A	4508	25.23
G0104	Ca screen;flexi sigmoidscope	T	6	667.67
G0105	Colorectal scrn; hi risk ind	T	401	667.67
G0121	Colon ca scrn not hi rsk ind	T	509	667.67
G0123	Screen cerv/vag thin layer	A	229	27.79
G0127	Trim nail(s)	S	153	54.55
G0127	Trim nail(s)	N	73	54.55
G0127	Trim nail(s)	Q	6	54.55
G0143	"Scr c/v cyto,thinlayer,rescr"	A	2	27.79
G0144	"Scr c/v cyto,thinlayer,rescr"	A	1	29.31
G0145	"Scr c/v cyto,thinlayer,rescr"	A	464	36.34
G0166	"Extrnl counterpulse, per tx"	S	103	263.61
G0237	Therapeutic procd strg endur	S	112	28.38
G0238	"Oth resp proc, indiv"	S	329	28.38
G0239	"Oth resp proc, group"	S	1037	28.38
G0239	"Oth resp proc, group"	N	2	28.38
G0246	Followup eval of foot pt lop	V	3	106.61
G0247	Routine footcare pt w lops	N	1	153.12
G0257	Unsched dialysis esrd pt hos	S	3	552.58
G0260	Inj for sacroiliac jt anesth	T	820	507.19
G0260	Inj for sacroiliac jt anesth	N	1	507.19
G0277	"Hbot, full body chamber, 30m"	S	8022	110.24
G0277	"Hbot, full body chamber, 30m"	N	336	110.24
G0296	Visit to determ ldct elig	S	103	70.26
G0297	Ldct for lung ca screen	S	392	59.86
G0306	Cbc/diffwbc w/o platelet	A	4	10.66
G0328	Fecal blood scrn immunoassay	A	438	21.82
G0365	Vessel mapping hemo access	S	41	112.73
G0379	Direct refer hospital observ	J	3	488.74
G0379	Direct refer hospital observ	N	1	488.74
G0379	Direct refer hospital observ	V	1	488.74
G0396	Alcohol/subs interv 15-30mn	S	19	25.23
G0397	Alcohol/subs interv >30 min	S	3	126.01
G0398	Home sleep test/type 2 porta	S	24	127.1
G0399	Home sleep test/type 3 porta	S	137	127.1
G0400	Home sleep test/type 4 porta	S	6	127.1
G0402	Initial preventive exam	V	744	106.61
G0404	Ekg tracing for initial prev	S	269	12.62
G0416	"Prostate biopsy, any mthd"	N	230	184.01
G0416	"Prostate biopsy, any mthd"	S	6	184.01
G0424	Pulmonary rehab w exer	S	2508	54.55
G0432	Eia hiv-1/hiv-2 screen	A	109	18.8
G0433	Elisa hiv-1/hiv-2 screen	A	23	18.8
G0435	Oral hiv-1/hiv-2 screen	A	1	16.44
G0442	Annual alcohol screen 15 min	S	239	25.23
G0444	Depression screen annual	S	554	25.23
G0446	Intens behave ther cardio dx	S	3	25.23
G0447	Behavior counsel obesity 15m	S	52	70.26
G0455	Fecal microbiota prep instil	N	2	263.61
G0463	Hospital outpt clinic visit	V	686524	106.61
G0463	Hospital outpt clinic visit	N	428	106.61
G0463	Hospital outpt clinic visit	A	8	106.61
G0463	Hospital outpt clinic visit	J	8	106.61
G0471	Ven blood coll snf/hha	A	7	0
G0472	Hep c screen high risk/other	A	1138	19.57
G0480	Drug test def 1-7 classes	A	132	117.65
G0482	Drug test def 15-21 classes	A	1	204.34
G0483	Drug test def 22+ classes	A	2	253.87
G0498	Chemo extend iv infus w/pump	S	668	279.45
G0498	Chemo extend iv infus w/pump	A	5	279.45
G0505	Cog/func assessment outpt	S	11	70.26
J0129	Abatacept injection	K	101950	44.75
J0178	Aflibercept injection	K	3114	980.46
J0180	Agalsidase beta injection	K	7555	164.42
J0202	"Injection, alemtuzumab"	K	732	1738.36
J0256	Alpha 1 proteinase inhibitor	K	211176	4.83
J0257	Glassia injection	K	19600	4.37
J0289	Amphotericin b liposome inj	K	30	19.01
J0300	Amobarbital 125 mg inj	K	6	194.26
J0401	Inj aripiprazole ext rel 1mg	K	19800	4.38
J0475	Baclofen 10 mg injection	K	283	173.43
J0476	Baclofen intrathecal trial	K	79	76.96
J0485	Belatacept injection	K	13913	3.84
J0490	Belimumab injection	K	21359	42.02
J0561	Penicillin g benzathine inj	K	348	10.31
J0583	Bivalirudin	K	1000	1.53
J0585	"Injection,onabotulinumtoxina"	K	268787	5.93
J0585	"Injection,onabotulinumtoxina"	N	5800	5.93
J0586	Abobotulinumtoxina	K	1080	7.9
J0587	"Inj, rimabotulinumtoxinb"	K	4937	11.71
J0588	Incobotulinumtoxin a	K	10201	4.91
J0641	Levoleucovorin injection	K	1400	0.9
J0695	Inj ceftolozane tazobactam	G	180	4.54
J0712	Ceftaroline fosamil inj	N	60	2.48
J0717	Certolizumab pegol inj 1mg	K	147403	7.06
J0740	Cidofovir injection	K	1	554.48
J0775	"Collagenase, clost hist inj"	K	6468	41.42
J0850	Cytomegalovirus imm iv /vial	K	180	1126.55
J0875	"Injection, dalbavancin"	G	900	15.22
J0878	Daptomycin injection	K	1349372	0.9
J0881	"Darbepoetin alfa, non-esrd"	K	1138600	3.93
J0881	"Darbepoetin alfa, non-esrd"	N	1700	3.93
J0881	"Darbepoetin alfa, non-esrd"	A	50	3.93
J0885	"Epoetin alfa, non-esrd"	K	265193	12.59
J0894	Decitabine injection	K	42683	20.83
J0894	Decitabine injection	A	250	20.83
J0897	Denosumab injection	K	781519	16.23
J0897	Denosumab injection	N	60	16.23
J1190	Dexrazoxane hcl injection	K	24	184.05
J1212	Dimethyl sulfoxide 50% 50 ml	K	4	481.94
J1300	Eculizumab injection	K	12364	221.12
J1439	Inj ferric carboxymaltos 1mg	K	1516353	1.05
J1442	Inj filgrastim excl biosimil	K	575802	1
J1442	Inj filgrastim excl biosimil	A	1920	1
J1442	Inj filgrastim excl biosimil	N	480	1
J1453	Fosaprepitant injection	K	705555	1.89
J1455	Foscarnet sodium injection	K	66	47.28
J1459	Inj ivig privigen 500 mg	K	135577	37.9
J1460	Gamma globulin 1 cc inj	K	8	36.41
J1559	Hizentra injection	K	100	9.83
J1561	Gamunex-c/gammaked	K	80281	38.58
J1566	"Immune globulin, powder"	K	14462	33.07
J1568	Octagam injection	K	36415	35.98
J1569	Gammagard liquid injection	K	121924	40
J1572	Flebogamma injection	K	28956	36.8
J1573	"Hepagam b intravenous, inj"	K	65	56.06
J1602	Golimumab for iv use 1mg	K	30246	24.79
J1610	Glucagon hydrochloride/1 mg	K	107	199.12
J1610	Glucagon hydrochloride/1 mg	N	3	199.12
J1640	"Hemin, 1 mg"	K	30746	22.86
J1740	Ibandronate sodium injection	K	102	101.96
J1745	Infliximab not biosimil 10mg	K	109460	82.87
J1750	Inj iron dextran	K	7012	12.41
J1786	Imuglucerase injection	K	2803	41.93
J1930	Lanreotide injection	K	31557	51.31
J1942	Aripiprazole lauroxil 1mg	G	2646	2.37
J1950	Leuprolide acetate /3.75 mg	K	32	1038.7
J2182	"Injection, mepolizumab, 1mg"	G	12405	25.93
J2278	Ziconotide injection	K	17679	7.31
J2315	"Naltrexone, depot form"	K	1	3.24
J2323	Natalizumab injection	K	339600	17.89
J2353	"Octreotide injection, depot"	K	34224	168.11
J2357	Omalizumab injection	K	62504	32.31
J2407	"Injection, oritavancin"	G	2406	24.64
J2426	Paliperidone palmitate inj	K	17160	9.12
J2469	Palonosetron hcl	K	95519	22.88
J2505	"Injection, pegfilgrastim 6mg"	K	4595	4040.69
J2505	"Injection, pegfilgrastim 6mg"	A	3	4040.69
J2507	Pegloticase injection	K	80	1642.46
J2562	Plerixafor injection	K	15	312.11
J2597	Inj desmopressin acetate	K	153	14.04
J2597	Inj desmopressin acetate	N	139	14.04
J2778	Ranibizumab injection	K	2614	383.23
J2783	Rasburicase	K	566	254.11
J2786	"Injection, reslizumab, 1mg"	G	1732	8.67
J2792	"Rho(d) immune globulin h, sd"	K	702	21.33
J2794	"Risperidone, long acting"	K	4650	7.82
J2796	Romiplostim injection	K	30663	62.14
J2860	"Injection, siltuximab"	G	660	9
J2997	Alteplase recombinant	K	1485	80.29
J3240	Thyrotropin injection	K	73	1571.3
J3243	Tigecycline injection	K	5400	3.13
J3262	Tocilizumab injection	K	361570	4.1
J3300	Triamcinolone a inj prs-free	N	348	3.7
J3300	Triamcinolone a inj prs-free	K	201	3.7
J3315	Triptorelin pamoate	K	310	460.85
J3357	"Ustekinumab sub cu inj, 1 mg"	K	5700	174.57
J3380	"Injection, vedolizumab"	K	100800	17.43
J3385	Velaglucerase alfa	K	624	343.35
J3465	"Injection, voriconazole"	K	11	4.64
J7183	Wilate injection	K	116895	0.97
J7187	"Humate-p, inj"	K	31575	1.04
J7308	Aminolevulinic acid hcl top	K	49	327.41
J7312	Dexamethasone intra implant	K	364	200.9
J7313	Fluocinol acet intravit imp	G	19	490.95
J7321	Hyalgan/supartz inj per dose	K	1803	87.73
J7322	Hymovis injection 1 mg	G	6	16.41
J7323	Euflexxa inj per dose	K	1902	155.32
J7324	Orthovisc inj per dose	K	3377	159.28
J7325	Synvisc or synvisc-one	K	34306	12.77
J7326	Gel-one	K	179	587.58
J7327	Monovisc inj per dose	K	334	917.77
J8501	Oral aprepitant	K	1775	11.11
J8655	Netupitant palonosetron oral	G	6	461.97
J9017	Arsenic trioxide injection	K	1257	64.62
J9025	Azacitidine injection	K	640153	2.84
J9025	Azacitidine injection	N	2000	2.84
J9031	Bcg live intravesical vac	K	223	123.2
J9033	"Inj., treanda 1 mg"	K	16996	27.01
J9034	"Inj., bendeka 1 mg"	G	174003	23.79
J9035	Bevacizumab injection	K	180674	72.31
J9041	Bortezomib injection	K	143818	46.52
J9041	Bortezomib injection	N	32	46.52
J9042	Brentuximab vedotin inj	K	11627	129.09
J9043	Cabazitaxel injection	K	8508	154.57
J9047	"Injection, carfilzomib, 1 mg"	K	75615	31.95
J9055	Cetuximab injection	K	47128	55.63
J9055	Cetuximab injection	N	220	55.63
J9065	Inj cladribine per 1 mg	K	784	21.75
J9070	Cyclophosphamide 100 mg inj	K	19886	43.97
J9098	Cytarabine liposome inj	K	10	595.76
J9145	"Injection, daratumumab 10 mg"	G	127424	46.85
J9155	Degarelix injection	K	15840	3.62
J9171	Docetaxel injection	K	185004	2.72
J9176	"Injection, elotuzumab, 1mg"	G	139168	6.25
J9179	Eribulin mesylate injection	K	6249	106.08
J9202	Goserelin acetate implant	K	140	327.12
J9205	Inj irinotecan liposome 1 mg	G	12296	39.55
J9207	Ixabepilone injection	K	2582	77.87
J9208	Ifosfamide injection	K	90	28.18
J9211	Idarubicin hcl injection	K	36	29.76
J9214	Interferon alfa-2b inj	K	260	26.86
J9217	Leuprolide acetate suspnsion	K	4637	225.01
J9217	Leuprolide acetate suspnsion	N	9	225.01
J9228	Ipilimumab injection	K	19025	142.65
J9263	Oxaliplatin	K	728132	0.39
J9263	Oxaliplatin	A	1200	0.39
J9264	Paclitaxel protein bound	K	315270	10.32
J9266	Pegaspargase injection	K	4	13911.23
J9271	Inj pembrolizumab	G	307967	46.5
J9280	Mitomycin injection	K	570	103.17
J9280	Mitomycin injection	N	112	103.17
J9293	Mitoxantrone hydrochl / 5 mg	K	30	36.75
J9295	"Injection, necitumumab, 1 mg"	G	13600	5.28
J9299	"Injection, nivolumab"	G	886954	26.06
J9301	Obinutuzumab inj	K	21117	56.2
J9302	Ofatumumab injection	K	2700	51.87
J9303	Panitumumab injection	K	9091	105.6
J9305	Pemetrexed injection	K	106873	62.78
J9306	"Injection, pertuzumab, 1 mg"	K	297796	10.65
J9307	Pralatrexate injection	K	520	229.72
J9308	"Injection, ramucirumab"	K	26682	55.93
J9310	Rituximab injection	K	27601	792.92
J9315	Romidepsin injection	K	1064	306.79
J9325	Inj talimogene laherparepvec	G	6815	46.28
J9330	Temsirolimus injection	K	3843	66.67
J9351	Topotecan injection	K	17223	3.06
J9352	Injection trabectedin 0.1mg	G	192	283.34
J9354	"Inj, ado-trastuzumab emt 1mg"	K	56642	29.22
J9355	Trastuzumab injection	K	136906	92.09
J9395	"Injection, fulvestrant"	K	34075	95.77
J9400	"Inj, ziv-aflibercept, 1mg"	K	12420	8.45
P3000	Screen pap by tech w md supv	A	1	14.49
P9011	Blood split unit	R	2	131.98
P9016	Rbc leukocytes reduced	R	2148	185.82
P9016	Rbc leukocytes reduced	N	10	185.82
P9019	"Platelets, each unit"	R	1	96.49
P9021	Red blood cells unit	R	16	142.36
P9022	Washed red blood cells unit	R	4	344.37
P9031	Platelets leukocytes reduced	R	48	125.73
P9031	Platelets leukocytes reduced	N	1	125.73
P9033	Platelets leukoreduced irrad	R	13	162.09
P9035	Platelet pheres leukoreduced	R	228	499.95
P9035	Platelet pheres leukoreduced	N	5	499.95
P9037	Plate pheres leukoredu irrad	R	130	647.4
P9038	Rbc irradiated	R	3	218.95
P9040	Rbc leukoreduced irradiated	R	1052	266.28
P9040	Rbc leukoreduced irradiated	A	18	266.28
P9040	Rbc leukoreduced irradiated	N	4	266.28
P9041	"Albumin (human),5%, 50ml"	K	80	11.02
P9045	"Albumin (human), 5%, 250 ml"	K	165	54.72
P9047	"Albumin (human), 25%, 50ml"	K	506	53.44
P9051	"Blood, l/r, cmv-neg"	R	22	206.48
P9053	"Plt, pher, l/r cmv-neg, irr"	R	3	618.89
P9055	"Plt, aph/pher, l/r, cmv-neg"	R	7	422
P9058	"Rbc, l/r, cmv-neg, irrad"	R	49	250.1
P9059	"Plasma, frz between 8-24hour"	R	5	74
P9072	Plate path red/rapid bac tes	R	1	647.4
Q0091	Obtaining screen pap smear	S	502	12.62
Q0111	Wet mounts/ w preparations	A	18	5.86
Q0112	Potassium hydroxide preps	A	11	5.86
Q0138	"Ferumoxytol, non-esrd"	K	571219	0.88
Q0138	"Ferumoxytol, non-esrd"	A	1020	0.88
Q0138	"Ferumoxytol, non-esrd"	N	510	0.88
Q0139	"Ferumoxytol, esrd use"	K	15300	0.88
Q2043	Sipuleucel-t auto cd54+	K	17	37763.36
Q2049	Imported lipodox inj	K	65	508.43
Q2050	Doxorubicin inj 10mg	K	1888	435.44
Q4172	Puraply or puraply am	G	828	119.12
Q5101	Inj filgrastim gcsf biosimil	G	398405	0.83
Q9950	Inj sulf hexa lipid microsph	G	85	22.33
Q9968	Visualization adjunct	N	735	2.22
Q9968	Visualization adjunct	K	160	2.22
Q9969	Non-heu tc-99m add-on/dose	K	6	10
